Question 1

What is the correct CPT code for a regularly scheduled follow-up fifteen-minute nursing home visit with a patient who has had a stroke?

Accepted Answer

A)  99307 
B)  99212 
C)  99213 
D)  99304 
A)  99307 
B)  99212 
C)  99213 
D)  99304

Question 2

Which of the following is not a key component that is used to determine level of service for E/M coding?

Accepted Answer

A)  The extent of the patient history taken 
B)  The extent of the examination conducted 
C)  The complexity of the medical decision making 
D)  The attending physician 
A)  The extent of the patient history taken 
B)  The extent of the examination conducted 
C)  The complexity of the medical decision making 
D)  The attending physician

Question 3

________ contains the standardized classification system for reporting medical procedures and services.

Accepted Answer

A)  Current Coding Terminology 
B)  Current Procedural Terminology 
C)  Coding Procedural Guide 
D)  Coding Insurance Guide 
A)  Current Coding Terminology 
B)  Current Procedural Terminology 
C)  Coding Procedural Guide 
D)  Coding Insurance Guide

Question 4

The HCPCS coding system has two levels, Level I codes from CPT and ___.

Accepted Answer

A)  Level II codes issued by AARP 
B)  Level II codes issued by insurance companies 
C)  Level III codes issued by Medicare 
D)  Level II codes issued by CMS 
A)  Level II codes issued by AARP 
B)  Level II codes issued by insurance companies 
C)  Level III codes issued by Medicare 
D)  Level II codes issued by CMS

Question 5

The _____ includes the days surrounding a surgical procedure when all services relating to the procedure are considered part of the surgical package.

Accepted Answer

A)  recovery time period 
B)  after care period 
C)  allotted time period 
D)  global period 
A)  recovery time period 
B)  after care period 
C)  allotted time period 
D)  global period

Question 6

The difference between a referral and a consultation is ____.

Accepted Answer

A)  that in a referral, the primary physician sends the patient to another physician for health care. 
B)  that in a consultation, the patient is treated by a specialist. 
C)  a CPT code used for a consultation and ICD-10-CM for a referral 
D)  where the medical service is provided. 
A)  that in a referral, the primary physician sends the patient to another physician for health care. 
B)  that in a consultation, the patient is treated by a specialist. 
C)  a CPT code used for a consultation and ICD-10-CM for a referral 
D)  where the medical service is provided.

Question 7

When must a special report be attached to the health care claim?

Accepted Answer

A)  when a specialist is consulted 
B)  when a code for an unlisted procedure is used 
C)  when the patient is a dependent 
D)  when there is more than one insurance company 
A)  when a specialist is consulted 
B)  when a code for an unlisted procedure is used 
C)  when the patient is a dependent 
D)  when there is more than one insurance company

Question 8

What is the correct CPT code for an unlisted procedure on the abdomen?

Accepted Answer

A)  39599 
B)  29999 
C)  39999 
D)  43334 
A)  39599 
B)  29999 
C)  39999 
D)  43334

Question 9

_____ is the practice of displaying the codes outside of numerical order in favor of grouping them according to the relationships among the code descriptions.

Accepted Answer

A)  renumbering 
B)  relettering 
C)  resequencing 
D)  recoding 
A)  renumbering 
B)  relettering 
C)  resequencing 
D)  recoding

Question 10

____ are codes for supplies and other items not included in CPT.

Accepted Answer

A)  Health Care Common Procedure Coding System 
B)  Hospital Common Procedure Coding System 
C)  Health Care Collective Procedure Coding System 
D)  Hospital Corporate Procedure Coding System 
A)  Health Care Common Procedure Coding System 
B)  Hospital Common Procedure Coding System 
C)  Health Care Collective Procedure Coding System 
D)  Hospital Corporate Procedure Coding System

Question 11

The correct process for assigning accurate procedure codes has ____ steps.

Accepted Answer

A)  four 
B)  six 
C)  eight 
D)  nine 
A)  four 
B)  six 
C)  eight 
D)  nine

Question 12

HCPCS is the abbreviation for ____.

Accepted Answer

A)  Health Care Common Procedure Coding System 
B)  Hospital Common Procedure Code System 
C)  Health Common Practice Code System 
D)  Healthily Care Practice Code System 
A)  Health Care Common Procedure Coding System 
B)  Hospital Common Procedure Code System 
C)  Health Common Practice Code System 
D)  Healthily Care Practice Code System

Question 13

A code in CPT that describes a procedure that is performed only in addition to a primary procedure is called a /an ___.

Accepted Answer

A)  add-on code 
B)  supplement code 
C)  sub code 
D)  additional code 
A)  add-on code 
B)  supplement code 
C)  sub code 
D)  additional code

Question 14

What is the term for when a physician sends a patient to another physician for either total care or a specific portion of the care?

Accepted Answer

A)  resettlement of patient 
B)  referral 
C)  professional courtesy 
D)  assignment of patient 
A)  resettlement of patient 
B)  referral 
C)  professional courtesy 
D)  assignment of patient

Question 15

What is the correct CPT code for diagnostic dilation and curettage?

