Study Guide (Medical Coding) Questions with 100% Correct Answers

7 Steps of coding Correct Answer 1. Read and copy 2. Re-read and start abstracting 3.Query the doctor 4.Start applying diagnosis codes 5. Apply the right procedure code 6. Link the diagnosis codes to the procedure code 7. Check your work 6 Sections in the CPT Book Correct Answer 1. Evaluation and Management (E/M) 2. Anesthesia 3. Surgery 4. X-rays and Radiology 5. Pathology 6. Medicine Anesthesia Time Correct Answer Begins, right when injected; Ends, when released into recovery Surgical Package Correct Answer Each follow-up visit are included it is all bundled (EM, the actual operation and the certain days before discharge) Medical Coding Correct Answer Non-Medical Language between medical provider and payer. Tells what happens. Determines reimbursement. Used for Privacy purposes. Medical Necessity Correct Answer Justifies the medical service. Upcoding Correct Answer Coding a procedure and diagnosis to get a higher service Double Billing Correct Answer Charging for the same diagnosis on one visit Unbundling Correct Answer Breaking two or more codes CPT( Current Procedural Terminology) Correct Answer A code set that is used to report medical procedures and services to entities such as physicians, health insurance, companies and accreditation organizations. ICD-9-CM Correct Answer The acronym for international Classification of Diseases Ninth Revision, Clinical Modification.