Medical Coding and Billing Certification (MCBC)
Study Guide I with Complete Solutions
Acute care - ANSWER-most often refers to a hospital, treats patients with urgent
problems that cannot be handled
always a letter - ANSWER-The first character of ICD-10-CM:
Ambulatory care - ANSWER-refers to treatment without admission to hospital
Billing more than the proper fee for a service - ANSWER-Upcoding is:
blue triangle - ANSWER-When a code is "revised" in the CPT manual, it will be
indicated by:
Category - ANSWER-Three character alphanumeric code that covers a single disease
or related condition
Centers for Medicare and Medicaid Services (CMS) - ANSWER-Which of the following
entities is responsible for implementing the various provisions of HIPAA in Health Care?
Chapter II Neoplasms - ANSWER-In which chapter would you find a malignant cancer
of the esophagus?
Chapter XXI - Factors influencing health status and contact with health services (Z00-
Z99) - ANSWER-Janice has breast cancer and is coming into the office today for
Chemotherapy. In which chapter would you find the code for chemotherapy?
Code blocks - ANSWER-Major topic headings in the Tabular List of ICD-10-CM are
known as:
Correctly identifying primary and secondary insurance policies in order to preserve
coordination of benefits - ANSWER-Avoiding the duplication of benefits paid by the
primary and secondary insurance is achieved by:
CPT - ANSWER-Codes that identify the procedures performed for a patient are called:
Date - ANSWER-Which of the following is not a key component in selecting a level of
Evaluation and Management (E/M) services?
Diagnostic codes from encounter form - ANSWER-What information is needed to fill out
a CMS-1500 claim form?
E/M service codes - ANSWER-Reported in addition to the appropriate casting code
when a cast or splint is intended to be the definitive treatment of a fracture
Study Guide I with Complete Solutions
Acute care - ANSWER-most often refers to a hospital, treats patients with urgent
problems that cannot be handled
always a letter - ANSWER-The first character of ICD-10-CM:
Ambulatory care - ANSWER-refers to treatment without admission to hospital
Billing more than the proper fee for a service - ANSWER-Upcoding is:
blue triangle - ANSWER-When a code is "revised" in the CPT manual, it will be
indicated by:
Category - ANSWER-Three character alphanumeric code that covers a single disease
or related condition
Centers for Medicare and Medicaid Services (CMS) - ANSWER-Which of the following
entities is responsible for implementing the various provisions of HIPAA in Health Care?
Chapter II Neoplasms - ANSWER-In which chapter would you find a malignant cancer
of the esophagus?
Chapter XXI - Factors influencing health status and contact with health services (Z00-
Z99) - ANSWER-Janice has breast cancer and is coming into the office today for
Chemotherapy. In which chapter would you find the code for chemotherapy?
Code blocks - ANSWER-Major topic headings in the Tabular List of ICD-10-CM are
known as:
Correctly identifying primary and secondary insurance policies in order to preserve
coordination of benefits - ANSWER-Avoiding the duplication of benefits paid by the
primary and secondary insurance is achieved by:
CPT - ANSWER-Codes that identify the procedures performed for a patient are called:
Date - ANSWER-Which of the following is not a key component in selecting a level of
Evaluation and Management (E/M) services?
Diagnostic codes from encounter form - ANSWER-What information is needed to fill out
a CMS-1500 claim form?
E/M service codes - ANSWER-Reported in addition to the appropriate casting code
when a cast or splint is intended to be the definitive treatment of a fracture
