Medical Coding and Billing Final Exam Test Questions and
Answers Rated A
During Mrs. Smith's visit to Dr. Johnson she Healthcare Delivery Systems - ANSWER -
provides a description of a concerning health
condition.. Mrs. Smith believes that Dr. Johnson
will use this information to evaluate and manage After suffering a stroke, a patient requires therapy
her condition and for no other purpose. Mrs. to assist in performing activities of daily living
Smith's belief is an expectation of ____. - such as getting dressed and cooking. Which
ANSWER -confidentiality department would assist this patient? -
ANSWER -Occupational therapy
The documentation type that contains various
types of analyses or examinations of body Which federal agency is tasked with governing
substances collected from the patient. - and regulating healthcare in the United States? -
ANSWER -Lab Report ANSWER -Department of Health and
Human Services (DHHS)
Vital statistics for live births that are sent to a
healthcare database are an example of _____. - Dr. Taylor wants to join the medical staff at ABC
ANSWER -secondary data hospital. Which of the following would the
medical administration office check to see if Dr.
Taylor meets the qualifications for hospital
Which of the following is NOT a benefit of privileges? - ANSWER -Medical staff
switching from a paper-based record to an bylaws
electronic-based record? - ANSWER -
Coding accuracy
Which of the following is another name for
outpatient care? - ANSWER -Ambulatory
A portal through which patients can view and care
manage their healthcare information online is
called a(n)_____ this information is owned and
managed by ______. - ANSWER -personal Which of the follow departments/specialties uses
health record; the patient radioactive substances to diagnose and treat
patients? - ANSWER -Nuclear Medicine
and Radiation Therapy
Which of the following is an ancillary report? -
ANSWER -Radiology
Mrs.Thomas is discharged from the hospital but
she will continue with IV antibiotics for 2 weeks.
Which of the following is true in regard to the Which type of care would manage the
release of protected health information (ROI)? - administration of her antibiotics? -
ANSWER -A covered entity must provide ANSWER -Home Care
access to PHI in the manner requested by the
individual
Mr. Thomas has moved to a new city and is
looking for a physician to help manage his
,Medical Coding and Billing Final Exam Test Questions and
Answers Rated A
diabetes. Which type of specialist would he look ______. - ANSWER -the standard of
for? - ANSWER -Endo minimum necessary
Legal And Compliance - ANSWER - Reimbursement Methodologies -
ANSWER -
Which of the following should NOT be included in
a tracking system for disclosures of PHI? - Teri is verifying Medicare benefits for a certain
ANSWER -Social security numbers and procedure. The national coverage determination
diagnosis codes for the patient (NCD) he reviewed does not answer all his
questions. Which of the following is the next
resource Teri should consult for additional
Which of the following is NOT an example of a information? - ANSWER -Local coverage
secure site through which PHI could be sent determinations (LCDs)
electronically? - ANSWER -Registries and
databases
Fee-for-service reimbursement provided after
health services have been given is called____? -
In a medical malpractice lawsuit, the physician ANSWER -retrospective payment
would be considered the ________. -
ANSWER -defendant
Billing for two or three codes when one
comprehensive code is more appropriate? -
The legal health record must be maintained ANSWER -Unbundling
according to all of the following except: -
ANSWER -The OIG work plan
Capitation, global/prospective payment, and
prospective payment are examples of this type of
Which of the following is true about destruction of reimbursement method. - ANSWER -
the health record? - ANSWER -Destruction Episode-of-care
must be done as part of the organization's usual
course of business
Under this reimbursement method, a third-party
payer contracts with a healthcare provider to pay
For which of the following is authorization NOT a flat fee per individual enrolled in the healthcare
required for the release of protected health plan. - ANSWER -Capitation
information? - ANSWER -All of the above
Dr. Johnson recommends a procedure for Mr.
