BILLING AND CODING FINAL EXAM
QUESTIONS WITH COMPLETE
SOLUTIONS
When multiple lacerations are repaired in the same body area
a. report only the largest wound
b. add the lengths of all lacerations and report them with a single code
c. list the codes for all lacerations separately...
d. be sure to add a code for the anesthesia... - Answer-b. add the lengths of all
lacerations and report them with a single code.
The largest section in the CPT book is the - Answer-a. surgery section
When a service is rendered that is not listed in the XPT codebook
a. list 00000 ...
b. write a description...
c. you cannot bill for unlisted....
d. use a code with a description stating "unlisted" - Answer-d. use a code with a
description stating "unlisted."
What does bundling mean? - Answer-d. Grouping codes that are related to a
procedure
If an insured is in disagreement with the insurer for settlement of a claim, a suit must
begin within... - Answer-3 years
If a payment problem develops with an insurance company and the company ignores
claims and exceeds time limits to pay a claim, it is prudent to contact the... - Answer-
state insurance commissioner
A follow-up effort made to an insurance company to locate the status of an insurance
claim is called a/an... - Answer-inquiry
What should you do if an insurance carrier requests information about another
insurance carrier? - Answer-provide the information
An insurance claim for which prior approval was not obtained would be... - Answer-
rejected (denied)
What should be done if an insurance claim denial is received b/c a billed service was
not a program benefit? - Answer-Send a statement to the patient with a notation of
the response from the insurance company
When downcoding occurs, payment will... - Answer-be less
Information provided on the pt registration form will prove critical to any billing and
collection efforts. - Answer-True
, When no business or home telephone number is listed on the pt registration form,
this may be an indication of a future nonpaying patient. - Answer-True
A collection rate of 80 to 85% should be a goal for the practice administrator in
charge of collections in the physician's office. - Answer-False (100%)
It is legal to offer patients a cash discount when the entire fee is paid at the time of
service. - Answer-True
The SOAP in patient medical record charting may be difined as - Answer-b)
subjective, objective, assessment, paln
How should an entry in a patient's electronic medical record be corrected? - Answer-
a) input a note of which section is in error and enter correct data with details of why
the correction is necessary and authenticate with electronic signature, date, and
time.
The official American Hospital Association policy states that abbreviations should be
totally eliminated from the more vital section of the record, such as the... - Answer-d)
all of the above: final dx, operative notes, discharge summaries
A new patient is one who - Answer-b) has not received any professional services
from a physician or another physican of the same specialty who belongs to the group
practice within the past 3 yrs.
An established patient is one who - Answer-has previously received professional
services from a physician or another physician of the same specialty who belongs to
the group practice within the past 3 yrs.
It is possible for the primary diagnosis and principal diagnosis to be the same. -
Answer-True
An E code may never be sequenced in the first position. - Answer-True
Fractures are coded as open if there is no indication of wheter the fracture is open or
closed. - Answer-False
Never code using just one volume of the diagnostic code books. - Answer-True
Diagnoses that relate to a patient's previous medical problem and that have no
bearing on the patients' present condition should be __________ when coding. -
Answer-excluded
Why is the correct sequence of codes on an insurance claim important? - Answer-To
make chronology of patient care events understood and to make the severity of
disease understood
The Healthcare Common Procedure System (HCPCS)consists of 2 levels of codes. -
Answer-True
QUESTIONS WITH COMPLETE
SOLUTIONS
When multiple lacerations are repaired in the same body area
a. report only the largest wound
b. add the lengths of all lacerations and report them with a single code
c. list the codes for all lacerations separately...
d. be sure to add a code for the anesthesia... - Answer-b. add the lengths of all
lacerations and report them with a single code.
The largest section in the CPT book is the - Answer-a. surgery section
When a service is rendered that is not listed in the XPT codebook
a. list 00000 ...
b. write a description...
c. you cannot bill for unlisted....
d. use a code with a description stating "unlisted" - Answer-d. use a code with a
description stating "unlisted."
What does bundling mean? - Answer-d. Grouping codes that are related to a
procedure
If an insured is in disagreement with the insurer for settlement of a claim, a suit must
begin within... - Answer-3 years
If a payment problem develops with an insurance company and the company ignores
claims and exceeds time limits to pay a claim, it is prudent to contact the... - Answer-
state insurance commissioner
A follow-up effort made to an insurance company to locate the status of an insurance
claim is called a/an... - Answer-inquiry
What should you do if an insurance carrier requests information about another
insurance carrier? - Answer-provide the information
An insurance claim for which prior approval was not obtained would be... - Answer-
rejected (denied)
What should be done if an insurance claim denial is received b/c a billed service was
not a program benefit? - Answer-Send a statement to the patient with a notation of
the response from the insurance company
When downcoding occurs, payment will... - Answer-be less
Information provided on the pt registration form will prove critical to any billing and
collection efforts. - Answer-True
, When no business or home telephone number is listed on the pt registration form,
this may be an indication of a future nonpaying patient. - Answer-True
A collection rate of 80 to 85% should be a goal for the practice administrator in
charge of collections in the physician's office. - Answer-False (100%)
It is legal to offer patients a cash discount when the entire fee is paid at the time of
service. - Answer-True
The SOAP in patient medical record charting may be difined as - Answer-b)
subjective, objective, assessment, paln
How should an entry in a patient's electronic medical record be corrected? - Answer-
a) input a note of which section is in error and enter correct data with details of why
the correction is necessary and authenticate with electronic signature, date, and
time.
The official American Hospital Association policy states that abbreviations should be
totally eliminated from the more vital section of the record, such as the... - Answer-d)
all of the above: final dx, operative notes, discharge summaries
A new patient is one who - Answer-b) has not received any professional services
from a physician or another physican of the same specialty who belongs to the group
practice within the past 3 yrs.
An established patient is one who - Answer-has previously received professional
services from a physician or another physician of the same specialty who belongs to
the group practice within the past 3 yrs.
It is possible for the primary diagnosis and principal diagnosis to be the same. -
Answer-True
An E code may never be sequenced in the first position. - Answer-True
Fractures are coded as open if there is no indication of wheter the fracture is open or
closed. - Answer-False
Never code using just one volume of the diagnostic code books. - Answer-True
Diagnoses that relate to a patient's previous medical problem and that have no
bearing on the patients' present condition should be __________ when coding. -
Answer-excluded
Why is the correct sequence of codes on an insurance claim important? - Answer-To
make chronology of patient care events understood and to make the severity of
disease understood
The Healthcare Common Procedure System (HCPCS)consists of 2 levels of codes. -
Answer-True
