Questions With 100% Correct And
Verified Answers 2025
MedicallBillinglSpecialistlshouldlhavelexpertiselinlALLlBUTlWHICHlONEloflthese?
a.lCPTlandlICD-9-CMlcoding
b.lMedicallinsurance
c.lClinicallpsychology
d.lMedicallterminologyl-lCORRECTlANSWERS-c.lClinicallpsychology
Medicalletiquettelhasltoldolwithl______.
a.lshowinglconsiderationlforlothers
b.lcustomslinlthelmedicallprofession
c.lconduct,lcourtesy,landlmanners
d.lAlllanswerslarelcorrectl-lCORRECTlANSWERS-d.lAlllanswerslarelcorrect
Fromlallegallstandpoint,lfaxinglpatientlinformationlraiseslcriticallissueslwithl______?
a.lincreasinglcostsloflhealthlcare
b.lpatientlconfidentiality
c.lsavingltimelinldiagnosis
d.lpatientlepidemiologyl-lCORRECTlANSWERS-b.lpatientlconfidentiality
ThelCPTlcodelforlendovascularlrepairloflaldescendinglthoraciclaorticlaneurysmlinvol
vinglcoverageloflthelleftlsubclavianlarterylorigin,linitiallendoprosthesislplusldescend
inglthoraciclaorticlextension(s)liflrequiredltolthellevelloflceliaclarteryloriginlisl_____l__
___.
a.l33880
b.l33881
c.l33883
d.l33886l-lCORRECTlANSWERS-a.l33880
ALLlBUTlWHICHlONEloflthelfollowinglislimportantlpatientlinformationlforlofficelrecor
ds?
a.lInsurancelpolicylnumbersl
b.lDateloflbirth
c.lSociallSecuritylnumber
d.lReligiouslpreferencel-lCORRECTlANSWERS-d.lReligiouslpreference
Thelcodelforlchronicltonsillitislisl_____.
a.l463.00
b.l474.00
c.l474.02
d.l476.00l-lCORRECTlANSWERS-b.l474.00
Forlwhichloneloflthelfollowinglshouldlcodinglandlbillinglbeldelayedluntillthelpatholo
gylreportlbeenlreceived?l
vendarsol
,a.lThirdldegreelburns
b.lRepairlofllacerations
c.lExcisionlofllesions
d.lRemovalloflanlorganl-lCORRECTlANSWERS-c.lExcisionlofllesions
Patientlconditionslshouldlalwaysldoldocumentedlandlcodedl_______.
a.ltolthelhighestldegreeloflcertainty
b.lbylthelphysician
c.laccordingltolstafflconsensus
d.lbylthelofficelmanagerl-lCORRECTlANSWERS-a.ltolthelhighestldegreeloflcertainty
InlthelMedicarelprogram,lal"clean"lclaimlmeanslthatl_____.
a.lthelclaimlhaslnoldeficiencies
b.lthelcarrierldoeslnotlneedltolfurtherlinvestigate
c.lthelclaimlpasseslalllelectronicledits
d.lAlllanswerslarelcorrectl-lCORRECTlANSWERS-d.lAlllanswerslarelcorrect
ThelHealthlInsurancelClaimlFormlCMS-1500lisl_______.
a.loutdatedlandlshouldlneverlbelused
b.lacceptedlbylnearlylalllinsurancelcarriers
c.lrequiredlbylthelAMA
d.lmandatedlbylHIPAAl-lCORRECTlANSWERS-d.lmandatedlbylHIPAA
Thelmedicalltermlforlwaterlonlthelbrainlisl______.
a.lcephalocele
b.lcephalohydrosis
c.lhydrocephalus
d.lhydrocelel-lCORRECTlANSWERS-c.lhydrocephalus
WhichloflthelfollowinglislNOTlassociatedlwithlcomputers?
a.lEPO
b.lROM
c.lRAM
d.lCPUl-lCORRECTlANSWERS-a.lEPO
StatelinsurancelcommissionerslorldepartmentlwillldolALLlBUTlWHICHlONEloflthelfoll
owing?
a.lHandlelillegallcancellationsloflpolicies
b.lAssurelthatlagentslcomplylwithlinsurancellaws
c.lFilelinsurancelformslonlbehalfloflpeoplelwholcannot
d.lAssurelthatlbrokerslcomplylwithlinsurancellawsl-lCORRECTlANSWERS-
c.lFilelinsurancelformslonlbehalfloflpeoplelwholcannot
UnderltheloriginallMedicarelPlan,lalpatientlwholwantsltolprotestlpaymentlthatlwaslno
tlmadelshouldlbeltoldltol_____.
a.lfilelanlappeal
b.lhirelallawyer
c.lasklforlanlAdministrativelLawlJudgelhearing
d.lfilelalclaimlwithlthelCMSlregionallofficel-lCORRECTlANSWERS-a.lfilelanlappeal
vendarsol
,Militarylpersonnellandltheirldependentslreceivelmedicallcoveragelthroughl_____.
a.lCHAMPVA
b.lMedicarel
c.lprivatelHMOs
d.lTRICAREl-lCORRECTlANSWERS-d.lTRICARE
ThelHealthlInsurancelPortabilitylandlAccountabilitylActl(HIPAA)ldealslwithl_______.
