Cbcs Flashcards

1
Q

What does CPT stand for in medical coding?

A

Current Procedural Terminology

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2
Q

True or False: ICD-10 codes are used to classify diseases and medical conditions.

A

True

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3
Q

What does HCPCS stand for in medical coding?

A

Healthcare Common Procedure Coding System

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4
Q

Fill in the blank: The main purpose of medical coding is to ____________.

A

translate medical services into universal codes

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5
Q

What is the purpose of using modifiers in medical coding?

A

to provide additional information about a procedure or service

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6
Q

Which organization oversees the ICD coding system?

A

World Health Organization (WHO)

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7
Q

What is the role of a medical coder in the healthcare industry?

A

to assign codes to diagnoses and procedures for billing and reimbursement

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8
Q

True or False: Medical coding does not require knowledge of medical terminology.

A

False

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9
Q

What is the purpose of the CPT manual?

A

to provide a uniform language that accurately describes medical, surgical, and diagnostic services

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10
Q

What is the main difference between ICD-10-CM and ICD-10-PCS?

A

ICD-10-CM is used for diagnosis coding, while ICD-10-PCS is used for inpatient procedure coding

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11
Q

Which type of code is used to identify services and procedures provided by healthcare professionals?

A

CPT code

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12
Q

What is the purpose of the National Correct Coding Initiative (NCCI)?

A

to promote national correct coding methodologies and to control improper coding leading to inappropriate payment

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13
Q

True or False: Medical coding is only used for billing purposes.

A

False

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14
Q

What does DRG stand for in relation to medical coding?

A

Diagnosis Related Group

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15
Q

What is the purpose of using the CCI edits in medical coding?

A

to prevent improper payments when certain codes are billed together

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16
Q

Which organization is responsible for developing and maintaining the CPT coding system?

A

American Medical Association (AMA)

17
Q

What is the primary purpose of the ICD coding system?

A

to classify diseases and other health problems recorded on many types of healthcare and vital records

18
Q

True or False: Medical coders must follow strict ethical guidelines when assigning codes.

A

True

19
Q

What is the purpose of the NCCI Policy Manual?

A

to provide guidance on correct coding methodologies for the NCCI edits

20
Q

What is the significance of using E/M codes in medical coding?

A

they are used to report services provided by physicians and other qualified healthcare professionals

21
Q

Which type of code is used to identify diagnoses and conditions in medical coding?

A

ICD code

22
Q

What is the purpose of the OIG Work Plan in relation to medical coding?

A

to outline areas of focus for the Office of Inspector General (OIG) related to healthcare fraud and abuse

23
Q

True or False: Medical coding standards are consistent across all countries.

A

False

24
Q

What is the purpose of using the NDC system in medical coding?

A

to identify prescription drugs and vaccines