Basic-CPT Exam Questions Correctly
Answered.
A _____ record is documentation that consists of both paper-based and computer generated
information. - CORRECT ANSWER hybrid
A health care provider initiates care using specific medications, goals, procedures, therapies and
treatments for his patient. This section of the POR initial plan is called - CORRECT ANSWER therapeutic
plans
Assisting listening device, alerting, any type. Assign HCPCS code - CORRECT ANSWER V5269
Observation care discharge, day management. Assign codes. - CORRECT ANSWER 99217
Physician direction of emergency medical systems (EMS) emergency care, advanced life support. Assign
codes - CORRECT ANSWER 99288
Medical team conference, patient and/or family not present, 30 minutes or more participation by
nonphysician qualified health care professional. Assign codes. - CORRECT ANSWER 99368
Anesthesia for procedures on heart, pericardial sac and great vessels of chest with pump oxygenator,
younger than 1 year of age. - CORRECT ANSWER 00561
Anesthesia for open or surgical arthroscopic procedures of the elbow, repair of nonunion or malunion of
humerus. Assign code. - CORRECT ANSWER 01744
Anesthesia for permanent transvenous Pacemaker insertion in 70- year old -patient with ESRD. Assign
code. - CORRECT ANSWER 00530-P5
,Incision of soft tissue abscess (e.g., secondary to osteomyelitis), deep or complicated. Assign codes. -
CORRECT ANSWER 20005
Insertion of indwelling tunneled pleural catheter with cuff, imaging guidance performed. Assign codes -
CORRECT ANSWER 32550—75989
Urinalysis, bactuemia screen, except by culture or dipstick. - CORRECT ANSWER 81007
Necropsy (autopsy) gross examination only, with brain and spinal cord. Assign codes - CORRECT ANSWER
88007
Flow cytometry, interpretation, 9-15 markers - CORRECT ANSWER 88188
Individual psychotherapy, insight oriented, behavior modifying and/or supportive, in an office or
outpatient facility. Approx. 45-50 minutes face-to-face with patient. Assign codes - CORRECT ANSWER
90806
Biofeedback training by any modality - CORRECT ANSWER 90901
TEFRA legislated implementation of the_________ , which uses diagnosis-related groups (DRGs) to
reimburse short term hospital for inpatient stays. - CORRECT ANSWER inpatient prospective payment
system
After the insurance claim was processed by Blue Cross/Blue Shield Association for services provided -
CORRECT ANSWER remittance advice
A physician under contract to a managed care plan is called a - CORRECT ANSWER network provider
Explanation of benefits - CORRECT ANSWER .
Which professional reviews health-related claims to determine whether claims are reasonably
necessary? - CORRECT ANSWER Health insurance specialist
, The HIPAA small code set collects information concerning _________. - CORRECT ANSWER Race,
ethnicity, type of facility, type of unit
Which is an example of a third-party payer? - CORRECT ANSWER Blue Cross/ Blue Shield Association
The coder is responsible for documenting and authenticating legible, complete, and timely patient
records. - CORRECT ANSWER False
On the UB-04 claim, procedures are linked to services for medical necessity purposes. - CORRECT
ANSWER False
Health insurance claims can be denied by third-party payers if medical necessity for the procedure or
service is not established. - CORRECT ANSWER True
Nurses and physicians use medical management software to create work schedules for the office staff. -
CORRECT ANSWER False
Coding internships are typically paid experiences. - CORRECT ANSWER False
The Certified Medical Reimbursement Specialist (CMRS) exam is sponsored by the American Health
Information Management Association. - CORRECT ANSWER False
A classification system organizes a medical nomenclature according to similar conditions, diseases,
procedures, services, or any combination of these. - CORRECT ANSWER True
HIPAA requires code sets to be adopted for the purpose of tracking the licenses of health care providers.
- CORRECT ANSWER False
A commercial health insurance company is an example of a third-party payer. - CORRECT ANSWER True
An integrated patient record is arranged in strict chronological date order. - CORRECT ANSWER True
Answered.
