Medical Billing and Coding Pt 1

Question 1

CPT Level I modifiers are made up of how many digits?

Answer 1

Two digits if it’s not specific enough

Question 2

ICD-10 codes are made up of how many digits per category?

Answer 2

category is three Digits

Question 3

What is the last step in the coding process for CPT’s?

Answer 3

Determine the need for modifiers

Question 4

In what format are healthcare claims sent?

Answer 4

Healthcare claims are sent electronically or hard copy

Question 5

What is the term for someone who is financially responsible for payment?

Answer 5

Guarantor

Question 6

In ICD-10-CM coding, when a code needs a seventh character and no sixth character exists, how should you code it?

Answer 6

use a placeholder “x”

Question 7

Insurance policies can be written up for what type of individuals?

Answer 7

groups or individuals

Question 8

ICD-10 codes can have up to how many digits in total?

Answer 8

3 to 7 digits

Question 9

CPT codes have how many digits?

Answer 9

5 digits

Question 10

What can assignment of benefits authorize?

Answer 10

reimbursement for physician services

Question 11

Define down coding

Answer 11

Insurance may recognize upcoding and as a result, down-code and place a reduction of a procedure.