HIM 141 Final Exam Review UPDATED
QUESTIONS AND CORRECT ANSWERS
Procedures that are experimental, newly approved, or seldom used are reported with what
type of code? - CORRECT ANSWER Unlisted/Category III
CPT stands for: - CORRECT ANSWER Current Procedural Terminology
This act mandated the adoption of national uniform standards for electronic transmission of
financial and administrative health information. - CORRECT ANSWER HIPAA
Who publishes CPT? - CORRECT ANSWER AMA
What is the function of an add-on code? - CORRECT ANSWER Identifies a code that
is never used alone
The rules that govern coding in various health care settings are: - CORRECT
ANSWER Variable
A modifier:
- Subtracts from the definition of the code
- Adds to the CPT code number
- Provides additional information to the third-party payer
- Increases third-party payer reimbursement - CORRECT ANSWER Provides
additional information to the third-party payer
An unlisted procedure code:
- Is a procedure or service not found in the CPT manual
- Is located in the Section Guidelines
- Is located at the end of a subsection or subheading
, - All of the above - CORRECT ANSWER All of the above
According to the CPT manual, modifier -91 is not to be used when tests are ____ to confirm
initial results - CORRECT ANSWER Rerun
According to the Radiology Guidelines, these are the methods that qualify as "with contrast."
- CORRECT ANSWER Intravascularly, intra-articularly, intrathecally
HCPCS stands for: - CORRECT ANSWER Healthcare Common Procedure Coding
System
HCPCS is a collection of codes that represent the following:
- Providers, payers, and patient advocates
- Process, purpose, and services
- Procedures, surgeries, radiology, and laboratory services
- Procedures, supplies, products, and services - CORRECT ANSWER Procedures,
supplies, products, and services
Modifiers may affect:
-Health care premiums
-Type of treatment provided
-The way payment is made by a third-party payer
-Code selection - CORRECT ANSWER The way payment is made by a third-party
payer
Modifiers are used to indicate what type of information?
-Bilateral procedure
-Multiple procedures
-Service greater than usually required
-All of the above - CORRECT ANSWER All of the above
QUESTIONS AND CORRECT ANSWERS
Procedures that are experimental, newly approved, or seldom used are reported with what
type of code? - CORRECT ANSWER Unlisted/Category III
CPT stands for: - CORRECT ANSWER Current Procedural Terminology
This act mandated the adoption of national uniform standards for electronic transmission of
financial and administrative health information. - CORRECT ANSWER HIPAA
Who publishes CPT? - CORRECT ANSWER AMA
What is the function of an add-on code? - CORRECT ANSWER Identifies a code that
is never used alone
The rules that govern coding in various health care settings are: - CORRECT
ANSWER Variable
A modifier:
- Subtracts from the definition of the code
- Adds to the CPT code number
- Provides additional information to the third-party payer
- Increases third-party payer reimbursement - CORRECT ANSWER Provides
additional information to the third-party payer
An unlisted procedure code:
- Is a procedure or service not found in the CPT manual
- Is located in the Section Guidelines
- Is located at the end of a subsection or subheading
, - All of the above - CORRECT ANSWER All of the above
According to the CPT manual, modifier -91 is not to be used when tests are ____ to confirm
initial results - CORRECT ANSWER Rerun
According to the Radiology Guidelines, these are the methods that qualify as "with contrast."
- CORRECT ANSWER Intravascularly, intra-articularly, intrathecally
HCPCS stands for: - CORRECT ANSWER Healthcare Common Procedure Coding
System
HCPCS is a collection of codes that represent the following:
- Providers, payers, and patient advocates
- Process, purpose, and services
- Procedures, surgeries, radiology, and laboratory services
- Procedures, supplies, products, and services - CORRECT ANSWER Procedures,
supplies, products, and services
Modifiers may affect:
-Health care premiums
-Type of treatment provided
-The way payment is made by a third-party payer
-Code selection - CORRECT ANSWER The way payment is made by a third-party
payer
Modifiers are used to indicate what type of information?
-Bilateral procedure
-Multiple procedures
-Service greater than usually required
-All of the above - CORRECT ANSWER All of the above
