ICD-10-CM Final Exam Questions & Answers Solved 100%

Urine moves from the kidney to the bladder through which of the following parts of the body? - Answer ureters Which of the following is a HIPAA compliance guideline affecting electronic health records - Answer The electronic transmission and code set standard require every provider to use the healthcare transactions, code sets and identifiers Which of the following is the purpose of precertification? - Answer Verification of coverage When posting payments accurately which of the following items should the billing and coding specialist include? - Answer patient's responsibility A patient's employer has not submitted a premium payment. Which of the following claim statuses should the provider receive from the third party payer? - Answer Denied Which of the following do physician use to electronically submit claims? - Answer Clearinghouse When coding on the UB-04 form, the billing and coding specialist must sequence the diagnosis codes according to ICD guidelines. Which of the following is the first listed diagnosis code? - Answer principal diagnosis Which of the following provision ensures that an insured's benefits from all insurance companies do not exceed 100% of allowable medical expenses? - Answer Coordination of benefits A coroner's autopsy is comprised of which of the following examinations? - Answer Gross examination Define adjudication - Answer a series of steps that determines how the claim will be paid obstruction of the uretha - Answer urethratresia which of the following action should be taken when a claim is billed for a level 4 visit and paid at a level 3? - Answer submit a appeal to the carrier with support documentation Which of the following describes the reason for a claim rejection because of Medicare NCCI edits? - Answer improper codes combination Which of the following sections of the medical record is used to determine the correct Evaluation and Management code views for billing coding ? - Answer history and physical When completing a CMS- 1500 paper claim form which of the following is an acceptable actions for the billing and coding specialist take? - Answer Use Aria; size 10 font Which of the following is consider the final determination of the issues involving settlement of a insurance claim? - Answer adjudication pregnancy - Answer gravid/o pregnancy - Answer -gravida first - Answer primi- many - Answer multi- combining form - Answer word root with its respective combining vowel word root - Answer word origin combining vowel - Answer a letter used to connect root words together when the next root or suffix does not begin with a vowel suffix - Answer an affix that is added at the end of the word prefix - Answer beginning of a word athr/o - Answer joint gastr/o - Answer stomach rhin/o - Answer nose hepat/o - Answer liver -ectomy - Answer cutting out; removal, excision -plasty - Answer surgical repair -stomy - Answer forming a new opening -tomy - Answer process of cutting, incision -tripsy - Answer crushing -centesis - Answer surgical puncture -scopy - Answer process of viewing -desis - Answer binding -rrhaphy - Answer suturing cyt/o, cellul/o - Answer cell home/o - Answer same -stasis - Answer controlling hist/o - Answer tissue my/o - Answer muscle adip/o, lip/o - Answer fat neur/o - Answer nervous dors/o - Answer dorsal ab- - Answer away from ad- - Answer toward