Question 1

The extent of the __________ conducted is one of the key factors that determine the level of service based on guidelines in the E/M section of the CPT.

Accepted Answer

examinationhistory

Question 2

The period of time that is covered for follow-up care after surgery is called the ________ period.

Accepted Answer

global

Question 3

National codes issued by CMS that cover many supplies and durable medical equipment are ____.

Accepted Answer

A)  CPT modifiers 
B)  HCPCS Level I codes 
C)  HCPCS Level II codes 
D)  ICD-9-CM codes 
E)  ICD-10-CM codes 
A)  CPT modifiers 
B)  HCPCS Level I codes 
C)  HCPCS Level II codes 
D)  ICD-9-CM codes 
E)  ICD-10-CM codes C

Question 4

Which of the following is not a potential reason for downcoding?

Accepted Answer

A)  The insurance carrier does not cover the services included on the claim. 
B)  The coding system used by the insurer does not match that used by the provider. 
C)  A workers' compensation carrier converts a CPT code to the lowest-paying code in the system. 
D)  The payer discovers that documentation does not back up the level of code used. 
E)  The provider uses a HCPCS code the insurer does not recognize. 
A)  The insurance carrier does not cover the services included on the claim. 
B)  The coding system used by the insurer does not match that used by the provider. 
C)  A workers' compensation carrier converts a CPT code to the lowest-paying code in the system. 
D)  The payer discovers that documentation does not back up the level of code used. 
E)  The provider uses a HCPCS code the insurer does not recognize.

Question 5

For coding purposes, which of the following is not a level of patient history?

Accepted Answer

A)  Problem-focused 
B)  Expanded problem-focused 
C)  Detailed 
D)  Expanded detailed 
E)  Comprehensive 
A)  Problem-focused 
B)  Expanded problem-focused 
C)  Detailed 
D)  Expanded detailed 
E)  Comprehensive

Question 6

You will locate procedure codes in the __________ manual.

Accepted Answer

CPTCurrent

Question 7

One of the elements of a physical exam is the ________ exam, which can include any of the following: BP sitting or lying, pulse, respirations, temperature, height, weight, and general appearance.

Accepted Answer

The answer of One of the elements of a physical...

Question 8

Which of the following best describes the CPT code format?

Accepted Answer

A)  3- to 5-character alphanumeric codes 
B)  3- to 7-character alphanumeric codes 
C)  4-digit numeric codes 
D)  5-character alphabetic codes 
E)  5-digit numeric codes 
A)  3- to 5-character alphanumeric codes 
B)  3- to 7-character alphanumeric codes 
C)  4-digit numeric codes 
D)  5-character alphabetic codes 
E)  5-digit numeric codes

Question 9

The use of a(n) ________ with a CPT code shows that some special circumstance applies to the service or procedure the physician performed.

Accepted Answer

The answer of The use of a(n) ________ with a...

Question 10

Medical offices usually have a(n) ____ to help minimize the risk of fraud by discovering and correcting coding and billing problems.

Accepted Answer

A)  quality assurance program 
B)  billing software program 
C)  financial management plan 
D)  compliance plan 
E)  external auditor 
A)  quality assurance program 
B)  billing software program 
C)  financial management plan 
D)  compliance plan 
E)  external auditor

Question 11

If a code description has changed since the last revision of the CPT manual, what symbol is placed next to the CPT code?

Accepted Answer

A)  Green arrows 
B)  Lightning bolt 
C)  Red dot 
D)  Blue triangle 
E)  Pound (#) sign 
A)  Green arrows 
B)  Lightning bolt 
C)  Red dot 
D)  Blue triangle 
E)  Pound (#) sign

Question 12

To complete the description for a CPT code that has an indented description, you should ____.

Accepted Answer

A)  refer to the next CPT code for further information 
B)  refer to the description for the previous CPT code to complete the description 
C)  use the index to find the main CPT code to be combined with this one 
D)  try to think of another way to describe the procedure being coded 
E)  refer to the previous year's CPT manual for guidance 
A)  refer to the next CPT code for further information 
B)  refer to the description for the previous CPT code to complete the description 
C)  use the index to find the main CPT code to be combined with this one 
D)  try to think of another way to describe the procedure being coded 
E)  refer to the previous year's CPT manual for guidance

Question 13

The CPT is updated and new codes are provided for use beginning ____.

Accepted Answer

A)  on the first day of each month 
B)  semiannually on January 1 and July 1 
C)  quarterly on the first day of January, April, July, and September 
D)  annually on January 1 
E)  annually on July 1 
A)  on the first day of each month 
B)  semiannually on January 1 and July 1 
C)  quarterly on the first day of January, April, July, and September 
D)  annually on January 1 
E)  annually on July 1

Question 14

Similar care that is being provided to the same patient by more than one physician is known as ________ care.

Accepted Answer

The answer of Similar care that is being provided to...

Question 15

Each procedure or service performed on or for a patient during a patient encounter is reported on healthcare claims using a(n) ________ code.

Accepted Answer

The answer of Each procedure or service performed on or...

Question 16

A modifier indicates that ____.