Accepted Answer

A)  58100 
B)  58140 
C)  58150 
D)  58120 
A)  58100 
B)  58140 
C)  58150 
D)  58120

Question 16

An administrative code indicating where medical services are provided is called ___.

Accepted Answer

A)  place of service 
B)  locator code 
C)  global positioning code 
D)  site of service 
A)  place of service 
B)  locator code 
C)  global positioning code 
D)  site of service

Question 17

A Category III code has a (n) ____ for the fifth digit.

Accepted Answer

A)  number 
B)  special character 
C)  alphabetic character 
D)  number zero 
A)  number 
B)  special character 
C)  alphabetic character 
D)  number zero

Question 18

In CPT, which term describes the number that is used to report special circumstances involved with a procedure or service?

Accepted Answer

A)  referral 
B)  evaluation 
C)  modifier 
D)  consultation 
A)  referral 
B)  evaluation 
C)  modifier 
D)  consultation

Question 19

In a ____________________, the care of a patient is transferred from one physician to another physician.

Accepted Answer

A)  referral 
B)  evaluation 
C)  management 
D)  consultation 
A)  referral 
B)  evaluation 
C)  management 
D)  consultation

Question 20

_____ are factors that are found in the patient's medical record and used to determine the level of evaluation and management services.

Accepted Answer

A)  key components 
B)  element components 
C)  division components 
D)  segment components 
A)  key components 
B)  element components 
C)  division components 
D)  segment components

What is the correct CPT code for a regularly scheduled follow-up fifteen-minute nursing home visit with a patient who has had a stroke?

Which of the following is not a key component that is used to determine level of service for E/M coding?

________ contains the standardized classification system for reporting medical procedures and services.

The HCPCS coding system has two levels, Level I codes from CPT and ___.

The _____ includes the days surrounding a surgical procedure when all services relating to the procedure are considered part of the surgical package.

The difference between a referral and a consultation is ____.

When must a special report be attached to the health care claim?

What is the correct CPT code for an unlisted procedure on the abdomen?

_____ is the practice of displaying the codes outside of numerical order in favor of grouping them according to the relationships among the code descriptions.

____ are codes for supplies and other items not included in CPT.

The correct process for assigning accurate procedure codes has ____ steps.

HCPCS is the abbreviation for ____.

A code in CPT that describes a procedure that is performed only in addition to a primary procedure is called a /an ___.

What is the term for when a physician sends a patient to another physician for either total care or a specific portion of the care?

What is the correct CPT code for diagnostic dilation and curettage?

An administrative code indicating where medical services are provided is called ___.

A Category III code has a (n) ____ for the fifth digit.

In CPT, which term describes the number that is used to report special circumstances involved with a procedure or service?

In a ____________________, the care of a patient is transferred from one physician to another physician.

_____ are factors that are found in the patient's medical record and used to determine the level of evaluation and management services.

From Patient to Payment Understanding Medical Insurance

Electronic Health Records, HIPAA, and Hitech: Sharing and Protectin

Patient Encounters and Billing Information

Diagnostic Coding

Payment Methods and Checkout Procedures

Health Care Claim Preparation and Transmission

Private Payersblue Cross and Blue Shield

Medicare

Medicaid

Tricare and Champva

Workers Compensation and Automobiledisability Insurance

Claim Processing, Payments, and Collections

Hospital Insurance

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Exam 5: Procedural Coding

What is the correct CPT code for a regularly scheduled follow-up fifteen-minute nursing home visit with a patient who has had a stroke?

Which of the following is not a key component that is used to determine level of service for E/M coding?

________ contains the standardized classification system for reporting medical procedures and services.

The HCPCS coding system has two levels, Level I codes from CPT and ___.

The _____ includes the days surrounding a surgical procedure when all services relating to the procedure are considered part of the surgical package.

The difference between a referral and a consultation is ____.

When must a special report be attached to the health care claim?

What is the correct CPT code for an unlisted procedure on the abdomen?

_____ is the practice of displaying the codes outside of numerical order in favor of grouping them according to the relationships among the code descriptions.

____ are codes for supplies and other items not included in CPT.

The correct process for assigning accurate procedure codes has ____ steps.

HCPCS is the abbreviation for ____.

A code in CPT that describes a procedure that is performed only in addition to a primary procedure is called a /an ___.

What is the term for when a physician sends a patient to another physician for either total care or a specific portion of the care?

What is the correct CPT code for diagnostic dilation and curettage?

An administrative code indicating where medical services are provided is called ___.

A Category III code has a (n) ____ for the fifth digit.

In CPT, which term describes the number that is used to report special circumstances involved with a procedure or service?

In a ____________________, the care of a patient is transferred from one physician to another physician.

_____ are factors that are found in the patient's medical record and used to determine the level of evaluation and management services.

From Patient to Payment Understanding Medical Insurance

Electronic Health Records, HIPAA, and Hitech: Sharing and Protectin

Patient Encounters and Billing Information

Diagnostic Coding

Payment Methods and Checkout Procedures

Health Care Claim Preparation and Transmission

Private Payersblue Cross and Blue Shield

Medicare

Medicaid

Tricare and Champva

Workers Compensation and Automobiledisability Insurance

Claim Processing, Payments, and Collections

Hospital Insurance

Filters