MEDICAL BILLING AND CODING
STUDY SET QUESTIONS AND ANSWERS
WITH SOLUTIONS 2024
Prevention - ANSWER Teaching and educating those involved in claim management and appeals process
and involving them when necessary
F codes - ANSWER behavior disorders
k codes - ANSWER digestive system
A + B codes - ANSWER infection disease
z codes - ANSWER immunization
Why should you follow the guidelines in the CPT manual - ANSWER they define items that are necessary
to accurately code
What is a part of a providers practice compliance program - ANSWER internal monitoring and auditing
A patient presents for an urgent care encounter. Which code set should be used? - ANSWER Office or
other outpatient services
Patient account record - ANSWER A financial report that contains all the transactions between a patient
and the practice
temporary disability - ANSWER a disability that can improve and clear up
Third party subrogation - ANSWER The legal process by which an insurance company seeks from a third
party who has caused a loss, recovery of the amount paid to the policyholder.
, Permanent Disability - ANSWER Disability from which the insured does not recover.
nondisability - ANSWER worker haas a minor injury on the job and is able to continue regular duties
suspended - ANSWER held for additional information
pending - ANSWER held for review
denied - ANSWER returned to provider after is was processed
invalid - ANSWER contains illogical or incorrect information
Diagnosis Pointer - ANSWER links ICD-10-Cm and CPT codes to support medical necessity
Place of service - ANSWER Identify where services where provided
modifier - ANSWER Provides additional details for CPT codes
Days or units - ANSWER ID number of days a patient was hospitalized and how many injections or
procedures where completed
what is a reason a claim should be resubmitted - ANSWER the claim requires an attachment to support
medical necessity
when a patient has a condition that is both acute and chronic, how should it be coded - ANSWER code
both acute and chronic, but acute condition first
do you need a modifier for splinting of the 4th digit on the left foot - ANSWER yes, procedures
preformed on the digits need a modifier to specify which digit procedure was preformed on
STUDY SET QUESTIONS AND ANSWERS
WITH SOLUTIONS 2024
Prevention - ANSWER Teaching and educating those involved in claim management and appeals process
and involving them when necessary
F codes - ANSWER behavior disorders
k codes - ANSWER digestive system
A + B codes - ANSWER infection disease
z codes - ANSWER immunization
Why should you follow the guidelines in the CPT manual - ANSWER they define items that are necessary
to accurately code
What is a part of a providers practice compliance program - ANSWER internal monitoring and auditing
A patient presents for an urgent care encounter. Which code set should be used? - ANSWER Office or
other outpatient services
Patient account record - ANSWER A financial report that contains all the transactions between a patient
and the practice
temporary disability - ANSWER a disability that can improve and clear up
Third party subrogation - ANSWER The legal process by which an insurance company seeks from a third
party who has caused a loss, recovery of the amount paid to the policyholder.
, Permanent Disability - ANSWER Disability from which the insured does not recover.
nondisability - ANSWER worker haas a minor injury on the job and is able to continue regular duties
suspended - ANSWER held for additional information
pending - ANSWER held for review
denied - ANSWER returned to provider after is was processed
invalid - ANSWER contains illogical or incorrect information
Diagnosis Pointer - ANSWER links ICD-10-Cm and CPT codes to support medical necessity
Place of service - ANSWER Identify where services where provided
modifier - ANSWER Provides additional details for CPT codes
Days or units - ANSWER ID number of days a patient was hospitalized and how many injections or
procedures where completed
what is a reason a claim should be resubmitted - ANSWER the claim requires an attachment to support
medical necessity
when a patient has a condition that is both acute and chronic, how should it be coded - ANSWER code
both acute and chronic, but acute condition first
do you need a modifier for splinting of the 4th digit on the left foot - ANSWER yes, procedures
preformed on the digits need a modifier to specify which digit procedure was preformed on
