NHA CBCS sample questions

All of the following are correct regarding add-on codes except: A. They can be reported as stand-alone codes B. They are exempted from modifier -51 C. They are preformed in addition to a primary procedure D. The add-on procedures must be performed by the same provider. - correct answer A What is a preexisting condition? A. An illness or condition present before coverage begins B. A hereditary illness or condition C. A illness that presents after coverage begins D. A recurring condition - correct answer a What insurance policy is never primary when the insured has more then one policy? - correct answer Medicaid A triangle in front of a code in the updated CPT manual means? - correct answer The description for the code has changed. The CPT coding system is based on what? - correct answer Service and procedure based A respirator used by a Medicare patient is and example of? - correct answer Durable Medical Equipment Medical Ethics are: - correct answer standards of conduct What is the correct way to correct an error that has been made with in a patients chart? - correct answer Use a single line to cross out the mistake, write in the correct information followed by your initials and the date. What does the diagnosis of Cardiomegaly mean? - correct answer enlargment of the heart Which of the following is an ICD-9-CM subclassification A. 045 B. 255.0 C. 282.60 D. V15.4 - correct answer c Mrs. Smith had a biopsy to remove a lump in her left breast. 5 days later she has a radical mastectomy. Which of the following modifiers will be attached to the mastectomy procedure? A. -24 unrelated E&M services by same provider during post-op period B.-58 related procedure by same provider during post-op period C. -78 return to the OR for related dervice during post-op period D. -79 unrelated service by same provider during post-op period - correct answer b A document that lists all DOS, details charges, dates of all insurance billing, dates and amounts of all payments and adjustments made by all parties - correct answer Itemized statmetn Who qualifies for Medicaid? - correct answer Low income children, Percons over 65 with a perminate disablity, Catigorically needy families. ICD-10-CM - correct answer International Classification of Diseases, 10th revision, Clinical Modification A patient who has been diagnosed with metastic bone neoplasm. What will the neopasm be coded as on the neoplasm table? - correct answer A secondary malignant Under the RBRVS method of reimbursment, the "Conversion factor" is a? - correct answer a dollar amount The organization who initiated the development of the ICD code system? - correct answer The WHO: World Health Organization On the CMS-1500 for how is the DOB formated - correct answer MM/DD/CCYY A patient has a contracture of the right hand due to a third degree burn suffered over a year ago. The code for the burn will be referenced from the index under which main term and subterm? - correct answer Late, effects of burn The term used for the five long bones of the midfoot are? - correct answer Metatarsals A service that id rearly provided, unusual, variable, or new may require a _____ in determining the medical necessity of the service. - correct answer Special report What statement is sent by the insurance to the subscriber that shows the amounts paid on a claim in an easy to read format? - correct answer Explanation Of Benifits What are the three key components of an E&M code? - correct answer History, examination, and medical decision making. Which specialis would treat a patient who has cycitis? - correct answer Urologist Which of the following lab test is used to test the chemical levels in the blood? A. Venipuncture for potassium B. UA for protien C. Venipuncture for hemogolbin D. UA for hemoglobin - correct answer A Whch term describes the surgical repair of a stomach perforation by suturing? A. gastroectomy B. gastrostomy C. gastrorrhaphy D. gastroparesis - correct answer C The blood vessels with the thinest walls are called? - correct answer capillaries What is a function of the endocrine system? - correct answer aiding in growth and development What time of the year are the New updates and modification for the IDC-10 CM codes released? - correct answer October 1 of every year ICD-10 codes are used to - correct answer report diagnostic codes The neoplasm table is used for ? - correct answer To code tumors and cancer HIPAA was designed to ? - correct answer Protect patient health information, ensure insurance coverage during a job change, Uncover and prevent fraud, and create standards for the transmision of the electronic health care information. CPT - correct answer Evaluation and Managment CPT 00100-01999, - correct answer Anesthesiology CPT - correct answer Surgury CPT - correct answer Radiology CPT - correct answer Pathology and Laboratory CPT , - correct answer Medicine CPT modifier .24 - correct answer unrelated E/M service by same providr during post-op CPT modifier .26 - correct answer a professional component CPT modifier .32 - correct answer mandated services CPT modifier .50 - correct answer bilateral procerdure CPT modifier .51 - correct answer Multiple procedures done CPT modifer .58 - correct answer a planed or related procedure by the same provider during the post-op period CPT modifier .78 - correct answer Return to the OR for a related procedure during the post-op period. CPT modifier .79 - correct answer unrelated procedure by the same provider during the post-op period CPT modifier .90 - correct answer Out side lab services CPT modifier .91 - correct answer multiple modifiers use E/M Key components - correct answer CC, HPI, ROS, PFSH, Exam, and medical decision making A plus symbol means what in the CPT system - correct answer and add on code