MEDICAL BILLING AND CODING
PRACTICE EXAMINATION QUESTIONS
AND ANSWERS
Encrypted exchange of data is a standardized form through computer systems
is called ? - Answer-Information exchange services
Which of the following is not a circumstance for the use of a V code ? - Answer-
To explain the mechanism for an injury
A 3 month old child is treated in the critical care unit. The service would be
reported using codes from which age category? - Answer-Pediatric age group
An established patient came in with a chief complaint that required a detailed
history, detailed exam medical decisions making of moderate complexity. How
will you report the service ? - Answer-99215
A 12 year old patient came to the office clinic for removal of sutures. The nurse
attended to the patient. Which code is appropriate - Answer-99211
Of those listed which insurance policy is always the "payer of last resort"? -
Answer-Medicaid
Which of the following is the correct format to enter a patient's birthday on the
CMS-1500 form? - Answer-MM/DD/YYYY
The payment to the physician for a fixed sum, per month , regardless of the
service rendered, I'd described as ? - Answer-Capitation
An Otorhinolaryngologist specializes in diagnosis and treatment of ? - Answer-
Disorders of ear , nose and throat
Incorrect payments from an insurance company should be ? - Answer-
Investigated and appealed
A claim for services not medically necessary is an example of? - Answer-abuse
When a non-member physician treats an HMO patient, the service rendered is
termed: - Answer-Out of plan or out of network
, Which cpt modifier would you attach to a consultation code when the services
performed is required by a third-party or government regulatory body ? -
Answer--32 Mandated Services
A patient developed rashes after taking a properly prescribed medication. the E
code to indicate how rashes happened is referenced from which E code column
in the Table of Drug and Chemicals? - Answer-Therapeutic
Which of the following is the fixed amount patients pay each time they receive
health care services? - Answer-Co-payment
New codes are represented by ? - Answer-A solid black circle
Under the RBRVS method of reimbursment, "Conversion Factor" is? - Answer-A
dollar amount
Blocks 14-33 of the CMS-1500 form refer primarily to the - Answer-Provider
and services
Which of the following is not bundled into reimbursement for a surgical code ?
- Answer-Post-operative visit for complication
The medical program for dependents of active military is called ? - Answer-
TRICARE
An example of a federal tax is number would be ? - Answer-EIN
What does the abbreviation EOB stand for ? - Answer-Explanation of benefits
Administrative and/or monetary penalties for an established pattern of fraud
and abuse are levied by? - Answer-OIG- Office of Inspection General
A patient had a closed treatment of femoral shaft fracture, which of the
following would be used to location the code in the CPT manual? - Answer-
Fracture
Which of the following is a negative consequence of inaccurate coding and
billing ? - Answer-Denied claims
Block numbers 1-13 on the CMS 1500 form are in reference to? - Answer-the
patient
A procedure for the removal of one kidney is ? - Answer-Nephrectomy
PRACTICE EXAMINATION QUESTIONS
AND ANSWERS
Encrypted exchange of data is a standardized form through computer systems
is called ? - Answer-Information exchange services
Which of the following is not a circumstance for the use of a V code ? - Answer-
To explain the mechanism for an injury
A 3 month old child is treated in the critical care unit. The service would be
reported using codes from which age category? - Answer-Pediatric age group
An established patient came in with a chief complaint that required a detailed
history, detailed exam medical decisions making of moderate complexity. How
will you report the service ? - Answer-99215
A 12 year old patient came to the office clinic for removal of sutures. The nurse
attended to the patient. Which code is appropriate - Answer-99211
Of those listed which insurance policy is always the "payer of last resort"? -
Answer-Medicaid
Which of the following is the correct format to enter a patient's birthday on the
CMS-1500 form? - Answer-MM/DD/YYYY
The payment to the physician for a fixed sum, per month , regardless of the
service rendered, I'd described as ? - Answer-Capitation
An Otorhinolaryngologist specializes in diagnosis and treatment of ? - Answer-
Disorders of ear , nose and throat
Incorrect payments from an insurance company should be ? - Answer-
Investigated and appealed
A claim for services not medically necessary is an example of? - Answer-abuse
When a non-member physician treats an HMO patient, the service rendered is
termed: - Answer-Out of plan or out of network
, Which cpt modifier would you attach to a consultation code when the services
performed is required by a third-party or government regulatory body ? -
Answer--32 Mandated Services
A patient developed rashes after taking a properly prescribed medication. the E
code to indicate how rashes happened is referenced from which E code column
in the Table of Drug and Chemicals? - Answer-Therapeutic
Which of the following is the fixed amount patients pay each time they receive
health care services? - Answer-Co-payment
New codes are represented by ? - Answer-A solid black circle
Under the RBRVS method of reimbursment, "Conversion Factor" is? - Answer-A
dollar amount
Blocks 14-33 of the CMS-1500 form refer primarily to the - Answer-Provider
and services
Which of the following is not bundled into reimbursement for a surgical code ?
- Answer-Post-operative visit for complication
The medical program for dependents of active military is called ? - Answer-
TRICARE
An example of a federal tax is number would be ? - Answer-EIN
What does the abbreviation EOB stand for ? - Answer-Explanation of benefits
Administrative and/or monetary penalties for an established pattern of fraud
and abuse are levied by? - Answer-OIG- Office of Inspection General
A patient had a closed treatment of femoral shaft fracture, which of the
following would be used to location the code in the CPT manual? - Answer-
Fracture
Which of the following is a negative consequence of inaccurate coding and
billing ? - Answer-Denied claims
Block numbers 1-13 on the CMS 1500 form are in reference to? - Answer-the
patient
A procedure for the removal of one kidney is ? - Answer-Nephrectomy
