CPT codes are Correct Answer-5 digits An organization which provides a wide range of services for a specified group at a fixed periodic payment is termed an Correct Answer-HMO TBSA refers to: Correct Answer-Total body surface area There are two types of CPT codes, stand alone and: Correct Answer-Indented Codes Services in which opinions of specialists are requested, are called: Correct Answer-Consultations Examples of HCPCS Level II codes are: Correct Answer-Supplies, orthotics, prosthetics, DME, equipment, and ambulance services Everything that you see, hear, or read about a patients condition must remain: Correct AnswerConfidential Because of the new Medicare regulations insurance companies are predominantly using what type of claims? Correct Answer-Electronic A "combining form" meaning joint is: Correct Answer-Arthro/o If an error is made in a patients chart, what should be done before adding the correct information nearby? Correct Answer-Draw a single line through the error When sequencing codes for multiple burns, list: Correct Answer-Third degree first Another name for a release of information form is a: Correct Answer-Consent Which of the following is not a type of wound? Correct Answer-Excision The opposite of ventral is: Correct Answer-Dorsal In a Medicare billing dispute, the amount of controversy must be at least: Correct Answer-$100 A suffix indicating the surgical creation of an opening is: Correct Answer-Ostomy The usual abbreviation for complete blood count is: Correct Answer-CBC Which of the following abbreviations might charted if a patient has a bladder infection: Correct AnswerUTI All of the following are included in the Medicare EPSDT program for welfare children except: Correct Answer-Remedial Education Intentional misrepresentation of facts in order to deceive or mislead others is: Correct Answer-Fraud Self-Employed insurance billing specialists can deduct all but which one of the following expenses from income taxes: Correct Answer-Theatre Tickets The medical term for high blood pressure: Correct Answer-Hypertension An individual who promises to pay the medical bill by signing an agreement to pay form is the: Correct Answer-Guarantor A report mentioning such words as cranium, maxilla, and mandible would be referring to: Correct AnswerHead The following subsections of Evaluation and Management services except: Correct Answer-Concurrent Care In the Medicare program a clean claim means that: Correct Answer-D. The claim has no deficiencies, does not further investigation, and that it passes all electronic edits HCT is the medical abbreviation for: Correct Answer-Hematocrit The subsequent injury fund was established for problems that arise when a: Correct Answer-Previously injured person is injured at work again Tricare offers 3 types of plans: Correct Answer-Standard, Extra & Prime Workers Compensation can be found in: Correct Answer-All US States A 66 year old retired school teacher presenting for a first visit at a medical office would most likely be covered by: Correct Answer-Medicare When a claim is returned for incorrect or missing information, the correct action for a medical biller to take would be to: A. Add or correct the information & resubmit the claim B. Send an appeal letter C. Schedule a hearing before an administrative law judge D. Resend duplicate claim Correct Answer-Add or correct the information & resubmit the claim One insurance plan jointly sponsored by federal & state government is: A. Medicare B. Medicaid C. Tricare D. Blue Cross/Blue Shield Correct Answer-Medicaid If a person is enlisted in the military service and killed in the line of duty, future medical benefits for his/her family would be covered under: A. Tricare B. Social Security C. ChampVA D. Workers' Compensation Correct Answer-CHAMPVA A patients medical record should be faxed only if: A. It is convenient for both the sender & the recipient B. The patient asks for it to be delivered via fax C. There is an emergent need for the information stated by the physician D. The medical assistant or insurance clerk chooses to do so Correct Answer-There is an emergent need for the information stated by the physician To keep insurance in force, a person must pay a monthly, quarterly, or annual fee known as the: A. Premium B. Deductible C. Co-Insurance D. Co-Payment Correct Answer-Premium Seven days after major surgery, the surgical wound dressing change would be: A. Coded 15852 B. Included in the surgical package & not billed C. Coded 15850 D. Coded using modifier - 24 Correct Answer-Included in the surgical package & not billed If a patient had an operative procedure on his/her thumb on the right hand, a coder would: A. Use the appropriate CPT procedure code only B. Add modifier RT to the appropriate procedure code C. Add modifier F5 to the appropriate procedure code D. Add modifier FA to the appropriate procedure code Correct Answer-Add Modifier F5 to the appropriate procedure code The anesthesia physical status code modifier for a patient with severe systemic disease is: A. 99116 B. P1 C. P2 D. P3 Correct Answer-P3 Lou Gehrigs disease is also known as: A. Amytrophic Lateral Sclerosis B. Gehrig-Hoffman disease C. Louis Barr syndrome D. Epstein-Barr Infection Correct Answer-Amytrophic Lateral Sclerosis For the insurance check to go directly to the physician, the patient must sign an: A. Consent to release medical information B. Assignment of Benefits form C. Financial responsibility form D. A guarantor Signature Correct Answer-Assignment of Benefits When making arrangements in the physician's office to collect payment in more than 4 installments (excluding the down payment) a specific written disclosure agreement needs to be signed according: A. Equal credit opportunity act B. Fair credit billing act C. Truth in lending act D. Statute of limitation Correct Answer-Truth in Lending Act Physician office coding systems are used for diagnosis and: A. Symptoms B. Services and Procedures C. Computer directories D. Appointments Correct Answer-Services and Procedures