NCCT Practice Test 2 Billing and Coding Questions and Answers .

NCCT Practice Test 2 Billing and Coding Questions and Answers . An organization which provides a wide range of services for a specified group at a fixed periodic payment is termed an A. Individual Contract B. HMO C. Conversion Privilege D. Exclusive Provider Organization - Answer HMO TBSA refers to: A. Relative Blood Value B. Tuberculosis Test C. Total Blood & serum analysis D. Total Body Surface Area - Answer Total body surface area There are two types of CPT codes, stand alone and: A. Subcodes B. Patent Codes C. Stand Aside Codes D. Indented Codes - Answer Indented Codes Services in which opinions of specialists are requested, are called: A. Lectures B. Consultations C. Ancillary Services D. Office Visits - Answer Consultations Examples of HCPCS Level II codes are: A. Specified Types of Physicians B. Emergency Case C. Inpatient Procedures D. Supplies, orthotics, prosthetics, DME, equipment, and ambulance services - Answer Supplies, orthotics, prosthetics, DME, equipment, and ambulance services Everything that you see, hear, or read about a patients condition must remain: A. Accurate B. Confidential C. Historical D. Inclusive - Answer Confidential Because of the new Medicare regulations insurance companies are predominantly using what type of claims? A. Encounter B. Electronic C. Paper D. Daily - Answer Electronic A "combining form" meaning joint is: A. Ankyl/o B. Cost/o C. Arthro/o D. Spondyl/o - Answer Arthro/o If an error is made in a patients chart, what should be done before adding the correct information nearby? A. White out the error B. Scratch out the error C. Draw a single line through the error D. Erase the error - Answer Draw a single line through the error When sequencing codes for multiple burns, list: A. Third degree First B. The largest Burn first C. Burns on the face and neck first D. In the order of first, second & third degree - Answer Third degree first Another name for a release of information form is a: A. Assignment of benefits B. Requisition C. Consent D. Encounter - Answer Consent Which of the following is not a type of wound? A. Excision B. Laceration C. Puncture D. Avulsion - Answer Excision The opposite of ventral is: A. Cervical B. Dorsal C. Lumbar D. Posterior - Answer Dorsal In a Medicare billing dispute, the amount of controversy must be at least: A. $100 B. $200 C. $500 D. $1000 - Answer $100 A suffix indicating the surgical creation of an opening is: A. Ectomy B. Otomy C. Ostomy D. Plasty - Answer Ostomy The usual abbreviation for complete blood count is: A. CBC B. HCT C. GGT D. RBC - Answer CBC Which of the following abbreviations might charted if a patient has a bladder infection: A. BI B. BI, bacterial C. UTI D. UCT, bacterial - Answer UTI All of the following are included in the Medicare EPSDT program for welfare children except: A. Treatment for mental defects B. Development assessment C. Remedial education D. Dental screening - Answer Remedial Education Intentional misrepresentation of facts in order to deceive or mislead others is: A. Fraud B. Libel C. Abuse D. Embezzlement - Answer Fraud Self-Employed insurance billing specialists can deduct all but which one of the following expenses from income taxes: A. Business Travel Expenses B. Subscriptions to professional magazines C. Theatre Tickets D. Depreciation of office equipment - Answer Theatre Tickets The medical term for high blood pressure: A. Hypertensive heart disease B. Arteriosclerosis C. Hypertension D. Hypotension - Answer Hypertension An individual who promises to pay the medical bill by signing an agreement to pay form is the: A. Medicare Representative B. Arbitrator C. Mediator D. Guarantor - Answer Guarantor A report mentioning such words as cranium, maxilla, and mandible would be referring to: A. Hip B. Head C. Pelvic Girdle D. Spine - Answer Head The following subsections of Evaluation and Management services except: A. Emergency Department Services B. Office of other outpatient services C. Consultations D. Concurrent Care - Answer Concurrent Care In the Medicare program a clean claim means that: A. The claim has no deficiencies B. The carrier doesn't need to investigate further C. The claim passes all electronic edits D. All answers are correct - Answer D. The claim has no deficiencies, does not further investigation, and that it passes all electronic edits HCT is the medical abbreviation for: A. High frequency computerized tomography B. Hematocrit C. Hemoglobin D. Human chrorionic ganodatropin - Answer Hematocrit The subsequent injury fund was established for problems that arise when a: A. Previously injured person is injured at work again B. Rehabilitated person returns to work C. Military person returns to work D. Claim is filed later than the time limit - Answer Previously injured person is injured at work again Tricare offers 3 types of plans: A. Champus, Champus Plus , & CHampus Extra B. Standard, Extra & Prime C. Regular , Extra, & Prime D. Standard, Standard Plus & Standard Extra - Answer Standard, Extra & Prime Workers Compensation can be found in: A. Alaska , California, Florida New York & Texas Only B. Arizona, California, Oregon, Nevada & Washington Only C. All US States except Maine , Missouri, Montana, Tennessee, & West Virginia D. All US States - Answer All US States A 66 year old retired school teacher presenting for a first visit at a medical office would most likely be covered by: A. Tricare B. Medicaid C. Medicare D. Workers' Compensation - Answer Medicare When a claim is returned for incorrect or missing information, the correct action for a medical biller to take would be to: A. Add or correct the information & resubmit the claim B. Send an appeal letter C. Schedule a hearing before an administrative law judge D. Resend duplicate claim - Answer Add or correct the information & resubmit the claim One insurance plan jointly sponsored by federal & state government is: A. Medicare B. Medicaid C. Tricare D. Blue Cross/Blue Shield - Answer Medicaid