Administrative Health Assistant (NRCAHA) Chapter 3

There are two types of CPT codes one is add on the other is: A: Adjustment B: Stand alone C: Additions D: Single digit ANS: - B: Stand alone Basic CPT codes use how many digits: A: 2 digits B: 3 digits C: 4 digits D: 5 digits ANS: - D: 5 digits Services provided by a specialist such as neurosurgeons and intensive care units would be termed as what type of care: A: Skilled care B: Binary care C: Tertiary care D: Primary care ANS: - C: Tertiary care Which of the following is not a government sponsored insurance plan? A: Blue shield B: Medicare C: Medicaid D: Tri-Care ANS: - A: Blue shield How often is the physician's Current Procedural Terminology CPT revised: A: Never B: Every six months C: Annually D: Every two years ANS: - C: Annually A summary form listing key component of Evaluation and Management codes is called: A: Crib sheet B: Claim form C: Insurance form D: Processing form ANS: - A: Crib sheet All CPT codes, descriptions and their two digit modifiers are copyrighted by: A: Insurance companies B: The American Medical Association C: Hospital Association D: Underwriters Association ANS: - B: The American Medical Association When a code used on a claim form does not match the system used by the insurance company blank is likely to occur: A: Down-coding B: Up-coding C: Un-coding D: Duplication ANS: - B: Upcoding Deliberate manipulation of CPT codes for increased payment is called: A: Misconduct B: Malpractice C: Downloading D: Upcoding ANS: - D: Upcoding