A _____ record is documentation that consists of both paper-based and computer generated
information. - CORRECT ANSWER hybrid
A health care provider initiates care using specific medications, goals, procedures, therapies and
treatments for his patient. This section of the POR initial plan is called - CORRECT ANSWER therapeutic
plans
Assisting listening device, alerting, any type. Assign HCPCS code - CORRECT ANSWER V5269
Observation care discharge, day management. Assign codes. - CORRECT ANSWER 99217
Physician direction of emergency medical systems (EMS) emergency care, advanced life support. Assign
codes - CORRECT ANSWER 99288
Medical team conference, patient and/or family not present, 30 minutes or more participation by
nonphysician qualified health care professional. Assign codes. - CORRECT ANSWER 99368
Anesthesia for procedures on heart, pericardial sac and great vessels of chest with pump oxygenator,
younger than 1 year of age. - CORRECT ANSWER 00561
Anesthesia for open or surgical arthroscopic procedures of the elbow, repair of nonunion or malunion of
humerus. Assign code. - CORRECT ANSWER 01744
Anesthesia for permanent transvenous Pacemaker insertion in 70- year old -patient with ESRD. Assign
code. - CORRECT ANSWER 00530-P5
,Incision of soft tissue abscess (e.g., secondary to osteomyelitis), deep or complicated. Assign codes. -
CORRECT ANSWER 20005
Insertion of indwelling tunneled pleural catheter with cuff, imaging guidance performed. Assign codes -
CORRECT ANSWER 32550—75989
Urinalysis, bactuemia screen, except by culture or dipstick. - CORRECT ANSWER 81007
Necropsy (autopsy) gross examination only, with brain and spinal cord. Assign codes - CORRECT ANSWER
88007
Flow cytometry, interpretation, 9-15 markers - CORRECT ANSWER 88188
Individual psychotherapy, insight oriented, behavior modifying and/or supportive, in an office or
outpatient facility. Approx. 45-50 minutes face-to-face with patient. Assign codes - CORRECT ANSWER
90806
Biofeedback training by any modality - CORRECT ANSWER 90901
TEFRA legislated implementation of the_________ , which uses diagnosis-related groups (DRGs) to
reimburse short term hospital for inpatient stays. - CORRECT ANSWER inpatient prospective payment
system
After the insurance claim was processed by Blue Cross/Blue Shield Association for services provided -
CORRECT ANSWER remittance advice
A physician under contract to a managed care plan is called a - CORRECT ANSWER network provider
Explanation of benefits - CORRECT ANSWER .
Which professional reviews health-related claims to determine whether claims are reasonably
necessary? - CORRECT ANSWER Health insurance specialist
, The HIPAA small code set collects information concerning _________. - CORRECT ANSWER Race,
ethnicity, type of facility, type of unit
Which is an example of a third-party payer? - CORRECT ANSWER Blue Cross/ Blue Shield Association
The coder is responsible for documenting and authenticating legible, complete, and timely patient
records. - CORRECT ANSWER False
On the UB-04 claim, procedures are linked to services for medical necessity purposes. - CORRECT
ANSWER False
Health insurance claims can be denied by third-party payers if medical necessity for the procedure or
service is not established. - CORRECT ANSWER True
Nurses and physicians use medical management software to create work schedules for the office staff. -
CORRECT ANSWER False
Coding internships are typically paid experiences. - CORRECT ANSWER False
The Certified Medical Reimbursement Specialist (CMRS) exam is sponsored by the American Health
Information Management Association. - CORRECT ANSWER False
A classification system organizes a medical nomenclature according to similar conditions, diseases,
procedures, services, or any combination of these. - CORRECT ANSWER True
HIPAA requires code sets to be adopted for the purpose of tracking the licenses of health care providers.
- CORRECT ANSWER False
A commercial health insurance company is an example of a third-party payer. - CORRECT ANSWER True
An integrated patient record is arranged in strict chronological date order. - CORRECT ANSWER True
