Medical Billing and Coding Certificate Exam (Latest
Update) Questions and Verified Answers
| 100% Correct | Grade A+
Chief Complaint (element 1 of history) - ...(ANSWERS)....History of present illness,
Review symptom,
Past, Family, and Social history
History Levels (Element 2 of history) and Examination Levels (Element 3 of
History) - ...(ANSWERS)....Problem focused,
expanded problem focused,
detailed,
Comprehensive
Medical Decision Making Complexity Levels (element 4 of history) -
...(ANSWERS)....Straightforward,
Low,
Moderate,
High
straightforward - ...(ANSWERS)....Minimal diagnosis
Minimal risk
Minimal complexity of data
,Low - ...(ANSWERS)....Limited diagnosis
Limited/low risk to patient
Limited data
Moderate - ...(ANSWERS)....Multiple diagnosis
Moderate risk to patient
Moderate amount and complexity of data
high - ...(ANSWERS)....Extensive diagnosis
high risk to patient
extensive amount and complexity of data
truncated coding (error in coding) - ...(ANSWERS)....using diagnosis codes that are
not as specific as possible
assumption coding (fraudulent coding) - ...(ANSWERS)....reporting items of
services that are not actually documented
errors of the coding process - ...(ANSWERS)....-altering documentation after
services are reported
-coding without documentation
-reporting services provided by unlicensed or unqualified clinical personnel
-coding a unilateral service twice instead of choosing the bilateral
, -not satisfying the condition of coverage for a particular service
-codes that report more than one diagnosis with one code is a combination code
Unbundling codes - ...(ANSWERS)....when multiple codes are used to code a
procedure when a single code should be used
Upcoding - ...(ANSWERS)....using a procedural code that provides a higher
reimbursement rate than the correct code
Downcoding - ...(ANSWERS)....the document does not justify the level of service
Most common billing errors - ...(ANSWERS)....Billing non-covered services
Billing over limit services
Upcoding
Downcoding
Billing without signatures
Using outdated codes
External Audits
Internal Audits
Retrospective audits - ...(ANSWERS)....Types of Audits done to avoid billing and
coding errors
Update) Questions and Verified Answers
| 100% Correct | Grade A+
Chief Complaint (element 1 of history) - ...(ANSWERS)....History of present illness,
Review symptom,
Past, Family, and Social history
History Levels (Element 2 of history) and Examination Levels (Element 3 of
History) - ...(ANSWERS)....Problem focused,
expanded problem focused,
detailed,
Comprehensive
Medical Decision Making Complexity Levels (element 4 of history) -
...(ANSWERS)....Straightforward,
Low,
Moderate,
High
straightforward - ...(ANSWERS)....Minimal diagnosis
Minimal risk
Minimal complexity of data
,Low - ...(ANSWERS)....Limited diagnosis
Limited/low risk to patient
Limited data
Moderate - ...(ANSWERS)....Multiple diagnosis
Moderate risk to patient
Moderate amount and complexity of data
high - ...(ANSWERS)....Extensive diagnosis
high risk to patient
extensive amount and complexity of data
truncated coding (error in coding) - ...(ANSWERS)....using diagnosis codes that are
not as specific as possible
assumption coding (fraudulent coding) - ...(ANSWERS)....reporting items of
services that are not actually documented
errors of the coding process - ...(ANSWERS)....-altering documentation after
services are reported
-coding without documentation
-reporting services provided by unlicensed or unqualified clinical personnel
-coding a unilateral service twice instead of choosing the bilateral
, -not satisfying the condition of coverage for a particular service
-codes that report more than one diagnosis with one code is a combination code
Unbundling codes - ...(ANSWERS)....when multiple codes are used to code a
procedure when a single code should be used
Upcoding - ...(ANSWERS)....using a procedural code that provides a higher
reimbursement rate than the correct code
Downcoding - ...(ANSWERS)....the document does not justify the level of service
Most common billing errors - ...(ANSWERS)....Billing non-covered services
Billing over limit services
Upcoding
Downcoding
Billing without signatures
Using outdated codes
External Audits
Internal Audits
Retrospective audits - ...(ANSWERS)....Types of Audits done to avoid billing and
coding errors
