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Which of the following is the correct procedure for keeping a
Workers' Compensation patient's financial and health records
when the same physician is also seeing the patient as a
private patient? - Correct Answers ✅Separate financial and
health records must be used.
The patient returned to the operative suite 10 days
postoperative for an I&D due to a postoperative infection. The
final lab results discover the organism is pseudomonas
mallei. Which of the following is the appropriate ICD-10-CM
coding? - Correct Answers ✅T81.4XXA, A24.0
When a document is changed in an EHR, the original
documentation is - Correct Answers ✅hidden.
A patient has two health insurance policies - a group
insurance plan through her full-time employer and another
group insurance plan through her husband's employer. Which
of the following policies should be billed as primary? -
Correct Answers ✅her policy
When filing an electronic insurance claim, the insurance and
coding specialist processes which of the following forms? -
Correct Answers ✅CMS-1500
A 57-year-old patient with severe systemic disease is having
surgery to remove an integumentary mass from his neck.
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Which of the following is the correct CPT® code assignment
for the anesthesia service? - Correct Answers ✅00300-P3
The provider is paid the same rate per patient whether or not
they provide services and no matter which services were
provided. This payment is known as - Correct Answers
✅capitation.
Which of the following information should be used to capture
charges from an encounter form? - Correct Answers
✅services rendered and reason for visit
Which of the following forms should be transmitted to obtain
reimbursement following a physician's office visit for a
patient with active Medicaid coverage? - Correct Answers
✅CMS-1500
The insurance and coding specialist calls a carrier to verify a
patient's insurance and the representative states that the
patient's insurance was canceled three months ago. Which of
the following should the insurance and coding specialist do
first? - Correct Answers ✅Ask the patient for another form
of insurance coverage.
The patient's diagnosis is vesicoureteral reflux with
nephropathy (without hydroureter) and chronic obstructive
pyelonephritis due to E-coli infection. Which of the following
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ICD-10-CM codes should be assigned? - Correct Answers
✅N13.729, N11.1, B96.2
Developing an insurance claim begins - Correct Answers
✅when the patient calls to schedule an appointment.
A physician uses cryotherapy for correction of trichiasis.
Which of the following CPT® codes should be assigned? -
Correct Answers ✅67825
Which of the following protects federal healthcare programs
from fraud and abuse by healthcare providers who solicit
referrals? - Correct Answers ✅Anti-Kickback Statute
A patient was seen in the office. Charges were recorded and
submitted to the patient's insurance, and an EOB was
received by the office with a payment of $70.89. These
transactions should be recorded in the - Correct Answers
✅patient ledger.
Which of the following is the correct CPT® code assignment
for mediastinal and region lymphadenectomy with a RT
video-assisted thoracic (VATS) lobectomy? - Correct
Answers ✅32663-RT, 32674
A patient presents to office with RUQ abdominal pain. The
physician sends the patient for HIDA scan to assess for