Mary is a coder at ABC hospital. During her Thomas who is a Medicare patient. The
review of the documentation in Miss Miller's procedure is not reimbursed under Mr. Thomas'
electronic health record, she reads reports from Medicare policy. In order to bill Mr. Thomas for
previous visits. Mary's actions are a violation of the procedure, Dr. Johnson's office must collect
, Medical Coding and Billing Final Exam Test Questions and
Answers Rated A
a(n)____ from Mr. Thomas. - ANSWER -
advance beneficiary notice of noncoverage The suffix that means surgical puncture -
ANSWER --centesis
Which of the following is NOT an element of the
healthcare reimbursement process? - The word which means muscle fiber pain. -
ANSWER -clinical documentation review ANSWER -Fibromyalgia
Sue was admitted to ABC hospital as an Which of the following means lying horizontally
inpatient. During the admission, Dr. Butler on the back, face up? - ANSWER -Supine
removed her appendix. Dr. Butler would bill for
his services with ___ codes submitted on a ____
claim form. - ANSWER -CPT; CMS-1500 The word that means paralysis of all four
extremities. - ANSWER -Quadriplegia
A pre-existing condition which, because of its
presence, causes an increase in length of stay The word which means loss of hearing due to the
by at least one day in approximately 75% of natural aging process. - ANSWER -
cases. - ANSWER -Comorbid condition Presbycusis
Of the following, which does NOT directly Anatomy And Physiology - ANSWER -
influence the assignment of MS-DRGs? -
ANSWER -Severity of illness
Which of the following is NOT one of the 12
cranial nerves? - ANSWER -Radioulnar
Medical Terminology - ANSWER - nerve
Which of the following terms describes a woman Which structure contracts to form a slight vacuum
who loses her first pregnancy at 13 weeks in the chest cavity to facilitate inspiration? -
gestation? - ANSWER -Nullipara ANSWER -Diaphragm
A term the is comprised of multiple word roots The elongated middle portion or shaft of a long
and a suffix is called a(n) ____. - bone, often referred to as the body. -
ANSWER -compound word ANSWER -Diaphysis
Ichthyosis means: - ANSWER -Fishlike or These nerves control the skeletal muscles and
scaly condition parts of the body that are under conscious
control: - ANSWER -Somatic
Answers Rated A
During Mrs. Smith's visit to Dr. Johnson she Healthcare Delivery Systems - ANSWER -
provides a description of a concerning health
condition.. Mrs. Smith believes that Dr. Johnson
will use this information to evaluate and manage After suffering a stroke, a patient requires therapy
her condition and for no other purpose. Mrs. to assist in performing activities of daily living
Smith's belief is an expectation of ____. - such as getting dressed and cooking. Which
ANSWER -confidentiality department would assist this patient? -
ANSWER -Occupational therapy
The documentation type that contains various
types of analyses or examinations of body Which federal agency is tasked with governing
substances collected from the patient. - and regulating healthcare in the United States? -
ANSWER -Lab Report ANSWER -Department of Health and
Human Services (DHHS)
Vital statistics for live births that are sent to a
healthcare database are an example of _____. - Dr. Taylor wants to join the medical staff at ABC
ANSWER -secondary data hospital. Which of the following would the
medical administration office check to see if Dr.
Taylor meets the qualifications for hospital
Which of the following is NOT a benefit of privileges? - ANSWER -Medical staff
switching from a paper-based record to an bylaws
electronic-based record? - ANSWER -
Coding accuracy
Which of the following is another name for
outpatient care? - ANSWER -Ambulatory
A portal through which patients can view and care
manage their healthcare information online is
called a(n)_____ this information is owned and
managed by ______. - ANSWER -personal Which of the follow departments/specialties uses
health record; the patient radioactive substances to diagnose and treat
patients? - ANSWER -Nuclear Medicine
and Radiation Therapy
Which of the following is an ancillary report? -
ANSWER -Radiology
Mrs.Thomas is discharged from the hospital but
she will continue with IV antibiotics for 2 weeks.
