Question 1

What symbol next to a CPT code tells you that moderate sedation is included in the procedure?

Accepted Answer

A)  Blue triangle 
B)  Green arrows 
C)  Bull's-eye 
D)  Lightning bolt 
E)  Red dot 
A)  Blue triangle 
B)  Green arrows 
C)  Bull's-eye 
D)  Lightning bolt 
E)  Red dot

Question 2

What is the maximum number of modifiers that can be used per CPT code?

Accepted Answer

A)  1 
B)  2 
C)  3 
D)  4 
E)  As many as necessary 
A)  1 
B)  2 
C)  3 
D)  4 
E)  As many as necessary

Question 3

The CPT considers a patient ________ if that person has not received professional services from the physician within the last three years.

Accepted Answer

The answer of The CPT considers a patient ________ if...

Question 4

You have consulted the index in the CPT and discovered that a dressing for a burn is found in procedure codes 16010-16030. To correctly code the dressing for the burn, you should ____.

Accepted Answer

A)  check each code in the range to choose the correct code 
B)  use the codes 16010 and 16030 
C)  use the code 16010 
D)  choose any code within this code range 
E)  use the code 16030 
A)  check each code in the range to choose the correct code 
B)  use the codes 16010 and 16030 
C)  use the code 16010 
D)  choose any code within this code range 
E)  use the code 16030

Question 5

When unbundling is done intentionally to receive more payment than is allowed, the claim is likely to be considered ____.

Accepted Answer

A)  ethical 
B)  invalid 
C)  noncompliant 
D)  fraudulent 
E)  erroneous 
A)  ethical 
B)  invalid 
C)  noncompliant 
D)  fraudulent 
E)  erroneous

Question 6

Having a medical practice compliance plan in place ____.

Accepted Answer

A)  eliminates the risk of an audit 
B)  ensures adherence to state regulations 
C)  shows a "good-faith" effort to be compliant with coding regulations 
D)  simplifies the tasks of the medical assistant 
E)  replaces the insurance company's compliance checks 
A)  eliminates the risk of an audit 
B)  ensures adherence to state regulations 
C)  shows a "good-faith" effort to be compliant with coding regulations 
D)  simplifies the tasks of the medical assistant 
E)  replaces the insurance company's compliance checks

Question 7

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

Accepted Answer

A)  liability 
B)  coercion 
C)  slander 
D)  fraud 
E)  defamation 
A)  liability 
B)  coercion 
C)  slander 
D)  fraud 
E)  defamation

Question 8

Inaccuracy in linking diagnostic codes and procedural codes will result in all of the following except ____.

Accepted Answer

A)  exclusion from payers' programs 
B)  denied claims 
C)  reduced payments 
D)  internal coding audits 
E)  prison sentences 
A)  exclusion from payers' programs 
B)  denied claims 
C)  reduced payments 
D)  internal coding audits 
E)  prison sentences

Question 9

Which of the following is not one of the six main sections in the CPT manual?

Accepted Answer

A)  Anesthesiology 
B)  Physical Therapy 
C)  Pathology and Laboratory 
D)  Surgery 
E)  Evaluation and Management 
A)  Anesthesiology 
B)  Physical Therapy 
C)  Pathology and Laboratory 
D)  Surgery 
E)  Evaluation and Management

Question 10

What symbol appears next to codes that are new since the last CPT revision?

Accepted Answer

A)  Red dot 
B)  Pound (#) sign 
C)  Circle with diagonal line 
D)  Blue triangle 
E)  Bull's-eye 
A)  Red dot 
B)  Pound (#) sign 
C)  Circle with diagonal line 
D)  Blue triangle 
E)  Bull's-eye

Question 11

Which of the following statements about surgical coding for the musculoskeletal system is not true?

Accepted Answer

A)  Fracture repair assumes and includes cast application. 
B)  If a diagnostic procedure becomes a therapeutic procedure, only the therapeutic procedure is coded. 
C)  Cast application is coded only when the physician applying the cast did not initially treat the fracture. 
D)  A fracture treatment is closed unless stated otherwise. 
E)  Musculoskeletal subheadings begin with the foot and toes and work their way up to the head. 
A)  Fracture repair assumes and includes cast application. 
B)  If a diagnostic procedure becomes a therapeutic procedure, only the therapeutic procedure is coded. 
C)  Cast application is coded only when the physician applying the cast did not initially treat the fracture. 
D)  A fracture treatment is closed unless stated otherwise. 
E)  Musculoskeletal subheadings begin with the foot and toes and work their way up to the head.

Question 12

The ________ coding system has two levels and is used for coding services for Medicare patients.

Accepted Answer

HCPCSHealt

Question 13

Nathan is in the office today complaining of a sore throat and fever. After ruling out strep throat, the physician diagnoses a common cold and tells Nathan to take over-the-counter medications for symptom relief. In which category does Nathan's chief complaint fall?

