Question 1

All the following are true of Column I edits EXCEPT:

Accepted Answer

A)  formerly known as the component column. 
B)  contains the comprehensive code. 
C)  includes all the services that are described by Column II code. 
D)  cannot be billed together with the Column I code for the same patient on the same day. 
A)  formerly known as the component column. 
B)  contains the comprehensive code. 
C)  includes all the services that are described by Column II code. 
D)  cannot be billed together with the Column I code for the same patient on the same day. A

Question 2

In physical therapy cases, if a coder bills for supervised attendance:

Accepted Answer

A)  the therapist must be in constant attendance with the patient. 
B)  the therapist must be supervised by a physician. 
C)  one-on-one direct contact by the therapist is not required. 
D)  one-on-one direct contact by the therapist is required. 
A)  the therapist must be in constant attendance with the patient. 
B)  the therapist must be supervised by a physician. 
C)  one-on-one direct contact by the therapist is not required. 
D)  one-on-one direct contact by the therapist is required. C

Question 3

If a provider requests an advisory opinion and fails to follow the advice of the Office of Inspector General (OIG), the provider:

Accepted Answer

A)  would be treated leniently for asking the question. 
B)  could claim "not knowing." 
C)  could be prosecuted. 
D)  should not change its practices. 
A)  would be treated leniently for asking the question. 
B)  could claim "not knowing." 
C)  could be prosecuted. 
D)  should not change its practices. C

Question 4

A progress note updates the patient's clinical course of treatment and itemizes all payment amounts due.

Accepted Answer

A) True 
 B)False

Question 5

How is the GA modifier used?

Accepted Answer

The GA modifier is appended to

Question 6

Misusing Medicare funds is considered:

Accepted Answer

A)  abuse and illegal. 
B)  abuse but not illegal. 
C)  fraud and illegal. 
D)  fraud but not illegal. 
A)  abuse and illegal. 
B)  abuse but not illegal. 
C)  fraud and illegal. 
D)  fraud but not illegal.

Question 7

HCPCS Level II codes in the range C1300-C9899 would be used for:

Accepted Answer

A)  orthotic procedures. 
B)  temporary hospital outpatient. 
C)  private payer codes. 
D)  diagnostic radiology services. 
A)  orthotic procedures. 
B)  temporary hospital outpatient. 
C)  private payer codes. 
D)  diagnostic radiology services.

Question 8

Inaccurate coding and incorrect billing could result in fines and other sanctions.

Accepted Answer

A) True 
 B)False

Question 9

Inaccurate coding and incorrect billing can result in:

Accepted Answer

A)  delays in receiving payments. 
B)  prison sentences. 
C)  loss of the provider's license to practice medicine. 
D)  all of the above. 
A)  delays in receiving payments. 
B)  prison sentences. 
C)  loss of the provider's license to practice medicine. 
D)  all of the above.

Question 10

HCPCS Level II codes would include all of the following EXCEPT codes for:

Accepted Answer

A)  vision and hearing services. 
B)  surgical services. 
C)  ambulance services. 
D)  medical and surgical supplies. 
A)  vision and hearing services. 
B)  surgical services. 
C)  ambulance services. 
D)  medical and surgical supplies.

Question 11

The Current Procedural Terminology (CPT) codes are considered HCPCS Level I codes.

Accepted Answer

A) True 
 B)False

Question 12

How are Level II HCPCS codes used?

Accepted Answer

Level II codes are national codes used t

Question 13

Match the following
-Reporting items or services that are NOT actually documented in the medical record but that the coder believes were performed

Accepted Answer

A)  fraud 
B)  assumption coding 
C)  upcoding 
D)  mutually exclusive 
E)  HCPCS Level II codes
F) abuse
G) unbundling
H) HCPCS Level I codes
I) HCPCS modifier
J) advance beneficiary notice 
A)  fraud 
B)  assumption coding 
C)  upcoding 
D)  mutually exclusive 
E)  HCPCS Level II codes
F) abuse
G) unbundling
H) HCPCS Level I codes
I) HCPCS modifier
J) advance beneficiary notice

Question 14

The code for durable medical equipment (DME) would be found in the:

Accepted Answer

A)  Level I HCPCS code book. 
B)  Level II HCPCS code book. 
C)  Level III HCPCS code book. 
D)  This is not considered a HCPCS code. 
A)  Level I HCPCS code book. 
B)  Level II HCPCS code book. 
C)  Level III HCPCS code book. 
D)  This is not considered a HCPCS code.

Question 15

List seven consequences of inaccurate coding and incorrect billing.

Accepted Answer

Consequences include denied claims; dela

Question 16

Procedure and diagnostic codes should be appropriate to the patient's:

Accepted Answer

A)  age. 
B)  gender. 
C)  health condition. 
D)  all of the above. 
A)  age. 
B)  gender. 
C)  health condition. 
D)  all of the above.

