Final Exam: Medical Billing and Coding
11200, 11201 - answer-The patient requested removal of 20 skin tags. What is the CPT
code?
58 - answer-The surgeon performed debridement of an open leg wound. Two days later
the surgeon performed a more extensive debridement of the same wound. What
modifier is reported with the second service?
64719-LT - answer-The hand surgeon performed a neuroplasty of the ulnar nerve of the
left wrist. What is the CPT code?
77080-26 - answer-The patient with a history of osteopenia was referred for a DXA scan
of the axial skeleton. What is the correct CPT code, professional component only?
97035 - answer-The patient was seen in the outpatient physical therapy department for
15 minutes of ultrasound therapy for bursitis of the hip. What is the correct CPT code?
99283 - answer-A visit in the E/M involved an expanded problem focused history and
physical exam with decision making of moderate complexity. What is the correct CPT
code?
A4500 - answer-Following surgery the patient was provided with below knee length
surgical stockings. What is the correct HCPCS level II code?
Accounts receivable - answer-In a physician practice, revenue cycle management is
also called what?
Advance Beneficiary Notice (ABN) - answer-What is the form required for all physician
services or procedures that might not be covered by the Medicare program?
Allowable charge - answer-What is the maximum amount that an insurer will reimburse
for a covered service or procedure?
An aging population will use more healthcare services to manage a multitude of chronic
diseases. - answer-Which of the following is a reason for why the field of medical billing
and coding is in high demand?
AS - answer-What is the correct level II modifier used for a PA's role to assist a surgeon
during a procedure?
Breast cancer - answer-The patient was referred for a bone scan to check for metastatic
disease. Which diagnosis would support medical necessity for this procedure?
Bundled payment - answer-What is the reimbursement method where one payment
covers all services during an episode of care?
, Codes for reporting procedures, services, medical equipment, and supplies not included
in CPT. - answer-What does the HCPCS level II coding classification system provide to
medical providers and suppliers?
Commercial - answer-What is health insurance issued by private companies?
Commercial - answer-What type of health insurance is provided through your employer
or purchased directly from an insurance company?
Consolidated Omnibus Budget Reconciliation Act (COBRA) - answer-Which of the
following allows employees to continue healthcare coverage beyond the benefit
termination date?
Consumer-directed health plans - answer-What health plans are designed to put more
responsibility on the employee for their healthcare spending?
continuing education units (CEUs) - answer-What is usually required after attaining a
certification?
Deductible - answer-What is the amount for which the patient is financially responsible
before an insurance policy provides payment?
Deductible - answer-Which of the following is an example of an out of pocket cost?
Documented - answer-What is the missing word in the following phrase: "If it wasn't
__________, it wasn't done."
E0561 - answer-The durable medical equipment dealer supplied the patient with a non
heated humidifier to be used with his CPAP device. What is the correct HCPCS level II
code?
Electronic - answer-The HIPAA security rule provides standards for health information
maintained or transmitted in what format?
Electronic Data Interchange (EDI) - answer-What is the computer to computer transfer
of data between providers and third-party payers?
Electronic Health Record (EHR) - answer-What is health information in a digital format
that is created and shared by providers across more Thant one healthcare setting?
Emancipated minor - answer-What is the term for an individual who has not reached the
age of majority (usually 18) but is no longer under the care and control of parents?
Falsifying patient records to justify the medical necessity of services. - answer-Which of
the following is an example of fraud?
11200, 11201 - answer-The patient requested removal of 20 skin tags. What is the CPT
code?
58 - answer-The surgeon performed debridement of an open leg wound. Two days later
the surgeon performed a more extensive debridement of the same wound. What
modifier is reported with the second service?
64719-LT - answer-The hand surgeon performed a neuroplasty of the ulnar nerve of the
left wrist. What is the CPT code?
77080-26 - answer-The patient with a history of osteopenia was referred for a DXA scan
of the axial skeleton. What is the correct CPT code, professional component only?
97035 - answer-The patient was seen in the outpatient physical therapy department for
15 minutes of ultrasound therapy for bursitis of the hip. What is the correct CPT code?
99283 - answer-A visit in the E/M involved an expanded problem focused history and
physical exam with decision making of moderate complexity. What is the correct CPT
code?
A4500 - answer-Following surgery the patient was provided with below knee length
surgical stockings. What is the correct HCPCS level II code?
Accounts receivable - answer-In a physician practice, revenue cycle management is
also called what?
Advance Beneficiary Notice (ABN) - answer-What is the form required for all physician
services or procedures that might not be covered by the Medicare program?
Allowable charge - answer-What is the maximum amount that an insurer will reimburse
for a covered service or procedure?
An aging population will use more healthcare services to manage a multitude of chronic
diseases. - answer-Which of the following is a reason for why the field of medical billing
and coding is in high demand?
AS - answer-What is the correct level II modifier used for a PA's role to assist a surgeon
during a procedure?
Breast cancer - answer-The patient was referred for a bone scan to check for metastatic
disease. Which diagnosis would support medical necessity for this procedure?
Bundled payment - answer-What is the reimbursement method where one payment
covers all services during an episode of care?
, Codes for reporting procedures, services, medical equipment, and supplies not included
in CPT. - answer-What does the HCPCS level II coding classification system provide to
medical providers and suppliers?
Commercial - answer-What is health insurance issued by private companies?
Commercial - answer-What type of health insurance is provided through your employer
or purchased directly from an insurance company?
Consolidated Omnibus Budget Reconciliation Act (COBRA) - answer-Which of the
following allows employees to continue healthcare coverage beyond the benefit
termination date?
Consumer-directed health plans - answer-What health plans are designed to put more
responsibility on the employee for their healthcare spending?
continuing education units (CEUs) - answer-What is usually required after attaining a
certification?
Deductible - answer-What is the amount for which the patient is financially responsible
before an insurance policy provides payment?
Deductible - answer-Which of the following is an example of an out of pocket cost?
Documented - answer-What is the missing word in the following phrase: "If it wasn't
__________, it wasn't done."
E0561 - answer-The durable medical equipment dealer supplied the patient with a non
heated humidifier to be used with his CPAP device. What is the correct HCPCS level II
code?
Electronic - answer-The HIPAA security rule provides standards for health information
maintained or transmitted in what format?
Electronic Data Interchange (EDI) - answer-What is the computer to computer transfer
of data between providers and third-party payers?
Electronic Health Record (EHR) - answer-What is health information in a digital format
that is created and shared by providers across more Thant one healthcare setting?
Emancipated minor - answer-What is the term for an individual who has not reached the
age of majority (usually 18) but is no longer under the care and control of parents?
Falsifying patient records to justify the medical necessity of services. - answer-Which of
the following is an example of fraud?