Accepted Answer

A)  Minimal complaint 
B)  Self-limited complaint 
C)  Low-severity complaint 
D)  Moderate-severity complaint 
E)  High-severity complaint 
A)  Minimal complaint 
B)  Self-limited complaint 
C)  Low-severity complaint 
D)  Moderate-severity complaint 
E)  High-severity complaint

Question 14

When a patient has no symptoms of a disease and the provider performs the tests for that disease at the patient's request, the provider has committed which of these fraudulent coding and billing practices?

Accepted Answer

A)  Reporting services that were not performed 
B)  Reporting services at a higher level than was carried out 
C)  Performing procedures not related to the patient's condition 
D)  Billing separately for services that are bundled in a single procedure code 
E)  Reporting the same service twice 
A)  Reporting services that were not performed 
B)  Reporting services at a higher level than was carried out 
C)  Performing procedures not related to the patient's condition 
D)  Billing separately for services that are bundled in a single procedure code 
E)  Reporting the same service twice

Question 15

Care provided to unstable, critically ill patients that require constant bedside attention is known as ________ care.

Accepted Answer

The answer of Care provided to unstable, critically ill patients...

Question 16

Dr. Moore is scheduled to perform a routine removal of a mole from Ralph's left shoulder under local anesthesia. Dr. Moore has injected the local anesthetic and is about to begin the procedure when Ralph suddenly has a panic attack and states, "I just can't handle this!" Dr. Moore halts the procedure. When you code for this procedure, which of the following modifiers will you use?

Accepted Answer

A)  23: Unusual Anesthesia 
B)  47: Anesthesia by Surgeon 
C)  52: Reduced Services 
D)  53: Discontinued Procedure 
E)  56: Preoperative Management Only 
A)  23: Unusual Anesthesia 
B)  47: Anesthesia by Surgeon 
C)  52: Reduced Services 
D)  53: Discontinued Procedure 
E)  56: Preoperative Management Only

Question 17

Organ- or disease-oriented ________ listed in the pathology and laboratory section of the CPT include tests that are frequently ordered together.

Accepted Answer

The answer of Organ- or disease-oriented ________ listed in the...

Question 18

Counseling codes are used only if ____.

Accepted Answer

A)  counseling is provided during a complete physical examination 
B)  the patient is referred to a third party for counseling 
C)  a complete history and physical exam does not occur 
D)  counseling is provided by a physician assistant or nurse practitioner 
E)  the patient specifically requests a counseling referral 
A)  counseling is provided during a complete physical examination 
B)  the patient is referred to a third party for counseling 
C)  a complete history and physical exam does not occur 
D)  counseling is provided by a physician assistant or nurse practitioner 
E)  the patient specifically requests a counseling referral

Question 19

To ensure reimbursement at the highest allowed level, CPT codes must ____.

Accepted Answer

A)  include codes and modifiers that reflect the services performed 
B)  include only the modifiers 
C)  include all of the unbundled procedures 
D)  reflect a procedure or service higher than what was actually performed 
E)  reflect a procedure or service lower than what was actually performed 
A)  include codes and modifiers that reflect the services performed 
B)  include only the modifiers 
C)  include all of the unbundled procedures 
D)  reflect a procedure or service higher than what was actually performed 
E)  reflect a procedure or service lower than what was actually performed

Question 20

A(n) ________ plan is a strategy for finding, correcting, and preventing fraudulent medical office practices.

Accepted Answer

The answer of A(n) ________ plan is a strategy for...

Exam 19: Procedure Coding

What symbol next to a CPT code tells you that moderate sedation is included in the procedure?

What is the maximum number of modifiers that can be used per CPT code?

The CPT considers a patient ________ if that person has not received professional services from the physician within the last three years.

You have consulted the index in the CPT and discovered that a dressing for a burn is found in procedure codes 16010-16030. To correctly code the dressing for the burn, you should ____.

When unbundling is done intentionally to receive more payment than is allowed, the claim is likely to be considered ____.

Having a medical practice compliance plan in place ____.

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

Inaccuracy in linking diagnostic codes and procedural codes will result in all of the following except ____.

Which of the following is not one of the six main sections in the CPT manual?

What symbol appears next to codes that are new since the last CPT revision?

Which of the following statements about surgical coding for the musculoskeletal system is not true?

The ________ coding system has two levels and is used for coding services for Medicare patients.

Nathan is in the office today complaining of a sore throat and fever. After ruling out strep throat, the physician diagnoses a common cold and tells Nathan to take over-the-counter medications for symptom relief. In which category does Nathan's chief complaint fall?

When a patient has no symptoms of a disease and the provider performs the tests for that disease at the patient's request, the provider has committed which of these fraudulent coding and billing practices?

Care provided to unstable, critically ill patients that require constant bedside attention is known as ________ care.

Organ- or disease-oriented ________ listed in the pathology and laboratory section of the CPT include tests that are frequently ordered together.

Counseling codes are used only if ____.

To ensure reimbursement at the highest allowed level, CPT codes must ____.

A(n) ________ plan is a strategy for finding, correcting, and preventing fraudulent medical office practices.

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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