a.lprivacylruleslforlprotectedlhealthlinformation
b.lstandardslforlelectronicltransactions
c.lstandardslforlcodelsets
d.lAlllanswerslarelcorrectl-lCORRECTlANSWERS-d.lAlllanswerslarelcorrect
WhichloflthelfollowinglgroupsloflpeoplelareleligiblelforlMedicaid?
a.lRetired,loverlthelagelofl65,lvisionlimpaired,lorldisabled
b.lPeoplelwholarelinjuredlonltheljob
c.lRetiredlmilitarylpersonnellandltheirldependents
d.lNeedylandllow-incomelpeoplel-lCORRECTlANSWERS-d.lNeedylandllow-
incomelpeople
WhichloflthelfollowinglwouldlnotlbelcoveredlbylMedicare?
a.lCosmeticlsurgery
d.lHomelhealthlcare
c.lHospitalization
d.lBloodltransfusionsl-lCORRECTlANSWERS-a.lCosmeticlsurgery
MedicarelenrolleeslhavelthelrightltolassignltheirlbenefitsltolHMOs.
a.lTrue
b.lFalse
c.lOnlylinlCalifornialandlFlorida
d.lOnlylinlNewlJerseylandlUtahl-lCORRECTlANSWERS-a.lTrue
Thelmodifierl-22lattachedltolalCPTlcodelwillloftenl_______.
a.lfacilitatelelectroniclsubmissions
b.ldelayedlpayment
c.lguaranteelpaymentl
d.lrequiredlcallinglaltoll-freelnumberl-lCORRECTlANSWERS-c.lguaranteelpayment
Workers'lCompensationllawslserveslwhatlpurpose?
a.lTolprovidelallonglconvalescencelforlsicklemployees
b.lTolensurelpaymentloflfeesltolattorneys
c.lTolreceivelcompensationlfromlthelpubliclandlprivatelcharities
d.lTolencouragelemploymentlinterestlinlsafetyl-lCORRECTlANSWERS-
d.lTolencouragelemploymentlinterestlinlsafety
ALLlBUTlWHICHlONEloflthelfollowinglwilllhelplthelinsurancelspecialistlinlbuildingland
ltrackinglworkers'lcompensationlclaims?
a.lKeepinglalphonellogloflconversationlwithltheladjuster
b.lObtaininglalworkers'lcompensationlfeelschedule
c.lVerifyinglcodeslagainstlthelMedicarelfeelschedule
vendarsol
, d.lDiscussinglthelcaselwithlthelclaimslrepresentativel-lCORRECTlANSWERS-
c.lVerifyinglcodeslagainstlthelMedicarelfeelschedule
ThelSociallSecuritylDisabilitylInsurancel(SSDI)lprovideslbenefitslforl_________.
a.ltheldisabledloverlthelagelofl65
b.lworkerslwithlshortltermldisability
c.lworkers'lwithllongltermldisability
d.lcoveredlworkerslinjuredlonltheljobl-lCORRECTlANSWERS-
c.lworkers'lwithllongltermldisability
WhichloflthelfollowinglislNOTlpartloflalmedicallcoderlandlbillinglspecialist'sljobldescr
iption?
a.lCodinglinformationlfromlmedicallrecords
b.lConsultinglwithlphysicianslforlclarificationlofldata
c.lMaintaininglofficelstafflpersonnellfileslandldata
d.lVerifyingldatalonlencounterlformsl-lCORRECTlANSWERS-
c.lMaintaininglofficelstafflpersonnellfileslandldata
Self-
employedlinsurancelbillinglspecialistslcanlbelexpectedltoldolALLlBUTlWHICHlONEloflt
helfollowing?
a.lObtainlalbusinessllicense
b.lObtainlemployeelbenefits
c.lFollowllegallstandards
d.lFilelquarterlyltaxesl-lCORRECTlANSWERS-b.lObtainlemployeelbenefits
Dorland'slandlStedman'slarelcommonlylusedl_______.
a.lmedicalldictionaries
b.lcodelbook
c.lcertificationlprograms
d.linsurancelnewslettersl-lCORRECTlANSWERS-a.lmedicalldictionaries
AlmedicallconditionlNOTlcoveredlbylanlinsurancelbylanlinsurancelcarrierlislcalledlanl
_______.
a.lincision
b.loption
c.lexception
d.lexclusionl-lCORRECTlANSWERS-d.lexclusion
Thelconditionlestablishedlafterlstudylthatlislchieflylresponsiblelforlalpatient'sladmis
sionltolalhospitallislknownlaslthel______.
a.ladministratinglsymptoms
b.lprincipalldiagnosis
c.lprimaryldiagnosis
d.ladmittingldiagnosisl-lCORRECTlANSWERS-b.lprincipalldiagnosis
WhichlgrouplislNOTlentitledltolmedicallbenefitslunderlTRICARElStandard?
a.lMilitarylretireeslandltheirleligiblelfamilylmembers
b.lWardslandlpre-adoptivelchildrenloflmilitarylservicelmembers
c.lEligiblelfamilylmembersloflactiveldutylservicelmembers
vendarsol