AMCA BILLING & CODING TEST
SOLVED 100% CORRECT
______________________ are used to report encounters for circumstances other than
a disease or injury in the ICD-10-CM.
a. A codes
b. V codes
c. Z codes
d. E codes - ANSWER-D
_______________________ is usually sponsored and partially paid by an employer.
a. TRICARE
b. Private Insurance
c. Group Health Insurance
d. Worker's Aide - ANSWER-C
A certification number for a procedure is the result of which transaction and process?
a. Claims status
b. Coordination of benefits
c. Referral and authorization
d. Health care payments and remittance advice - ANSWER-C
A claim may be downcoded because:
a. The claim does not list a charge for every procedure code
b. The claim is for non-covered services
c. The documentation does not justify the level of service
d. The procedure code applies to a patient of the other gender - ANSWER-C
A code that reports more than one diagnosis with one code is a ____________.
a. Complex code
b. Combination code
c. Compound code
d. Multiple code - ANSWER-C
A deviated septum dur to a nasal fracture could be considered a:
a. Allergic effect
b. Early effect
c. Adverse effect
d. Late effect - ANSWER-D
A lab report cannot be used for coding purposes because:
a. they are not reviewed by a physician before inclusion in the record
b. Pathologists are not physicians
c. They are not part of the health record
, d. They are diagnostic tests - ANSWER-A
A late effect may be indicated in documentation by the use of the expression(s):
a. Primary or secondary
b. Missile, puncture, with foreign body
c. Due to an old—due to a previous
d. Malignant - ANSWER-C
A medical term that contains the root word meaning "uterus":
a. Oophrectomy
b. Colporrhaphy
c. Hysterectomy
d. Salpingectomy - ANSWER-C
A new patient is one who has not received services from the physician or any other
physician in that group for:
a. 3 years
b. 1 year
c. 2 years
d. 90 days - ANSWER-A
A new patient presents to the office complaining of shortness of breath, cough, and pain
in the chest. The physician performs a history and medical exam. The patient has a
history of diabetes and hypertension. She suspects the patient is suffering from
pneumonia and performs a sputum culture. The physician asks the patient to return in
three days to discuss the results. Which of the following diagnosis would be coded if
there were no further documentation?
a. Diabetes, hypertension
b. Shortness of breath, cough, pain, diabetes, hypertension
c. Pneumonia, diabetes, hypertension
d. Pneumonia, diabetes, hypertension shortness of breath cough, pain - ANSWER-B
A patient was suspected of having a myocardial infarction. After staying in the hospital
as an outpatient in observation, the doctor found nothing wrong and sent the patient
home. What code would you use in this scenario?
a. I21.9 Acute myocardial infarction, unspecified
b. I20.0 Unstable angina
c. Z03.4 Observation for suspected myocardial infarction
d. Z03.5 Observation for other suspected cardiovascular diseases - ANSWER-B
A payer's initial processing of a claim screens for:
a. Utilization guidelines
b. Medical edits
c. Claim attachments
d. Basic errors in claim data or missing information - ANSWER-D
SOLVED 100% CORRECT
______________________ are used to report encounters for circumstances other than
a disease or injury in the ICD-10-CM.
a. A codes
b. V codes
c. Z codes
d. E codes - ANSWER-D
_______________________ is usually sponsored and partially paid by an employer.
a. TRICARE
b. Private Insurance
c. Group Health Insurance
d. Worker's Aide - ANSWER-C
A certification number for a procedure is the result of which transaction and process?
a. Claims status
b. Coordination of benefits
c. Referral and authorization
d. Health care payments and remittance advice - ANSWER-C
A claim may be downcoded because:
a. The claim does not list a charge for every procedure code
b. The claim is for non-covered services
c. The documentation does not justify the level of service
d. The procedure code applies to a patient of the other gender - ANSWER-C
A code that reports more than one diagnosis with one code is a ____________.
a. Complex code
b. Combination code
c. Compound code
d. Multiple code - ANSWER-C
A deviated septum dur to a nasal fracture could be considered a:
a. Allergic effect
b. Early effect
c. Adverse effect
d. Late effect - ANSWER-D
A lab report cannot be used for coding purposes because:
a. they are not reviewed by a physician before inclusion in the record
b. Pathologists are not physicians
c. They are not part of the health record
, d. They are diagnostic tests - ANSWER-A
A late effect may be indicated in documentation by the use of the expression(s):
a. Primary or secondary
b. Missile, puncture, with foreign body
c. Due to an old—due to a previous
d. Malignant - ANSWER-C
A medical term that contains the root word meaning "uterus":
a. Oophrectomy
b. Colporrhaphy
c. Hysterectomy
d. Salpingectomy - ANSWER-C
A new patient is one who has not received services from the physician or any other
physician in that group for:
a. 3 years
b. 1 year
c. 2 years
d. 90 days - ANSWER-A
A new patient presents to the office complaining of shortness of breath, cough, and pain
in the chest. The physician performs a history and medical exam. The patient has a
history of diabetes and hypertension. She suspects the patient is suffering from
pneumonia and performs a sputum culture. The physician asks the patient to return in
three days to discuss the results. Which of the following diagnosis would be coded if
there were no further documentation?
a. Diabetes, hypertension
b. Shortness of breath, cough, pain, diabetes, hypertension
c. Pneumonia, diabetes, hypertension
d. Pneumonia, diabetes, hypertension shortness of breath cough, pain - ANSWER-B
A patient was suspected of having a myocardial infarction. After staying in the hospital
as an outpatient in observation, the doctor found nothing wrong and sent the patient
home. What code would you use in this scenario?
a. I21.9 Acute myocardial infarction, unspecified
b. I20.0 Unstable angina
c. Z03.4 Observation for suspected myocardial infarction
d. Z03.5 Observation for other suspected cardiovascular diseases - ANSWER-B
A payer's initial processing of a claim screens for:
a. Utilization guidelines
b. Medical edits
c. Claim attachments
d. Basic errors in claim data or missing information - ANSWER-D
