Medical Billing & Coding Midterm Exam Questions and Answers Rated A+

Medical Billing & Coding Midterm Exam Questions and Answers Rated A+ What is the term that means medical billers and coders may only perform certain administrative services that are consistent with their training and experience? Scope of practice What is a secure, interactive website for patient-provider communication and access to a medical office's databases? Patient portal What implies that an individual has met competencies in his or her field, and can also provide a competitive edge in the marketplace? Professional certification The physician's diagnoses are documented in what section of a SOAP note? Assessment What is the capacity of electronic heatlh records (EHRs) to communicate and exchange information with one another Interoperability What is a provider called who has agreed to accept negotiated (often discounted) rates from a heatlh plan? Network provider What is a healthcare delivery system organized to manage cost, utilization, and quality of care? Managed care What is the money that a medical practice has generated and is available for use, especially to pay expenses? Cash flow What do health insurance specialists review in order to post insurance payments and adjustments to a patient's account? Remittance advice Which federal law protects the privacy and security of a patient's heatlh information? Health Insurance Portability and Accountability Act (HIPAA) What is any part of a medical record that is created, stored, received, or transmitted by a healthcare provider that identifies an individual? Protected Health Information (PHI) What is the Minimum Necessary Standard? The healthcare provider has a duty to limit the disclosure of PHI to only the information that is absolutely necessary to accomplish the purpose of the disclosure Paying attention to a key feature in this code set (laterality), what is the ICD-10-CM code for sprain of the anterior cruciate ligament of the left knee, subsequent encounter? S83.512D After interpreting the coding convention of etiology and manifestation, what is the ICD-10-CM code for arthropathy of right knee due to ulcerative colitis? K51.90, M07.661 According to the general coding guidelines about combination codes, what is the ICD-10-CM code for Type I diabetes mellitus with neuropathy? E10.40 The patient is undergoing treatment for carcinoma of the lower third of the esophagus. What is the correct ICD-10-CM code? C15.5 The patient was diagnosed with an infection of the colostomy site with cellulitis of the abdominal wall. What is/are the correct ICD-10-CM code(s)? K904.02, L03.311 A patient was seen in the office today for a routine