Many coding professionals go on to find work as: ANSWER -Coding from the header without
- ANSWER -Consultant reading the body of the report
A medical record contains information on all but Outpatient coders focus on learning which coding
what areas? - ANSWER -Financial records manuals? - ANSWER -CPT, HCPCS Level
II, and ICD-9-CM Volumes 1 and 2
Technicians who specialize in coding are called:
- ANSWER -Coding specialists If an NCD doesn't exist for a particular
service/procedure performed on a Medicare
patient, who determines coverage? -
EHR stands for: - ANSWER -Electronic ANSWER -Medicare Administrative
health record Contractor (MAC)
What type of provider goes through The __ describes whether specific medical items,
approximately 26.5 months of education and is services, treatment procedures, or technologies
licensed to practice medicine with the oversight are considered medically necessary under
of a physician? - ANSWER -Physician Medicare. - ANSWER -National Coverage
Assistant (PA) Determinations Manual
The Medicare program is made up of several National Coverage Determinations serve what
parts. Which part is most significant to coders purpose? - ANSWER -To spell out CMS
working in physician offices and covers physician policies on when Medicare will pay for items or
fees without the use of a private insurer? - services
ANSWER -Part B
MAC stands for what? - ANSWER -
The Medicare program is made up of several Medicare Administrative Contractor
parts. Which part is affected by the Centers for
Medicare and Medicaid Services' - hierarchal
condition categories (CMS-HCC)? - Local Coverage Determinations are administered
ANSWER -Part C by __? - ANSWER -Each regional MAC
What does CMS-HCC stand for? - LCD's only have jurisdiction in their __ area. -
ANSWER -Centers for Medicare and ANSWER -Regional
Medicaid Services - Hierarchal Condition
Category
ABN stands for - ANSWER -Advance
Beneficiary Notice
When coding an operative report, what action
would NOT be recommended? -
1/3