Insurance and Reimbursement
Who administers Local Coverage Determinations (LCDs)?
Options: a. State law; b. National Coverage Determinations; c. Each regional Medicare Administrative
Contractor (MAC); d. Local Medicare Management Programs
Answer: c. Each regional Medicare Administrative Contractor (MAC)
What does ABN stand for?
Options: a. Advanced Benefits Notification; b. Advisory Beneficial Notice; c. Admitting Beneficiary
Notice; d. Advance Beneficiary Notice
Answer: d. Advance Beneficiary Notice
Health Insurance
What type of health insurance provides coverage for low-income families?
Options: a. Commercial HMO; b. Medicaid; c. Medicare; d. Commercial PPO
Answer: b. Medicaid
Medical Records
What type of information is NOT maintained in a medical record?
Options: a. Treatment outcomes; b. Financial records; c. Medical or surgical interventions; d.
Observations
Answer: b. Financial records
Compliance and Auditing
According to the OIG, internal monitoring and auditing should be performed by what means?
,Options: a. Focused audits on problems brought to the attention of the compliance officer; b. Baseline
audits; c. Periodic audits; d. Audits on all denied claims
Answer: c. Periodic audits
Anatomy
What structure transports urine from the kidneys to the urinary bladder?
Options: a. Ureter; b. Urethra; c. Kidney pelvis; d. Urinary vein
Answer: a. Ureter
Circulation
Which system does NOT circulate fluids throughout the body?
Options: a. Venous system; b. Endocrine system; c. Arterial system; d. Lymphatic system
Answer: b. Endocrine system
Respiratory System
What is a function of the alveoli in the lungs?
Options: a. Oxygen exchange; b. Nicotine is destroyed; c. Fluid in the lungs absorbed; d. Providing an
airway to breathe
Answer: a. Oxygen exchange
Cytopathology is the study of:
a. Tissue
b. Cells
c. Blood
d. Organs ✔️b. Cells
, The meaning of heteropsia (or anisometropia) is:
a. Blindness in half the visual field
b. Double vision
c. Unequal vision in the two eyes
d. Blindness in both eyes ✔️c. Unequal vision in the two eyes
What is the meaning of provider in the ICD-10-CM guidelines?
a. Insurance company
b. The hospital
c. The physician
d. The patient ✔️c. The physician
What is the ICD-10-CM code for hay fever?
a. J30.1
b. J30.89
c. J30.81
d. J45.909 ✔️a. J30.1
What is the ICD-10-CM code for eyestrain?
a. H53.10, H53.10
b. H57.8
c. H57.8, H57.8
d. H53.10 ✔️d. H53.10