Medical Billing and Coding Final Exam Test Questions and
Answers Graded A+
Which of the following is a reason for why the
field of medical billing and coding is in high
demand? - ANSWER -An aging population What is the reimbursement method where one
will use more healthcare services to manage a payment covers all services during an episode of
multitude of chronic diseases. care? - ANSWER -Bundled payment
What is the process of reporting diagnoses and What is a written order from you primary care
procedures/services as numeric and provider for you to see a specialist or get certain
alphanumeric characters on the insurance claim? medical services? - ANSWER -Referral
- ANSWER -Medical coding
What health plans are designed to put more
What is the two-way, real time video visit responsibility on the employee for their
between the patient and the physician at a healthcare spending? - ANSWER -
distant site? - ANSWER -Telehealth Consumer-directed health plans
What is the amount for which the patient is In a physician practice, revenue cycle
financially responsible before an insurance policy management is also called what? -
provides payment? - ANSWER -Deductible ANSWER -Accounts receivable
What type of health insurance is provided What is the computer to computer transfer of
through your employer or purchased directly from data between providers and third-party payers? -
an insurance company? - ANSWER - ANSWER -Electronic Data Interchange
Commercial (EDI)
What is the missing word in the following phrase: What type of claim was never entered in to the
"If it wasn't __________, it wasn't done." - computer system of the insurance company
ANSWER -Documented because it failed to meet specific data
requirements? - ANSWER -Rejected claim
What section of the SOAP note containers the
chief complaint and the patient's description of What is the maximum amount that an insurer will
the presenting problem? - ANSWER - reimburse for a covered service or procedure? -
Subjective ANSWER -Allowable charge
What is health information in a digital format that What is the price transparency in healthcare? -
is created and shared by providers across more ANSWER -Patients are informed about
Thant one healthcare setting? - ANSWER - what charges to expect.
Electronic Health Record (EHR)
1/5
, Medical Billing and Coding Final Exam Test Questions and
Answers Graded A+
unstable angina. What is the ICD-10-CM code? -
What is the term for an individual who has not ANSWER -R07.89
reached the age of majority (usually 18) but is no
longer under the care and control of parents? -
ANSWER -Emancipated minor The patient was seen in follow up for
hypertension and chronic kidney disease, stage
5. What is the ICD-10-CM code? -
What is any information that can link a specific ANSWER -I12.0, N18.5
individual to medical records? - ANSWER -
Protected Health Information (PHI)
The patient was seen for pre-operative
cardiovascular examination undergoing
Which of the following is an example of consent? cholecystectomy. What is the correct ICD-10-CM
- ANSWER -The patient allows insurance code? - ANSWER -Z01.810
benefits to be paid directly to the provider.
The patient's diagnosis is idiopathic scoliosis of
The HIPAA security rule provides standards for the cervicothoracic region. What is the correct
health information maintained or transmitted in ICD-10-CM code? - ANSWER -M41.23
what format? - ANSWER -Electronic
In which main section of the CPT codebook
Which of the following is an example of fraud? - would you find the code for a cholecystectomy? -
ANSWER -Falsifying patient records to ANSWER -Surgery
justify the medical necessity of services.
The patient requested removal of 20 skin tags.
Which of the following s true concerning the What is the CPT code? - ANSWER -11200,
release of patient information? - ANSWER - 11201
Original records should never be released.
