Coding Test

Question 1

What mandates the approved CPT code sets for all covered entities, such as medical office, that handle claims related to health care services?

Answer 1

HIPAA (The Health Insurance Portability and Accountability Act)

Question 2

Definition for Matching:

mistakenly accepting payment for items that should not be paid as a result of improper coding and billing practices

Answer 2

abuse

Question 3

Definition for Matching:

following the rules established by government agencies

Answer 3

compliance

Question 4

Definition for Matching:
knowingly billing for a service that were never given or billing for a service that has a higher reimbursement than the service actually provided

Answer 4

fraud

Question 5

Written:

Briefly describe a reason as to why the medical assistant should be knowledgable about coding.

Answer 5

To assist in communication between coders and physicians when a question arises.

To provide appropriate diagnosis codes when an insurance preauthorization is required for a procedure, or when a patient is referred to another provider for a procedure or consultation.

To facilitate communication with attorneys who may need information about medical codes related to injured patients they represent.

To answer patient questions about the meaning of codes on their insurance claims or other paperwork.

To review or facilitate medical documentation to help ensure it provides adequate specificity for coding.

Question 6

What is the maximum length of an ICD-10 code?

Answer 6

7 characters

Question 7

True or False:

Recording incorrect diagnosis codes can be considered fraud.

Answer 7

True

Question 8

True or False:

If the physician gives you a diagnosis verbally and it is not charted, you can code and bill for it.

Answer 8

False

Question 9

How many characters are in a category code?

Answer 9

3 characters

Question 10

Definition of an ICD-10-CM Convention:

When more than one code may be required to fully describe the condition

Answer 10

Code Also

Question 11

Definition of an ICD-10-CM Convention:
When coder may refer to an alternative or additional main term if the desired entry is not found under the original main term

Answer 11

See Also

Question 12

Written:

Name and briefly describe the use of one of the three additional references in the ICD manual.

Answer 12

Table of Neoplasms - used for cysts or lesions

Table of Drugs and Chemicals - used for poisoning, reactions to medication, or accidental overdose

Index to External Causes - used for outside conditions and injuries for example debree in the eye

Question 13

True or False:

Coding is to be performed to the highest level of certainty.

Answer 13

True

Question 14

Definition for Matching:

reexamination for accuracy

Answer 14

audit

Question 15

Definition for Matching:
in procedure coding the number of days surrounding a surgical procedure during which all services relating to that procedure were performed

Answer 15

global period

Question 16

Definition for Matching:

billing for a service at a higher level than was actually provided

Answer 16

upcoding

Question 17

reading the notes the physician has put in the chart and being able to code from that documentation; information is found in the patients record

Answer 17

abstracting

Question 18

describe patient encounters with a physician for the evaluation and management of a health problem
(teacher note: basically your doctors office visit)

Answer 18

Evaluation and Management (E&M)

Question 19

Code for pilondial cyst with abscess

Answer 19

L05.01

Question 20

Code for bronchoscopy

Answer 20

31622

Question 21

Code for appendectomy

Answer 21

44950

Question 22

Code for rosacea / unspecified

Answer 22

L71.9

Question 23

Code for chest pain / unspecified

Answer 23

R07.9

Question 24

Code for chronic rhinitis

Answer 24

J31.0

Question 25

Code for gout / unspecified

Answer 25

M10.9

Question 26

Code for esophageal obstruction

Answer 26

K22.2

Question 27

Procedure or Diagnosis?

ECG or EKG

Answer 27

Procedure

Question 28

Procedure or Diagnosis?

Chest X-Ray

Answer 28

Procedure

Question 29

Procedure or Diagnosis?

Gastric Ulcer

Answer 29

Diagnosis

Question 30

Procedure or Diagnosis?

Chest Pain

Answer 30

Diagnosis

Question 31

Procedure or Diagnosis?

Dysfunction Urinal Bleeding

Answer 31

Diagnosis

Question 32

What are you looking for when a glucose test is performed?

Answer 32

Diabetes

Question 33

What are you looking for when a colonoscopy is performed?

Answer 33

Polyps

Rectal Bleeding

Question 34

What are you looking for when a CBC (complete blood count) is performed?

Answer 34

Anemia

Question 35

What would be performed for a cyst in the breast?

Answer 35

A Needle Biopsy

Question 36

What would be performed for an abnormal heart rhythm?

Answer 36

ECG or EKG

Question 37

Why would an arthrocentesis be performed?

Answer 37

Arthritis of the Knee

Question 38

How many characters does a CPT code have?

Answer 38

5 characters

Question 39

True or False:

Reporting an incorrect diagnosis code on a claim can be considered fraud.

Answer 39

True

Question 40

Which code manual is used to report durable medical equipment?

Answer 40

HCPCS aka “Hick Picks” (The Healthcare Common Procedure Coding System)