Question 1
1. _____ regulations determine the coding requirements for Medicare Advantage plans.
A. FEHB
B. HIAA
C. CMS
D. ERISA
CORRECT ANSWER
D. ERISA
Question 2
2. Medicare Advantage combines the benefits of which of the following plans?
A. Medicare Part A and Part B
B. Medicare Part A and Part D
C. Medicare Part B and Part D
D. Medicare Part A and Part B, and sometimes Part D
CORRECT ANSWER
D. Medicare Part A and Part B, and sometimes Part D
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,Question 3
3. The medical coding classification known as ICD-10-CM communicates information that is
key to which aspect of the healthcare system?
A. Medical necessity
B. Reimbursement
C. Resource allocation
D. All of the above
CORRECT ANSWER
D. All of the above
Question 4
4. It is fraudulent for a coder to knowingly:
A. Code for services not rendered
B. Change the date of service
C. Upcode
D. All of the above
CORRECT ANSWER
D. All of the above
Question 5
5. All risk-adjustment models employ diagnosis codes to assess the potential risks
associated with individual patients. Other factors taken into consideration when
calculating risks include all of the following except:
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, A. Gender
B. Socioeconomic status
C. Family history
D. Procedure codes
CORRECT ANSWER
D. Procedure codes
Question 6
6. The definition of dysphasia is:
A. The absence of swallowing
B. Painful or difficult speech
C. The absence of speech
D. Painful or difficult swallowing
CORRECT ANSWER
C. The absence of speech
Question 7
7. MAC
A. Make a Change
B. Medicare Administrative Contractor
C. Maximum Allowable Copay
D. Money Access Center
CORRECT ANSWER
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1. _____ regulations determine the coding requirements for Medicare Advantage plans.
A. FEHB
B. HIAA
C. CMS
D. ERISA
CORRECT ANSWER
D. ERISA
Question 2
2. Medicare Advantage combines the benefits of which of the following plans?
A. Medicare Part A and Part B
B. Medicare Part A and Part D
C. Medicare Part B and Part D
D. Medicare Part A and Part B, and sometimes Part D
CORRECT ANSWER
D. Medicare Part A and Part B, and sometimes Part D
1
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,Question 3
3. The medical coding classification known as ICD-10-CM communicates information that is
key to which aspect of the healthcare system?
A. Medical necessity
B. Reimbursement
C. Resource allocation
D. All of the above
CORRECT ANSWER
D. All of the above
Question 4
4. It is fraudulent for a coder to knowingly:
A. Code for services not rendered
B. Change the date of service
C. Upcode
D. All of the above
CORRECT ANSWER
D. All of the above
Question 5
5. All risk-adjustment models employ diagnosis codes to assess the potential risks
associated with individual patients. Other factors taken into consideration when
calculating risks include all of the following except:
2
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, A. Gender
B. Socioeconomic status
C. Family history
D. Procedure codes
CORRECT ANSWER
D. Procedure codes
Question 6
6. The definition of dysphasia is:
A. The absence of swallowing
B. Painful or difficult speech
C. The absence of speech
D. Painful or difficult swallowing
CORRECT ANSWER
C. The absence of speech
Question 7
7. MAC
A. Make a Change
B. Medicare Administrative Contractor
C. Maximum Allowable Copay
D. Money Access Center
CORRECT ANSWER
3
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