NCCT Practice Test 2 Billing and Coding Test Questions With Correct Answers (Graded)

NCCT Practice Test 2 Billing and Coding Test Questions With Correct Answers (Graded) An organization which provides a wide range of services for a specified group at a fixed periodic payment is termed an A. Individual Contract B. HMO C. Conversion Privilege D. Exclusive Provider Organization - Answer HMO TBSA refers to: A. Relative Blood Value B. Tuberculosis Test C. Total Blood & serum analysis D. Total Body Surface Area - Answer Total body surface area There are two types of CPT codes, stand alone and: A. Subcodes B. Patent Codes C. Stand Aside Codes D. Indented Codes - Answer Indented Codes Services in which opinions of specialists are requested, are called: A. Lectures B. Consultations C. Ancillary Services D. Office Visits - Answer Consultations Examples of HCPCS Level II codes are: A. Specified Types of Physicians B. Emergency Case C. Inpatient Procedures D. Supplies, orthotics, prosthetics, DME, equipment, and ambulance services - Answer Supplies, orthotics, prosthetics, DME, equipment, and ambulance services Everything that you see, hear, or read about a patients condition must remain: A. Accurate B. Confidential C. Historical D. Inclusive - Answer Confidential Because of the new Medicare regulations insurance companies are predominantly using what type of claims? A. Encounter B. Electronic C. Paper D. Daily - Answer Electronic A "combining form" meaning joint is: A. Ankyl/o B. Cost/o C. Arthro/o D. Spondyl/o - Answer Arthro/o If an error is made in a patients chart, what should be done before adding the correct information nearby? A. White out the error B. Scratch out the error C. Draw a single line through the error D. Erase the error - Answer Draw a single line through the error When sequencing codes for multiple burns, list: A. Third degree First B. The largest Burn first C. Burns on the face and neck first D. In the order of first, second & third degree - Answer Third degree first Another name for a release of information form is a: A. Assignment of benefits B. Requisition C. Consent D. Encounter - Answer Consent Which of the following is not a type of wound? A. Excision B. Laceration C. Puncture D. Avulsion - Answer Excision The opposite of ventral is: A. Cervical B. Dorsal C. Lumbar D. Posterior - Answer Dorsal In a Medicare billing dispute, the amount of controversy must be at least: A. $100 B. $200 C. $500 D. $1000 - Answer $100 A suffix indicating the surgical creation of an opening is: A. Ectomy B. Otomy C. Ostomy D. Plasty - Answer Ostomy The usual abbreviation for complete blood count is: A. CBC B. HCT C. GGT D. RBC - Answer CBC Which of the following abbreviations might charted if a patient has a bladder infection: A. BI B. BI, bacterial C. UTI D. UCT, bacterial - Answer UTI All of the following are included in the Medicare EPSDT program for welfare children except: A. Treatment for mental defects B. Development assessment C. Remedial education D. Dental screening - Answer Remedial Education Intentional misrepresentation of facts in order to deceive or mislead others is: A. Fraud B. Libel C. Abuse D. Embezzlement - Answer Fraud Self-Employed insurance billing specialists can deduct all but which one of the following expenses from income taxes: A. Business Travel Expenses B. Subscriptions to professional magazines C. Theatre Tickets D. Depreciation of office equipment - Answer Theatre Tickets The medical term for high blood pressure: A. Hypertensive heart disease B. Arteriosclerosis C. Hypertension D. Hypotension - Answer Hypertension An individual who promises to pay the medical bill by signing an agreement to pay form is the: A. Medicare Representative B. Arbitrator C. Mediator D. Guarantor - Answer Guarantor A report mentioning such words as cranium, maxilla, and mandible would be referring to: A. Hip B. Head C. Pelvic Girdle D. Spine - Answer Head The following subsections of Evaluation and Management services except: A. Emergency Department Services B. Office of other outpatient services C. Consultations D. Concurrent Care - Answer Concurrent Care In the Medicare program a clean claim means that: A. The claim has no deficiencies B. The carrier doesn't need to investigate further C. The claim passes all electronic edits D. All answers are correct - Answer D. The claim has no deficiencies, does not further investigation, and that it passes all electronic edits HCT is the medical abbreviation for: A. High frequency computerized tomography B. Hematocrit C. Hemoglobin D. Human chrorionic ganodatropin - Answer Hematocrit The subsequent injury fund was established for problems that arise when a: A. Previously injured person is injured at work again B. Rehabilitated person returns to work C. Military person returns to work D. Claim is filed later than the time limit - Answer Previously injured person is injured at work again Tricare offers 3 types of plans: A. Champus, Champus Plus , & CHampus Extra B. Standard, Extra & Prime C. Regular , Extra, & Prime D. Standard, Standard Plus & Standard Extra - Answer Standard, Extra & Prime Workers Compensation can be found in: A. Alaska , California, Florida New York & Texas Only B. Arizona, California, Oregon, Nevada & Washington Only C. All US States except Maine , Missouri, Montana, Tennessee, & West Virginia D. All US States - Answer All US States A 66 year old retired school teacher presenting for a first visit at a medical office would most likely be covered by: A. Tricare B. Medicaid C. Medicare D. Workers' Compensation - Answer Medicare When a claim is returned for incorrect or missing information, the correct action for a medical biller to take would be to: A. Add or correct the information & resubmit the claim B. Send an appeal letter C. Schedule a hearing before an administrative law judge D. Resend duplicate claim - Answer Add or correct the information & resubmit the claim One insurance plan jointly sponsored by federal & state government is: A. Medicare B. Medicaid C. Tricare D. Blue Cross/Blue Shield - Answer Medicaid If a person is enlisted in the military service and killed in the line of duty, future medical benefits for his/her family would be covered under: A. Tricare B. Social Security C. ChampVA D. Workers' Compensation - Answer CHAMPVA A patients medical record should be faxed only if: A. It is convenient for both the sender & the recipient B. The patient asks for it to be delivered via fax C. There is an emergent need for the information stated by the physician D. The medical assistant or insurance clerk chooses to do so - Answer There is an emergent need for the information stated by the physician To keep insurance in force, a person must pay a monthly, quarterly, or annual fee known as the: A. Premium B. Deductible C. Co-Insurance D. Co-Payment - Answer Premium Seven days after major surgery, the surgical wound dressing change would be: A. Coded 15852 B. Included in the surgical package & not billed C. Coded 15850 D. Coded using modifier - 24 - Answer Included in the surgical package & not billed If a patient had an operative procedure on his/her thumb on the right hand, a coder would: A. Use the appropriate CPT procedure code only B. Add modifier RT to the appropriate procedure code C. Add modifier F5 to the appropriate procedure code D. Add modifier FA to the appropriate procedure code - Answer Add Modifier F5 to the appropriate procedure code