Multiple Choice Questions
1. A clean claim:
A. Guarantees the provider will receive payment
B. Slows the reimbursement process
C. Results in accurate and timely reimbursement
D. Releases the payer from the contractual adjudication time frame
2. Accounts receivable, denials, and modifiers are examples of _____________ language.
A. Provider
B. Payer
C. Compliance
D. Billing
3. Compliance language includes:
A. Services, procedures, and medical terminology
B. Unbundling, fraud, and abuse
C. Noncovered services, medical necessity, and unbundling
D. Denials, modifiers, and advanced beneficiary notices
4. An ICD-9 (ninth revision) code represents:
A. the demographics
B. the procedure
C. the service
D. the diagnosis
,5. The following coding habit would be most likely to trigger a payer audit:
A. Consistently billing the same, low level E/M service code
B. Billing an even distribution of low and high level E/M service codes
C. Consistently billing the same, high level E/M service code
D. Consistently billing the same, low level E/M service code and consistently billing the same,
high level E/M service code
,6. The acronym AAPC stands for:
A. American Academy of Professional Coders
B. Academy of American Physician Coders
C. American Academy of Physician Coders
D. Academy of Auditors and Physician Coders
7. The organization that administers the CPC exam and confers the Certified Professional Coder
credential is called:
A. American Health Information Association
B. American Federation of Professional Coders
C. American Academy of Professional Coders
D. American Health Information Management Association
8. Medical coding is defined as:
A. The process of reporting patient index information to payer auditors
B. Identifying noncovered services
C. The process of translating provider documentation into codes
D. Verifying services are covered by a payer prior to providing the services
9. A Certified Professional Coder is an individual who has demonstrated his or her knowledge of
medical coding by successfully completing the _____________ exam:
A. CPC
B. CPA
C. APC
D. PAC
10. An individual who has demonstrated his or her knowledge of medical coding by successfully
completing the CPC exam is known as:
A. Certified Coding Association
B. Certified Professional Coder
C. Certified Coding Professional
D. Certified Coding Specialist
, 11. CPT stands for:
A. Coding Physician Terminology
B. Current Procedural Terminology
C. Coding Process Tabular
D. Current Physician Terminology
12. The code set(s) used to translate the specific services, procedures, and supplies performed
on a date of service is/are:
A. ICD, CPT
B. CPT
C. ICD, HCPCS
D. HCPCS Level II, CPT
13. The __________ form becomes the source of the statistical medical data for the practice, payer,
and governing bodies.
A. Advanced Beneficiary Notice (ABN)
B. Billing language
C. UB-04
D. CMS 1500
14. Coding guidelines and regulations can change:
A. Annually
B. Monthly
C. Quarterly
D. Weekly
15. To be of value to the practices or organizations they work for, medical coders should:
A. Memorize all procedure codes
B. Be diligent in maintaining and updating their knowledge of medical coding and billing policies
C. Consistently audit the use of ICD-9 codes
D. Demonstrate strong organizational skills
1. A clean claim:
A. Guarantees the provider will receive payment
B. Slows the reimbursement process
C. Results in accurate and timely reimbursement
D. Releases the payer from the contractual adjudication time frame
2. Accounts receivable, denials, and modifiers are examples of _____________ language.
A. Provider
B. Payer
C. Compliance
D. Billing
3. Compliance language includes:
A. Services, procedures, and medical terminology
B. Unbundling, fraud, and abuse
C. Noncovered services, medical necessity, and unbundling
D. Denials, modifiers, and advanced beneficiary notices
4. An ICD-9 (ninth revision) code represents:
A. the demographics
B. the procedure
C. the service
D. the diagnosis
,5. The following coding habit would be most likely to trigger a payer audit:
A. Consistently billing the same, low level E/M service code
B. Billing an even distribution of low and high level E/M service codes
C. Consistently billing the same, high level E/M service code
D. Consistently billing the same, low level E/M service code and consistently billing the same,
high level E/M service code
,6. The acronym AAPC stands for:
A. American Academy of Professional Coders
B. Academy of American Physician Coders
C. American Academy of Physician Coders
D. Academy of Auditors and Physician Coders
7. The organization that administers the CPC exam and confers the Certified Professional Coder
credential is called:
A. American Health Information Association
B. American Federation of Professional Coders
C. American Academy of Professional Coders
D. American Health Information Management Association
8. Medical coding is defined as:
A. The process of reporting patient index information to payer auditors
B. Identifying noncovered services
C. The process of translating provider documentation into codes
D. Verifying services are covered by a payer prior to providing the services
9. A Certified Professional Coder is an individual who has demonstrated his or her knowledge of
medical coding by successfully completing the _____________ exam:
A. CPC
B. CPA
C. APC
D. PAC
10. An individual who has demonstrated his or her knowledge of medical coding by successfully
completing the CPC exam is known as:
A. Certified Coding Association
B. Certified Professional Coder
C. Certified Coding Professional
D. Certified Coding Specialist
, 11. CPT stands for:
A. Coding Physician Terminology
B. Current Procedural Terminology
C. Coding Process Tabular
D. Current Physician Terminology
12. The code set(s) used to translate the specific services, procedures, and supplies performed
on a date of service is/are:
A. ICD, CPT
B. CPT
C. ICD, HCPCS
D. HCPCS Level II, CPT
13. The __________ form becomes the source of the statistical medical data for the practice, payer,
and governing bodies.
A. Advanced Beneficiary Notice (ABN)
B. Billing language
C. UB-04
D. CMS 1500
14. Coding guidelines and regulations can change:
A. Annually
B. Monthly
C. Quarterly
D. Weekly
15. To be of value to the practices or organizations they work for, medical coders should:
A. Memorize all procedure codes
B. Be diligent in maintaining and updating their knowledge of medical coding and billing policies
C. Consistently audit the use of ICD-9 codes
D. Demonstrate strong organizational skills
