Medical Coding and Billing Certification
(MCBC) Study Guide I well answered to
pass
The services medically necessary for diagnostic code linkage - correct answer ✔✔What must a
coder understand in order to determine the correct diagnosis code assignment?
Correctly identifying primary and secondary insurance policies in order to preserve coordination
of benefits - correct answer ✔✔Avoiding the duplication of benefits paid by the primary and
secondary insurance is achieved by:
Use the combination code - correct answer ✔✔If a combination code is available, a coder
should:
blue triangle - correct answer ✔✔When a code is "revised" in the CPT manual, it will be
indicated by:
particular radiology service provided is not described by a specific CPT code - correct answer
✔✔A coder should use an "unlisted' radiology CPT code when:
Code blocks - correct answer ✔✔Major topic headings in the Tabular List of ICD-10-CM are
known as:
Healthcare Common Procedure Coding System - correct answer ✔✔Most state Medicaid
programs use what type of system to report professional services, procedures, supplies, and
equipment?
always a letter - correct answer ✔✔The first character of ICD-10-CM:
, Using a fourth, fifth, sixth or seventh digit when required - correct answer ✔✔Coding to the
highest level of specificity means:
Without - correct answer ✔✔According to the ICD-10-CM conventions, if the documentation is
unclear or does not state that the complication or comorbidity listed in the code description is
present with the condition, the default is:
E/M service codes - correct answer ✔✔Reported in addition to the appropriate casting code
when a cast or splint is intended to be the definitive treatment of a fracture
Subsequent Encounter - correct answer ✔✔Care encounter after the initial care event
Diagnostic codes from encounter form - correct answer ✔✔What information is needed to fill
out a CMS-1500 claim form?
Billing more than the proper fee for a service - correct answer ✔✔Upcoding is:
It ensures the correct patient data information and procedure codes - correct answer ✔✔Why is
a superbill/encounter form an important document in the office?
EHR should include eight core functions - correct answer ✔✔1. Health information and data
elements
2. Results management
3. Order management
4. Decision support
5. Electronic communications and connectivity
6. Patient support
(MCBC) Study Guide I well answered to
pass
The services medically necessary for diagnostic code linkage - correct answer ✔✔What must a
coder understand in order to determine the correct diagnosis code assignment?
Correctly identifying primary and secondary insurance policies in order to preserve coordination
of benefits - correct answer ✔✔Avoiding the duplication of benefits paid by the primary and
secondary insurance is achieved by:
Use the combination code - correct answer ✔✔If a combination code is available, a coder
should:
blue triangle - correct answer ✔✔When a code is "revised" in the CPT manual, it will be
indicated by:
particular radiology service provided is not described by a specific CPT code - correct answer
✔✔A coder should use an "unlisted' radiology CPT code when:
Code blocks - correct answer ✔✔Major topic headings in the Tabular List of ICD-10-CM are
known as:
Healthcare Common Procedure Coding System - correct answer ✔✔Most state Medicaid
programs use what type of system to report professional services, procedures, supplies, and
equipment?
always a letter - correct answer ✔✔The first character of ICD-10-CM:
, Using a fourth, fifth, sixth or seventh digit when required - correct answer ✔✔Coding to the
highest level of specificity means:
Without - correct answer ✔✔According to the ICD-10-CM conventions, if the documentation is
unclear or does not state that the complication or comorbidity listed in the code description is
present with the condition, the default is:
E/M service codes - correct answer ✔✔Reported in addition to the appropriate casting code
when a cast or splint is intended to be the definitive treatment of a fracture
Subsequent Encounter - correct answer ✔✔Care encounter after the initial care event
Diagnostic codes from encounter form - correct answer ✔✔What information is needed to fill
out a CMS-1500 claim form?
Billing more than the proper fee for a service - correct answer ✔✔Upcoding is:
It ensures the correct patient data information and procedure codes - correct answer ✔✔Why is
a superbill/encounter form an important document in the office?
EHR should include eight core functions - correct answer ✔✔1. Health information and data
elements
2. Results management
3. Order management
4. Decision support
5. Electronic communications and connectivity
6. Patient support
