MA 300 Study Outline #1 Questions with Detailed Verified Answers

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MA 300 Study Outline #1 Questions with
Detailed Verified Answers

Question: Who created the first comprehensive disease classification
system in the United States in 1869?

Ans✅ ✅: the American Medical Association (AMA) as the American Nomenclature of
Disease.

Question: What are the main reasons to use procedure coding?

Ans✅ ✅: 1. To justify medical services to insurance companies by correlating
procedures to diagnosis

2. To collect statistics about the outcome and effectiveness of treatments

3. To help physicians and hospitals set fees based on the amount of time and skill
required to provide a specific service

Question: How often are level I codes updated?

Ans✅ ✅: Updated Annually

Question: Who updates and publishes the CPT manual?

Ans✅ ✅: American Medical Association (AMA)

Question: HCPCS level II codes include what services that are not in the
PT system and may not be covered by insurance?

Ans✅ ✅: procedures, injections, and durable medical equipment covered by
Medicare Part B

Question: How often should updated code books be purchased?

Ans✅ ✅: every year.

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Question: CPT manual contains codes which are usually how many
digits long?

Ans✅ ✅: 5-digits

Question: What is a modifier?

Ans✅ ✅: is an addition to a procedure code that indicates unusual circumstances
related to the procedure, such as a more extensive procedure or two procedures
performed in the same session

Question: How many digits are in a Modifier?

Ans✅ ✅: 2

Question: What pieces of information may be significant when choosing
the correct code for a procedure?

Ans✅ ✅: • Location

• Size of lesion or repair

• Method of performing the procedure, test, or surgery

• Number of minutes allotted for a treatment (e.g., acupuncture)

• Complexity of the procedure or service

Question: What are the two types of CPT codes?

Ans✅ ✅: Stand-alone & Indented

Question: If a patient comes in for an exam and has an
electrocardiogram done, per the physician's orders, is this billed under
the examination or separately, under its own code?

Ans✅ ✅: The code 93005 would be used if the ECG tracing is made in one office, but
insurance should not be billed for the interpretation because it will be done by another
physician and billed from another office

Question: What type of services and providers would find their
appropriate codes in the E/M section?

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Ans✅ ✅: primary care practitioners and specialists.

Question: Define established patient.

Ans✅ ✅: one who has been seen in the previous 3 years

Question: Define new patient.

Ans✅ ✅: one who has not had services performed by any provider in the medical
office in the previous 3 years

Question: Define inpatient.

Ans✅ ✅: a patient who has been formally admitted to a health care facility'

Question: Define outpatient

Ans✅ ✅: one who has not been admitted to a health care facility

Question: What is problem-focused history?

Ans✅ ✅: is one that addresses the chief complaint, with a brief history of the illness
or problem.



It would be used for a straightforward problem, such as a sore throat.

Question: What is expanded problem-focused history?

Ans✅ ✅: addresses the chief complaint, a brief history of the present illness or
problem, and a review of systems that have to do with the chief complaint.



It might be used for a somewhat more complicated problem, or a single diagnosis that
involves more than one body system or location, such as a patient with an established
diagnosis of psoriasis who now has new lesions on the elbows, an itchy scalp, and
thickening and discolorations of the fingernails.

Question: What is detailed history?