Cbcs Flashcards
What does CPT stand for in medical coding?
Current Procedural Terminology
True or False: ICD-10 codes are used to classify diseases and medical conditions.
True
What does HCPCS stand for in medical coding?
Healthcare Common Procedure Coding System
Fill in the blank: The main purpose of medical coding is to ____________.
translate medical services into universal codes
What is the purpose of using modifiers in medical coding?
to provide additional information about a procedure or service
Which organization oversees the ICD coding system?
World Health Organization (WHO)
What is the role of a medical coder in the healthcare industry?
to assign codes to diagnoses and procedures for billing and reimbursement
True or False: Medical coding does not require knowledge of medical terminology.
False
What is the purpose of the CPT manual?
to provide a uniform language that accurately describes medical, surgical, and diagnostic services
What is the main difference between ICD-10-CM and ICD-10-PCS?
ICD-10-CM is used for diagnosis coding, while ICD-10-PCS is used for inpatient procedure coding
Which type of code is used to identify services and procedures provided by healthcare professionals?
CPT code
What is the purpose of the National Correct Coding Initiative (NCCI)?
to promote national correct coding methodologies and to control improper coding leading to inappropriate payment
True or False: Medical coding is only used for billing purposes.
False
What does DRG stand for in relation to medical coding?
Diagnosis Related Group
What is the purpose of using the CCI edits in medical coding?
to prevent improper payments when certain codes are billed together
Which organization is responsible for developing and maintaining the CPT coding system?
American Medical Association (AMA)
What is the primary purpose of the ICD coding system?
to classify diseases and other health problems recorded on many types of healthcare and vital records
True or False: Medical coders must follow strict ethical guidelines when assigning codes.
True
What is the purpose of the NCCI Policy Manual?
to provide guidance on correct coding methodologies for the NCCI edits
What is the significance of using E/M codes in medical coding?
they are used to report services provided by physicians and other qualified healthcare professionals
Which type of code is used to identify diagnoses and conditions in medical coding?
ICD code
What is the purpose of the OIG Work Plan in relation to medical coding?
to outline areas of focus for the Office of Inspector General (OIG) related to healthcare fraud and abuse
True or False: Medical coding standards are consistent across all countries.
False
What is the purpose of using the NDC system in medical coding?
to identify prescription drugs and vaccines