Accepted Answer

A)  special circumstances apply to the procedure 
B)  surgical or other supplies were used during the procedure 
C)  other procedures were done in addition to the main procedure 
D)  medications were used during the procedure 
E)  an anesthetic was used during the procedure 
A)  special circumstances apply to the procedure 
B)  surgical or other supplies were used during the procedure 
C)  other procedures were done in addition to the main procedure 
D)  medications were used during the procedure 
E)  an anesthetic was used during the procedure

Question 17

After you decide on the appropriate CPT code(s) for a procedure, you should ____.

Accepted Answer

A)  consult Appendix C in the CPT to find examples of each code type 
B)  consult Appendix D in the CPT to determine which add-ons to use 
C)  consult Appendix A in the CPT to check for applicable modifiers 
D)  consult Appendix 2 of the HCPCS manual for applicable modifiers 
E)  code the procedure; no further action is necessary 
A)  consult Appendix C in the CPT to find examples of each code type 
B)  consult Appendix D in the CPT to determine which add-ons to use 
C)  consult Appendix A in the CPT to check for applicable modifiers 
D)  consult Appendix 2 of the HCPCS manual for applicable modifiers 
E)  code the procedure; no further action is necessary

Question 18

The Healthcare Common Procedure Coding System (HCPCS) was developed for use in coding services for ____.

Accepted Answer

A)  Blue Cross 
B)  HMOs 
C)  Medicare patients 
D)  Medicaid patients 
E)  managed care patients 
A)  Blue Cross 
B)  HMOs 
C)  Medicare patients 
D)  Medicaid patients 
E)  managed care patients

Question 19

Insurance company representatives analyze the connection between the diagnostic and procedural information, called code ________, to evaluate the medical necessity of the reported charges.

Accepted Answer

The answer of Insurance company representatives analyze the connection between...

Question 20

Where in the CPT manual can you find a complete listing of all add-on codes?

Accepted Answer

A)  Introduction 
B)  Appendix A 
C)  Appendix B 
D)  Appendix C 
E)  Appendix D 
A)  Introduction 
B)  Appendix A 
C)  Appendix B 
D)  Appendix C 
E)  Appendix D

Exam 19: Procedure Coding

The extent of the __________ conducted is one of the key factors that determine the level of service based on guidelines in the E/M section of the CPT.

The period of time that is covered for follow-up care after surgery is called the ________ period.

National codes issued by CMS that cover many supplies and durable medical equipment are ____.

Which of the following is not a potential reason for downcoding?

For coding purposes, which of the following is not a level of patient history?

You will locate procedure codes in the __________ manual.

One of the elements of a physical exam is the ________ exam, which can include any of the following: BP sitting or lying, pulse, respirations, temperature, height, weight, and general appearance.

Which of the following best describes the CPT code format?

The use of a(n) ________ with a CPT code shows that some special circumstance applies to the service or procedure the physician performed.

Medical offices usually have a(n) ____ to help minimize the risk of fraud by discovering and correcting coding and billing problems.

If a code description has changed since the last revision of the CPT manual, what symbol is placed next to the CPT code?

To complete the description for a CPT code that has an indented description, you should ____.

The CPT is updated and new codes are provided for use beginning ____.

Similar care that is being provided to the same patient by more than one physician is known as ________ care.

Each procedure or service performed on or for a patient during a patient encounter is reported on healthcare claims using a(n) ________ code.

A modifier indicates that ____.

After you decide on the appropriate CPT code(s) for a procedure, you should ____.

The Healthcare Common Procedure Coding System (HCPCS) was developed for use in coding services for ____.

Insurance company representatives analyze the connection between the diagnostic and procedural information, called code ________, to evaluate the medical necessity of the reported charges.

Where in the CPT manual can you find a complete listing of all add-on codes?

Introduction to Medical Assisting

Healthcare and the Healthcare Team

Professionalism and Success

Interpersonal Communication

Legal and Ethical Issues

Basic Safety and Infection Control

Patient Reception

Office Equipment and Supplies

Examination and Treatment Areas

Written and Electronic Documents

Medical Records and Documentation

Electronic Health Records

Telephone Techniques

Patient Education

Managing Medical Records

Schedule Management

Insurance and Billing

Diagnostic Coding

Patient Billing and Collection

Financial Management Key

Organization of the Body

The Integumentary System

The Skeletal System

The Muscular System

The Cardiovascular System

The Blood

The Lymphatic and Immune Systems

The Respiratory System

The Nervous System

The Urinary System

The Reproductive System

The Digestive System

The Endocrine System

Special Senses

Patient Interview and History

Vital Signs and Measurements

Assisting With a General Physical Examination

Assisting in Reproductive and Urinary Specialties

Assisting in Pediatrics

Assisting in Geriatrics

Assisting in Other Medical Specialties

Assisting With Eye and Ear Care

Assisting With Minor Surgery

Orientation to the Lab

Electrocardiography and Pulmonary Function Testing

Microbiology and Disease

Processing and Testing Urine and Stool Specimens

Collecting, Processing, and Testing Blood Specimens

Diagnostic Imaging

Principles of Pharmacology

Dosage Calculation

Medication Administration

Physical Therapy and Rehabilitation

Nutrition and Health

Practice Management

Emergency Preparedness

Preparing for the World of Work

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