Name: Score:
39 Multiple choice questions
Definition 1 of 39
3 tp 5
Reporting incorrect information to private insurance carriers is considered
CPT uses a basic __ digit system for coding services PLUS a __ digit add on modifier
Largest section of the CPT book is the
DIagnostic codes have from __ to __ digits
Term 2 of 39
Who renders medical services, furnishes bills, or is paid for health care in the normal course of
business?
Medicaid is always the payer of last resort.
Business Associate
They are cross trained to provide more than one function. They are often competent in
more than one discipline.
They offer more flexibility to their employer.
Health care provider
Definition 3 of 39
Upcoding
Reporting incorrect information to private insurance carriers is considered
CPT uses a basic __ digit system for coding services PLUS a __ digit add on modifier
Deliberate ,manipulation of CPT codes for increased payment is called.
Stealing money that has been entrusted to one's care is known as
, Term 4 of 39
Insurance companies go by the rule "if it is not documented, then it was not ______"
They are cross trained to provide more than one function. They are often competent in
more than one discipline.
They offer more flexibility to their employer.
Business Associate
Medicaid is always the payer of last resort.
Done or performed
Definition 5 of 39
Patient info, verify ins. Prepare encounter form, Code DX and CPT, Review Linkage Protocol,
Calculate physicians charges, Prepare claims, transmit claim, follow up on reimbursement.
Carcinoma insitu (CIS) is used to describe
Three categories for E&M Codes
Evaluation and Management Codes
Basic Billing Reimbursement Steps
Term 6 of 39
Medical etiquette refers to
Show external cause of injury
Consideration for others
advertising, billing, accounting
Medical billing abuse
39 Multiple choice questions
Definition 1 of 39
3 tp 5
Reporting incorrect information to private insurance carriers is considered
CPT uses a basic __ digit system for coding services PLUS a __ digit add on modifier
Largest section of the CPT book is the
DIagnostic codes have from __ to __ digits
Term 2 of 39
Who renders medical services, furnishes bills, or is paid for health care in the normal course of
business?
Medicaid is always the payer of last resort.
Business Associate
They are cross trained to provide more than one function. They are often competent in
more than one discipline.
They offer more flexibility to their employer.
Health care provider
Definition 3 of 39
Upcoding
Reporting incorrect information to private insurance carriers is considered
CPT uses a basic __ digit system for coding services PLUS a __ digit add on modifier
Deliberate ,manipulation of CPT codes for increased payment is called.
Stealing money that has been entrusted to one's care is known as
, Term 4 of 39
Insurance companies go by the rule "if it is not documented, then it was not ______"
They are cross trained to provide more than one function. They are often competent in
more than one discipline.
They offer more flexibility to their employer.
Business Associate
Medicaid is always the payer of last resort.
Done or performed
Definition 5 of 39
Patient info, verify ins. Prepare encounter form, Code DX and CPT, Review Linkage Protocol,
Calculate physicians charges, Prepare claims, transmit claim, follow up on reimbursement.
Carcinoma insitu (CIS) is used to describe
Three categories for E&M Codes
Evaluation and Management Codes
Basic Billing Reimbursement Steps
Term 6 of 39
Medical etiquette refers to
Show external cause of injury
Consideration for others
advertising, billing, accounting
Medical billing abuse
