1. What does the abbreviation "RCS" stand for in medical coding?
A. Radiology Coding Specialist
B. Radiology Clinical Specialist
C. Radiological Coding Service
D. Reimbursement Coding Specialist
Answer: A) Radiology Coding Specialist
Rationale: RCS stands for Radiology Coding Specialist, a designation
for individuals who specialize in coding radiology procedures and
services.
2. What is the role of an insurance payer in radiology billing?
A. To provide the patient with information about the procedure
B. To determine the appropriate procedure code for imaging services
C. To reimburse the healthcare provider based on procedure codes and
diagnoses
D. To provide the radiologist with the equipment required for imaging
Answer: C) To reimburse the healthcare provider based on procedure
codes and diagnoses
Rationale: The insurance payer is responsible for reimbursing
healthcare providers based on the correct coding of procedures and
diagnoses, ensuring proper payment for services rendered.
,3. What is the correct term for the radiology technique that uses a
combination of X-rays and computer technology to create detailed
images of internal structures?
A. MRI
B. PET
C. CT Scan
D. Ultrasound
Answer: C) CT Scan
Rationale: A CT (computed tomography) scan combines X-ray
technology with computer processing to create detailed cross-sectional
images of the body.
4. In radiology coding, what does a "modifier" indicate?
A. The physician's medical specialty
B. The level of severity of the diagnosis
C. An adjustment to the procedure or service provided
D. The name of the healthcare provider
Answer: C) An adjustment to the procedure or service provided
Rationale: A modifier in radiology coding provides additional
information about the procedure performed, such as whether it was
bilateral or repeated, or if a unique circumstance applied.
, 5. In radiology coding, what is the purpose of the “technical
component” (TC)?
A. To describe the complexity of the procedure
B. To cover the cost of the equipment and staff required for the
procedure
C. To assess the physician’s involvement in interpreting the imaging
D. To determine the patient’s eligibility for the procedure
Answer: B) To cover the cost of the equipment and staff required for
the procedure
Rationale: The technical component (TC) refers to the costs associated
with the equipment, staff, and overhead required to perform a radiology
procedure.
6. A physician orders an MRI of the spine to evaluate a herniated disc.
The most appropriate ICD-10 code would be:
A. M54.5
B. M48.06
C. G56.01
D. M51.26
Answer: D) M51.26
Rationale: The ICD-10 code M51.26 specifically refers to a herniated
disc in the lumbar region, which would be an appropriate diagnosis for
the MRI ordered.
A. Radiology Coding Specialist
B. Radiology Clinical Specialist
C. Radiological Coding Service
D. Reimbursement Coding Specialist
Answer: A) Radiology Coding Specialist
Rationale: RCS stands for Radiology Coding Specialist, a designation
for individuals who specialize in coding radiology procedures and
services.
2. What is the role of an insurance payer in radiology billing?
A. To provide the patient with information about the procedure
B. To determine the appropriate procedure code for imaging services
C. To reimburse the healthcare provider based on procedure codes and
diagnoses
D. To provide the radiologist with the equipment required for imaging
Answer: C) To reimburse the healthcare provider based on procedure
codes and diagnoses
Rationale: The insurance payer is responsible for reimbursing
healthcare providers based on the correct coding of procedures and
diagnoses, ensuring proper payment for services rendered.
,3. What is the correct term for the radiology technique that uses a
combination of X-rays and computer technology to create detailed
images of internal structures?
A. MRI
B. PET
C. CT Scan
D. Ultrasound
Answer: C) CT Scan
Rationale: A CT (computed tomography) scan combines X-ray
technology with computer processing to create detailed cross-sectional
images of the body.
4. In radiology coding, what does a "modifier" indicate?
A. The physician's medical specialty
B. The level of severity of the diagnosis
C. An adjustment to the procedure or service provided
D. The name of the healthcare provider
Answer: C) An adjustment to the procedure or service provided
Rationale: A modifier in radiology coding provides additional
information about the procedure performed, such as whether it was
bilateral or repeated, or if a unique circumstance applied.
, 5. In radiology coding, what is the purpose of the “technical
component” (TC)?
A. To describe the complexity of the procedure
B. To cover the cost of the equipment and staff required for the
procedure
C. To assess the physician’s involvement in interpreting the imaging
D. To determine the patient’s eligibility for the procedure
Answer: B) To cover the cost of the equipment and staff required for
the procedure
Rationale: The technical component (TC) refers to the costs associated
with the equipment, staff, and overhead required to perform a radiology
procedure.
6. A physician orders an MRI of the spine to evaluate a herniated disc.
The most appropriate ICD-10 code would be:
A. M54.5
B. M48.06
C. G56.01
D. M51.26
Answer: D) M51.26
Rationale: The ICD-10 code M51.26 specifically refers to a herniated
disc in the lumbar region, which would be an appropriate diagnosis for
the MRI ordered.