Which of the following is true in regard to the Which type of care would manage the
release of protected health information (ROI)? - administration of her antibiotics? -
ANSWER -A covered entity must provide ANSWER -Home Care
access to PHI in the manner requested by the
individual
Mr. Thomas has moved to a new city and is
looking for a physician to help manage his
,Medical Coding and Billing Final Exam Test Questions and
Answers Rated A
diabetes. Which type of specialist would he look ______. - ANSWER -the standard of
for? - ANSWER -Endo minimum necessary
Legal And Compliance - ANSWER - Reimbursement Methodologies -
ANSWER -
Which of the following should NOT be included in
a tracking system for disclosures of PHI? - Teri is verifying Medicare benefits for a certain
ANSWER -Social security numbers and procedure. The national coverage determination
diagnosis codes for the patient (NCD) he reviewed does not answer all his
questions. Which of the following is the next
resource Teri should consult for additional
Which of the following is NOT an example of a information? - ANSWER -Local coverage
secure site through which PHI could be sent determinations (LCDs)
electronically? - ANSWER -Registries and
databases
Fee-for-service reimbursement provided after
health services have been given is called____? -
In a medical malpractice lawsuit, the physician ANSWER -retrospective payment
would be considered the ________. -
ANSWER -defendant
Billing for two or three codes when one
comprehensive code is more appropriate? -
The legal health record must be maintained ANSWER -Unbundling
according to all of the following except: -
ANSWER -The OIG work plan
Capitation, global/prospective payment, and
prospective payment are examples of this type of
Which of the following is true about destruction of reimbursement method. - ANSWER -
the health record? - ANSWER -Destruction Episode-of-care
must be done as part of the organization's usual
course of business
Under this reimbursement method, a third-party
payer contracts with a healthcare provider to pay
For which of the following is authorization NOT a flat fee per individual enrolled in the healthcare
required for the release of protected health plan. - ANSWER -Capitation
information? - ANSWER -All of the above
Dr. Johnson recommends a procedure for Mr.
Mary is a coder at ABC hospital. During her Thomas who is a Medicare patient. The
review of the documentation in Miss Miller's procedure is not reimbursed under Mr. Thomas'
electronic health record, she reads reports from Medicare policy. In order to bill Mr. Thomas for
previous visits. Mary's actions are a violation of the procedure, Dr. Johnson's office must collect
, Medical Coding and Billing Final Exam Test Questions and
Answers Rated A
a(n)____ from Mr. Thomas. - ANSWER -
advance beneficiary notice of noncoverage The suffix that means surgical puncture -
ANSWER --centesis
Which of the following is NOT an element of the
healthcare reimbursement process? - The word which means muscle fiber pain. -
ANSWER -clinical documentation review ANSWER -Fibromyalgia
Sue was admitted to ABC hospital as an Which of the following means lying horizontally
inpatient. During the admission, Dr. Butler on the back, face up? - ANSWER -Supine
removed her appendix. Dr. Butler would bill for
his services with ___ codes submitted on a ____
claim form. - ANSWER -CPT; CMS-1500 The word that means paralysis of all four
extremities. - ANSWER -Quadriplegia
A pre-existing condition which, because of its
presence, causes an increase in length of stay The word which means loss of hearing due to the
by at least one day in approximately 75% of natural aging process. - ANSWER -
cases. - ANSWER -Comorbid condition Presbycusis
Of the following, which does NOT directly Anatomy And Physiology - ANSWER -
influence the assignment of MS-DRGs? -
ANSWER -Severity of illness
Which of the following is NOT one of the 12
cranial nerves? - ANSWER -Radioulnar
Medical Terminology - ANSWER - nerve
Which of the following terms describes a woman Which structure contracts to form a slight vacuum
who loses her first pregnancy at 13 weeks in the chest cavity to facilitate inspiration? -
gestation? - ANSWER -Nullipara ANSWER -Diaphragm
A term the is comprised of multiple word roots The elongated middle portion or shaft of a long
and a suffix is called a(n) ____. - bone, often referred to as the body. -
ANSWER -compound word ANSWER -Diaphysis
Ichthyosis means: - ANSWER -Fishlike or These nerves control the skeletal muscles and
scaly condition parts of the body that are under conscious
control: - ANSWER -Somatic
