MEDICAL BILLING AND CODING FINAL EXAM
The Coder's responsibility is to ensure that the data are as accurate as possible not
only for
Classification and study purposes but also to obtain appropriate reimbursement. -
answer-True
The Federal Register is the official publication for all "Presidential Documents,"
"Rules and
Regulations," "Proposed Rules," and "Notices." - answer-True
Nationally, unit values have been assigned for each service by Medicare (CPT and
HCPCS) and determined on the basis of the resources necessary for the physician's
performance of the service. - answer-True
Fraud is an intentional deception or misrepresentation that an individual knows to
be false. - answer-True
Kickbacks from patients are allowed under certain circumstances according to
Medicare guidelines. - answer-False
ICD-10 codes are alphanumeric, with all codes beginning with a number. - answer-
False
ICD-10 codes have a maximum of five characters. - answer-False
An N is assigned as a 5th character placeholder for certain six-character codes. -
answer-False
The ICD-10, the WHO version, does not include a procedure classification (Volume
3). - answer-True
There are 10 times more codes in the ICD-10 than in the ICD-9. - answer-False
All ICD-10 codes have seven characters. - answer-False
The pre-release draft of the ICD-10 was released in June 2003 and replaced with a
revision in July of 2007. - answer-True
ICD-9 codes are required on the claims by payers in order to pay the claims. -
answer-True
ICD-9 codes are used to translate verbal or narrative descriptions into numeric
designations. - answer-True
The symbol that instructs you to use an additional ICD-9 code in all manuals is the
(+) symbol. - answer-True
, The "includes" notes further define or provide examples to clarify assignment. -
answer-True
In ICD-9 coding, the words "and" and "with" have similar meanings. - answer-True
V codes consist of one alphanumeric character (V), followed by two or more numeric
characters. - answer-True
When a code is listed inside slanted brackets, you must sequence that code after
the underlying condition code. - answer-True
Excludes notes are informational only and are not necessary for coding purposes. -
answer-False
The same coding guidelines apply to both inpatient and outpatient settings. -
answer-True
In the outpatient setting the term "first-listed diagnosis" is used instead of "principal
diagnosis." - answer-True
The first-listed diagnosis is the diagnosis the physician lists first. - answer-True
In an outpatient setting a diagnosis that is documented as "rule out" should be
coded as if it exists. - answer-False
V codes can be assigned as first-listed diagnoses. - answer-False
If a patient is admitted for observation for a medical condition, a code is assigned
for the medical condition as the first-listed diagnosis. - answer-True
It is acceptable to use codes that describe signs or symptoms when a definitive
diagnosis has not been established by the provider. - answer-True
If a coder is unable to locate a code that describes the exact service provided, it is
acceptable to use a code that approximates the service provided. - answer-False
According to the Surgery guidelines, surgical destruction may be considered part of
a surgical procedure. - answer-True
The rule that govern coding in various healthcare settings are variable. - answer-
True
There are 6 main sections in the CPT manual. - answer-True
A modifier provides additional information to the third-party payers. - answer-True
An unlisted procedure in never found in the CPT manual. - answer-False
Category III codes are released one per year. - answer-True
The Coder's responsibility is to ensure that the data are as accurate as possible not
only for
Classification and study purposes but also to obtain appropriate reimbursement. -
answer-True
The Federal Register is the official publication for all "Presidential Documents,"
"Rules and
Regulations," "Proposed Rules," and "Notices." - answer-True
Nationally, unit values have been assigned for each service by Medicare (CPT and
HCPCS) and determined on the basis of the resources necessary for the physician's
performance of the service. - answer-True
Fraud is an intentional deception or misrepresentation that an individual knows to
be false. - answer-True
Kickbacks from patients are allowed under certain circumstances according to
Medicare guidelines. - answer-False
ICD-10 codes are alphanumeric, with all codes beginning with a number. - answer-
False
ICD-10 codes have a maximum of five characters. - answer-False
An N is assigned as a 5th character placeholder for certain six-character codes. -
answer-False
The ICD-10, the WHO version, does not include a procedure classification (Volume
3). - answer-True
There are 10 times more codes in the ICD-10 than in the ICD-9. - answer-False
All ICD-10 codes have seven characters. - answer-False
The pre-release draft of the ICD-10 was released in June 2003 and replaced with a
revision in July of 2007. - answer-True
ICD-9 codes are required on the claims by payers in order to pay the claims. -
answer-True
ICD-9 codes are used to translate verbal or narrative descriptions into numeric
designations. - answer-True
The symbol that instructs you to use an additional ICD-9 code in all manuals is the
(+) symbol. - answer-True
, The "includes" notes further define or provide examples to clarify assignment. -
answer-True
In ICD-9 coding, the words "and" and "with" have similar meanings. - answer-True
V codes consist of one alphanumeric character (V), followed by two or more numeric
characters. - answer-True
When a code is listed inside slanted brackets, you must sequence that code after
the underlying condition code. - answer-True
Excludes notes are informational only and are not necessary for coding purposes. -
answer-False
The same coding guidelines apply to both inpatient and outpatient settings. -
answer-True
In the outpatient setting the term "first-listed diagnosis" is used instead of "principal
diagnosis." - answer-True
The first-listed diagnosis is the diagnosis the physician lists first. - answer-True
In an outpatient setting a diagnosis that is documented as "rule out" should be
coded as if it exists. - answer-False
V codes can be assigned as first-listed diagnoses. - answer-False
If a patient is admitted for observation for a medical condition, a code is assigned
for the medical condition as the first-listed diagnosis. - answer-True
It is acceptable to use codes that describe signs or symptoms when a definitive
diagnosis has not been established by the provider. - answer-True
If a coder is unable to locate a code that describes the exact service provided, it is
acceptable to use a code that approximates the service provided. - answer-False
According to the Surgery guidelines, surgical destruction may be considered part of
a surgical procedure. - answer-True
The rule that govern coding in various healthcare settings are variable. - answer-
True
There are 6 main sections in the CPT manual. - answer-True
A modifier provides additional information to the third-party payers. - answer-True
An unlisted procedure in never found in the CPT manual. - answer-False
Category III codes are released one per year. - answer-True