Question 17

HCPCS was developed to achieve all of the following goals EXCEPT:

Accepted Answer

A)  coordinating government programs by uniform application of Centers for Medicare and Medicaid Services (CMS) policies. 
B)  ensuring the validity of profiles and fee schedules through standardized coding. 
C)  allowing providers and suppliers to communicate their services in a consistent manner. 
D)  implementing standard fee structures for all providers across all plans. 
A)  coordinating government programs by uniform application of Centers for Medicare and Medicaid Services (CMS) policies. 
B)  ensuring the validity of profiles and fee schedules through standardized coding. 
C)  allowing providers and suppliers to communicate their services in a consistent manner. 
D)  implementing standard fee structures for all providers across all plans.

Question 18

Billing the parts of a bundled procedure as separate procedures is referred to as:

Accepted Answer

A)  bundling. 
B)  unbundling. 
C)  upcoding. 
D)  downcoding. 
A)  bundling. 
B)  unbundling. 
C)  upcoding. 
D)  downcoding.

Question 19

HCPCS Level II national codes are used in claims submitted to:

Accepted Answer

A)  public insurers only. 
B)  private insurers only. 
C)  public and private insurers. 
D)  self-funded plans only. 
A)  public insurers only. 
B)  private insurers only. 
C)  public and private insurers. 
D)  self-funded plans only.

Question 20

An act of deception used to take advantage of another person or entity is ________.

Accepted Answer

The answer of An act of deception used to take...

All the following are true of Column I edits EXCEPT:

In physical therapy cases, if a coder bills for supervised attendance:

If a provider requests an advisory opinion and fails to follow the advice of the Office of Inspector General (OIG), the provider:

A progress note updates the patient's clinical course of treatment and itemizes all payment amounts due.

How is the GA modifier used?

Misusing Medicare funds is considered:

HCPCS Level II codes in the range C1300-C9899 would be used for:

Inaccurate coding and incorrect billing could result in fines and other sanctions.

Inaccurate coding and incorrect billing can result in:

HCPCS Level II codes would include all of the following EXCEPT codes for:

The Current Procedural Terminology (CPT) codes are considered HCPCS Level I codes.

How are Level II HCPCS codes used?

Match the following -Reporting items or services that are NOT actually documented in the medical record but that the coder believes were performed

The code for durable medical equipment (DME) would be found in the:

List seven consequences of inaccurate coding and incorrect billing.

Procedure and diagnostic codes should be appropriate to the patient's:

HCPCS was developed to achieve all of the following goals EXCEPT:

Billing the parts of a bundled procedure as separate procedures is referred to as:

HCPCS Level II national codes are used in claims submitted to:

An act of deception used to take advantage of another person or entity is ________.

Introduction to Professional Billing and Coding Careers

Understanding Managed Care: Insurance Plans

Understanding Managed Care: Medical Contracts and Ethics

Introduction to the Health Insurance Portability and Accountability Act Hipaa

ICD-10 Cm Medical Coding

Introduction to CPT and Place of Coding Services

Coding Procedures and Services

Auditing

Physician Medical Billing

Hospital Medical Billing

Medicare Medical Billing

Medicaid Medical Billing

Tricare Medical Billing

Explanation of Benefits and Payment Adjudication

Refunds and Appeals

Workers Compensation

Filters

Exam 8: Hcpcs Coding and Compliance

All the following are true of Column I edits EXCEPT:

In physical therapy cases, if a coder bills for supervised attendance:

If a provider requests an advisory opinion and fails to follow the advice of the Office of Inspector General (OIG), the provider:

A progress note updates the patient's clinical course of treatment and itemizes all payment amounts due.

How is the GA modifier used?

Misusing Medicare funds is considered:

HCPCS Level II codes in the range C1300-C9899 would be used for:

Inaccurate coding and incorrect billing could result in fines and other sanctions.

Inaccurate coding and incorrect billing can result in:

HCPCS Level II codes would include all of the following EXCEPT codes for:

The Current Procedural Terminology (CPT) codes are considered HCPCS Level I codes.

How are Level II HCPCS codes used?

Match the following -Reporting items or services that are NOT actually documented in the medical record but that the coder believes were performed

The code for durable medical equipment (DME) would be found in the:

List seven consequences of inaccurate coding and incorrect billing.

Procedure and diagnostic codes should be appropriate to the patient's:

HCPCS was developed to achieve all of the following goals EXCEPT:

Billing the parts of a bundled procedure as separate procedures is referred to as:

HCPCS Level II national codes are used in claims submitted to:

An act of deception used to take advantage of another person or entity is ________.

Introduction to Professional Billing and Coding Careers

Understanding Managed Care: Insurance Plans

Understanding Managed Care: Medical Contracts and Ethics

Introduction to the Health Insurance Portability and Accountability Act Hipaa

ICD-10 Cm Medical Coding

Introduction to CPT and Place of Coding Services

Coding Procedures and Services

Auditing

Physician Medical Billing

Hospital Medical Billing

Medicare Medical Billing

Medicaid Medical Billing

Tricare Medical Billing

Explanation of Benefits and Payment Adjudication

Refunds and Appeals

Workers Compensation

Filters