The hand surgeon performed a neuroplasty of
What is the main term for primary pancreatic the ulnar nerve of the left wrist. What is the CPT
neoplasm of the head of the pancreas? - code? - ANSWER -64719-LT
ANSWER -Neoplasm
The surgeon performed debridement of an open
ICD coding changes, additions and deletions are leg wound. Two days later the surgeon
effective on what date every year? - performed a more extensive debridement of the
ANSWER -October 1 same wound. What modifier is reported with the
second service? - ANSWER -58
The patient was evaluated in the emergency
room for anterior chest wall pain, suspect The patient with a history of osteopenia was
2/5
Answers Graded A+
Which of the following is a reason for why the
field of medical billing and coding is in high
demand? - ANSWER -An aging population What is the reimbursement method where one
will use more healthcare services to manage a payment covers all services during an episode of
multitude of chronic diseases. care? - ANSWER -Bundled payment
What is the process of reporting diagnoses and What is a written order from you primary care
procedures/services as numeric and provider for you to see a specialist or get certain
alphanumeric characters on the insurance claim? medical services? - ANSWER -Referral
- ANSWER -Medical coding
What health plans are designed to put more
What is the two-way, real time video visit responsibility on the employee for their
between the patient and the physician at a healthcare spending? - ANSWER -
distant site? - ANSWER -Telehealth Consumer-directed health plans
What is the amount for which the patient is In a physician practice, revenue cycle
financially responsible before an insurance policy management is also called what? -
provides payment? - ANSWER -Deductible ANSWER -Accounts receivable
What type of health insurance is provided What is the computer to computer transfer of
through your employer or purchased directly from data between providers and third-party payers? -
an insurance company? - ANSWER - ANSWER -Electronic Data Interchange
Commercial (EDI)
What is the missing word in the following phrase: What type of claim was never entered in to the
"If it wasn't __________, it wasn't done." - computer system of the insurance company
ANSWER -Documented because it failed to meet specific data
requirements? - ANSWER -Rejected claim
What section of the SOAP note containers the
chief complaint and the patient's description of What is the maximum amount that an insurer will
the presenting problem? - ANSWER - reimburse for a covered service or procedure? -
Subjective ANSWER -Allowable charge
What is health information in a digital format that What is the price transparency in healthcare? -
is created and shared by providers across more ANSWER -Patients are informed about
Thant one healthcare setting? - ANSWER - what charges to expect.
Electronic Health Record (EHR)
1/5
, Medical Billing and Coding Final Exam Test Questions and
Answers Graded A+
unstable angina. What is the ICD-10-CM code? -
What is the term for an individual who has not ANSWER -R07.89
reached the age of majority (usually 18) but is no
longer under the care and control of parents? -
ANSWER -Emancipated minor The patient was seen in follow up for
hypertension and chronic kidney disease, stage
5. What is the ICD-10-CM code? -
What is any information that can link a specific ANSWER -I12.0, N18.5
individual to medical records? - ANSWER -
Protected Health Information (PHI)
The patient was seen for pre-operative
cardiovascular examination undergoing
Which of the following is an example of consent? cholecystectomy. What is the correct ICD-10-CM
- ANSWER -The patient allows insurance code? - ANSWER -Z01.810
benefits to be paid directly to the provider.
The patient's diagnosis is idiopathic scoliosis of
The HIPAA security rule provides standards for the cervicothoracic region. What is the correct
health information maintained or transmitted in ICD-10-CM code? - ANSWER -M41.23
what format? - ANSWER -Electronic
In which main section of the CPT codebook
Which of the following is an example of fraud? - would you find the code for a cholecystectomy? -
ANSWER -Falsifying patient records to ANSWER -Surgery
justify the medical necessity of services.
The patient requested removal of 20 skin tags.
Which of the following s true concerning the What is the CPT code? - ANSWER -11200,
release of patient information? - ANSWER - 11201
Original records should never be released.
The hand surgeon performed a neuroplasty of
What is the main term for primary pancreatic the ulnar nerve of the left wrist. What is the CPT
neoplasm of the head of the pancreas? - code? - ANSWER -64719-LT
ANSWER -Neoplasm
The surgeon performed debridement of an open
ICD coding changes, additions and deletions are leg wound. Two days later the surgeon
effective on what date every year? - performed a more extensive debridement of the
ANSWER -October 1 same wound. What modifier is reported with the
second service? - ANSWER -58
The patient was evaluated in the emergency
room for anterior chest wall pain, suspect The patient with a history of osteopenia was
2/5
