MEDICAL BILLING & CODING EXAM
Q&A
Encounter form - answer-a list of the procedures and charges for a patient's visit. Is
also call super-bill.
Coinsurance - answer-1. A cost-sharing requirement under a health insurance policy
providing that the insured will assume a percentage of the costs for covered
services. 2. For Medicare, after application of the yearly cash deductible, the portion
of the reasonable charges (20%) for which the beneficiary is responsible.
Icd-9 codes - answer-have decimal points in it
What is the main term for chest pain - answer-pain
Icd-9-cm contains code in numeric order - answer-is volume one
Icd-9 disease category codes contain - answer-3 digits
Icd-9 disease sub-classification codes contain - answer-5 digits
Icd-9 is published by - answer-w.h.o annually
Sub classification - answer-5 digit that allows even more specific information about a
disease
Sub category - answer-in icd-9-cm, a four-digit code number that provides more
information or specificity
Nchs - answer-national center for health statistics
Qualified diagnosis - answer-a working diagnosis which is not yet established
Health care clearinghouse - answer-an entity that standardizes health information
data in a standard billing format.
Dx - answer-diagnose
Coordination of benefits - answer-health insurance policy clause that applies to an
individual covered by more than one medical insurance policy that explains how the
policy will pay if more than one insurance policy applies to the claim.
Era - answer-electronic remittance advice
Medical necessity - answer-linking every procedure or service code reported on the
claim to an icd-9 condition code t hat justifies the necessity for performing that
procedure or service
Q&A
Encounter form - answer-a list of the procedures and charges for a patient's visit. Is
also call super-bill.
Coinsurance - answer-1. A cost-sharing requirement under a health insurance policy
providing that the insured will assume a percentage of the costs for covered
services. 2. For Medicare, after application of the yearly cash deductible, the portion
of the reasonable charges (20%) for which the beneficiary is responsible.
Icd-9 codes - answer-have decimal points in it
What is the main term for chest pain - answer-pain
Icd-9-cm contains code in numeric order - answer-is volume one
Icd-9 disease category codes contain - answer-3 digits
Icd-9 disease sub-classification codes contain - answer-5 digits
Icd-9 is published by - answer-w.h.o annually
Sub classification - answer-5 digit that allows even more specific information about a
disease
Sub category - answer-in icd-9-cm, a four-digit code number that provides more
information or specificity
Nchs - answer-national center for health statistics
Qualified diagnosis - answer-a working diagnosis which is not yet established
Health care clearinghouse - answer-an entity that standardizes health information
data in a standard billing format.
Dx - answer-diagnose
Coordination of benefits - answer-health insurance policy clause that applies to an
individual covered by more than one medical insurance policy that explains how the
policy will pay if more than one insurance policy applies to the claim.
Era - answer-electronic remittance advice
Medical necessity - answer-linking every procedure or service code reported on the
claim to an icd-9 condition code t hat justifies the necessity for performing that
procedure or service
