Medical Coding Exam Questions AND Correct Answers
2 pieces of information that need to be collected from
patients - ✔✔FULL NAME AND DATE OF BIRTH SOCIAL
SECURITY #
3 KINDS OF INSURANCE INFORMATION needed to be collected
from Patient - ✔✔-Correct Policy number
-Group Number
-Policy effective date
-type of policy
3 Major kinds of government insurance plans - ✔✔Medicare
Medicaid
State children's Health insurance Program (SCHIP)
7 PRIVACY RIGHTS (relate to pts) - ✔✔-The right to Notice of
Privacy Practices
-The right to request Restrictions in PHI
-The Right to Confidential Communications
-The Right to inspect and get copies of PHI
- The Right to Request Amendments to the PHI
,- The Right to an Accounting of Disclosures of th ePHI (Who
else saw the medical records)
- The Right to Complain
account number - ✔✔Number on an invoice that identifies
specific episode of care, date of service or patient
Administration Simplification Compliance Act ASCA - ✔✔Part
of HIPAA. EST in 2012 mandated that health care claims be
submitted electronically. Exception is that paper claims maybe
sent to clearinghouses, which convert the claims into a
standardized electronic format.
AMA - ✔✔American Medical Association
authorization - ✔✔perission granted by patient or the pts reps
to release information for rasons other than ttreatment
payment or health care conditions
Birthday Rule - ✔✔Applies to parents who both have health
insurance and list children as dependents. The health plan of
the parent whos birthday comes first in the current year is the
primary and will be billed first for insurance claims.
, Category 3 Codes - ✔✔End in letter T for Temporary codes
codes new and emerging technology for services and
procedures.
Examples
0001T: Endovascualr repair
0005T: Transcatheter placement
These codes may be permanent to the cpt or are deleted!
CDM - ✔✔Charge Description Manager
Has all the info about health care services that patients have
received and financial transactions that have taken place
Makes sure that the provider accurately charges the patient
for routine services and supplies
Claim - ✔✔A claim is a complete record of all the services
provided to a patient
Claim - ✔✔a complete record of the services provided by the
health care professional along with appropriate insurance
information
2 pieces of information that need to be collected from
patients - ✔✔FULL NAME AND DATE OF BIRTH SOCIAL
SECURITY #
3 KINDS OF INSURANCE INFORMATION needed to be collected
from Patient - ✔✔-Correct Policy number
-Group Number
-Policy effective date
-type of policy
3 Major kinds of government insurance plans - ✔✔Medicare
Medicaid
State children's Health insurance Program (SCHIP)
7 PRIVACY RIGHTS (relate to pts) - ✔✔-The right to Notice of
Privacy Practices
-The right to request Restrictions in PHI
-The Right to Confidential Communications
-The Right to inspect and get copies of PHI
- The Right to Request Amendments to the PHI
,- The Right to an Accounting of Disclosures of th ePHI (Who
else saw the medical records)
- The Right to Complain
account number - ✔✔Number on an invoice that identifies
specific episode of care, date of service or patient
Administration Simplification Compliance Act ASCA - ✔✔Part
of HIPAA. EST in 2012 mandated that health care claims be
submitted electronically. Exception is that paper claims maybe
sent to clearinghouses, which convert the claims into a
standardized electronic format.
AMA - ✔✔American Medical Association
authorization - ✔✔perission granted by patient or the pts reps
to release information for rasons other than ttreatment
payment or health care conditions
Birthday Rule - ✔✔Applies to parents who both have health
insurance and list children as dependents. The health plan of
the parent whos birthday comes first in the current year is the
primary and will be billed first for insurance claims.
, Category 3 Codes - ✔✔End in letter T for Temporary codes
codes new and emerging technology for services and
procedures.
Examples
0001T: Endovascualr repair
0005T: Transcatheter placement
These codes may be permanent to the cpt or are deleted!
CDM - ✔✔Charge Description Manager
Has all the info about health care services that patients have
received and financial transactions that have taken place
Makes sure that the provider accurately charges the patient
for routine services and supplies
Claim - ✔✔A claim is a complete record of all the services
provided to a patient
Claim - ✔✔a complete record of the services provided by the
health care professional along with appropriate insurance
information
