MEDICAL CODING AND BILLING CERTIFICATION EXAM
2024/2O25 NEWEST!! ACTUAL COMPLETE 200 REAL EXAM
QUESTIONS WITH CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) / ALREADY GRADED A+
The physician bills $500 to a patient. After submitting the claim to
the insurance company. The claim is sent back with no payment.
The patient still owes $500 for the year. This amount is called
which of the following?
a. deductible
b. coinsurance
c. copayment
d. premium - ANSWER -Deductible
A nurse is reviewing a patient's lab results prior to discharge
and discovers an
elevated glucose level. Which of the following health care
providers should be
alerted before the nurse can proceed with
discharge planning?
a.
attending
,b.
admitting
c. nursing
supervisor
d. physicians assistant - ANSWER -The
attending physician
Attending Physician - ANSWER -Is responsible for the patient's
care as well as the
discharge
decisions.
A provider charged $500 to a claim that had an allowable amount
of $400. In which of the following columns should the billing and
coding specialist apply the non-allowed charge? - ANSWER -
Adjustment column of the credits
Which of the following do physicians use to electronically
submit claims? -
ANSWER -
Clearinghouse
When coding on the UB-04 form, the billing and coding specialist
must sequence
the diagnosis code according to ICD guidelines. Which of the
following is the first
,listed diagnoses code? - ANSWER -Principal
diagnoses
A patient has AARP as secondary insurance. In which of the
following blocks on
the CMS-1500 claim form should this information be entered? -
ANSWER -Block 9
According the HIPAA standards, which of the following
identifies the rendering
provider on the CMS-1500 claim form in Block 24j? - ANSWER
-NPI (National
Provider
Identifier)
Which of the following is the function of the respiratory
system? - ANSWER -
Oxygenating blood
cells
Which of the following provisions ensures that an insured's
benefits from all insurance companies do no exceed 100% of
allowable medical expenses? -
ANSWER -Coordination of benefits
, Which if the following is the verbal or written agreement that
gives approval to some action, situation, or statement, and allows
the release of patient information?
- ANSWER -Consent Agreement
A deductible of $100 is applied to a patients remittance
advice. The provider
requests the account personnel to write it off. Which of the
following terms
describes this scenario? -
ANSWER –Fraud
A coroner's autopsy is comprised of which of the following
examinations? -
ANSWER -Gross
examination
Which of the following is the advantage of electronic claim
submission? -
ANSWER -Claims are
expedited
A patient presents to the provider with chest pain and shortness
of breath. After an unexpected ECG result, the provider calls a
cardiologist and summarizes the patient's symptoms. What
2024/2O25 NEWEST!! ACTUAL COMPLETE 200 REAL EXAM
QUESTIONS WITH CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) / ALREADY GRADED A+
The physician bills $500 to a patient. After submitting the claim to
the insurance company. The claim is sent back with no payment.
The patient still owes $500 for the year. This amount is called
which of the following?
a. deductible
b. coinsurance
c. copayment
d. premium - ANSWER -Deductible
A nurse is reviewing a patient's lab results prior to discharge
and discovers an
elevated glucose level. Which of the following health care
providers should be
alerted before the nurse can proceed with
discharge planning?
a.
attending
,b.
admitting
c. nursing
supervisor
d. physicians assistant - ANSWER -The
attending physician
Attending Physician - ANSWER -Is responsible for the patient's
care as well as the
discharge
decisions.
A provider charged $500 to a claim that had an allowable amount
of $400. In which of the following columns should the billing and
coding specialist apply the non-allowed charge? - ANSWER -
Adjustment column of the credits
Which of the following do physicians use to electronically
submit claims? -
ANSWER -
Clearinghouse
When coding on the UB-04 form, the billing and coding specialist
must sequence
the diagnosis code according to ICD guidelines. Which of the
following is the first
,listed diagnoses code? - ANSWER -Principal
diagnoses
A patient has AARP as secondary insurance. In which of the
following blocks on
the CMS-1500 claim form should this information be entered? -
ANSWER -Block 9
According the HIPAA standards, which of the following
identifies the rendering
provider on the CMS-1500 claim form in Block 24j? - ANSWER
-NPI (National
Provider
Identifier)
Which of the following is the function of the respiratory
system? - ANSWER -
Oxygenating blood
cells
Which of the following provisions ensures that an insured's
benefits from all insurance companies do no exceed 100% of
allowable medical expenses? -
ANSWER -Coordination of benefits
, Which if the following is the verbal or written agreement that
gives approval to some action, situation, or statement, and allows
the release of patient information?
- ANSWER -Consent Agreement
A deductible of $100 is applied to a patients remittance
advice. The provider
requests the account personnel to write it off. Which of the
following terms
describes this scenario? -
ANSWER –Fraud
A coroner's autopsy is comprised of which of the following
examinations? -
ANSWER -Gross
examination
Which of the following is the advantage of electronic claim
submission? -
ANSWER -Claims are
expedited
A patient presents to the provider with chest pain and shortness
of breath. After an unexpected ECG result, the provider calls a
cardiologist and summarizes the patient's symptoms. What
