Module 1

Question 1

What’s Medical Coding?

Answer 1

Medical coding involves assigning specific codes to various medical services and procedures.

Question 2

What’s the order of Medical coding and billing?

Answer 2

1- scheduling and registration
2-Insurance Verification
3- Coding and Charge Capture
4- Medical Records
5- Claim Submission and billing
6-Patients pay collection and payment review

Question 3

Accurate coding and billing contribute to patient safety and care ___.?

Answer 3

continuity

Question 4

The acronym HIPAA stands for which of the following?

Answer 4

Health Insurance Portability and Accountability Act

Question 5

Medical terminology?

Answer 5

Medical terminology forms the foundation of medical coding and billing processes.

Question 6

Billing terminology

Answer 6

Billing terminology encompasses the specific language and concepts used in the billing and reimbursement processes. It involves understanding terms related to insurance coverage, claims submission, payment systems, and financial transactions within the healthcare industry.

Question 7

Compliance terminology

Answer 7

Compliance terminology refers to the vocabulary and concepts related and adherence to legal and regulatory requirements in the healthcare industry.

Question 8

CPT codes (Current Procedural Terminology)

Answer 8

American Medical Association created specify the services a doctor or clinic provides. There are four categories. Category 1 codes represent procedures or services. Category 2 is used solely for performance evaluation and is appended to a Category 1 code. Category 3 codes represent brand-new technologies or emerging services. PLA codes are codes for proprietary laboratory analyses.

Question 9

Healthcare Common Procedural Coding System (HCPS)

Answer 9

The Medicaid and Medicare Services developed this system. They are used to determine medications, supplies, or hospital services.

Question 10

International Classification of Diseases (ICD)

Answer 10

WHO (World Health Organization) developed this service as an international language for health statistics. All potential illnesses, injuries, and causes of mortality are coded on a map of the human condition from conception to death.

Question 11

Medical Coding Process

Answer 11

1. Assessing patient chart, pre-coding
2. Pre-coding
3. CPT and ICD -19 coding
4. Quality audit
5. Submission of coded charts

Question 12

Category 1

Answer 12

represents procedures or services: it includes codes from 00100-99499

Question 13

Category 2/SupplementL Codes

Answer 13

used solely for performance evaluation and are appended to a Category 1, due to their nature affixing these tags to category 1 codes are simpler

Question 14

Category 3

Answer 14

Brand new technologies or emerging services. There mostly used for data gathering, evaluation, and processes that still need to satisfy the requirements for a Category 1 code

Question 15

PLA Codes

Answer 15

they’re for proprietary laboratory analysis. There codes that just received COT codes. They resemble Category 3 in some ways how ever there only used for services and technology that may be provided by a single healthcare facility, physician, or laboratory or that may be offered to a number of laboratories that have received FDA approval

Question 16

HCPCS

Answer 16

Healthcare Common Procedural Coding System

Question 17

HCPCS what is it used for

Answer 17

• This system is used to determine medications, supplies , or hospital services

Question 18

Is it important?

Answer 18

Yes, - CMS and some third-party payers mandate physician to submit claims with HCPCS codes, although private payers typically use CPT codes. Organizations are required to use HCPCS codes under the HIPAA

Question 19

What are they used for

Answer 19

• HCPCS codes are used to describe non-physician services, such as the usage of prescription drugs, durable medical equipment, and ambulance services.

Question 20

What do CPT NOT DO

Answer 20

• CPT codes do not list the supplies a provider utilizes; they solely describe the operation

Question 21

ICD Stands for?

Answer 21

International Classification of Diseases

Question 22

Who created ICD

Answer 22

Who (World Health Organization)

Question 23

What is ICD

Answer 23

• WHO(World Health Organization) developed ICD ( International Classification of Diseases) service as an international language for health statistics

Question 24

Is it used frequently

Answer 24

Almost all healthcare decisions made today are based on six health statistics

Question 25

What are six health statistics it’s based on

Answer 25

1. Knowing what causes illness and deaths(morbidity, and morality).
2. Tracking epidemics and trends and illnesses.
3. Choosing a health service programming strategy.
4. Allocating funds for healthcare.
5. Research and development investments.
6. Preparing and planning for new medical facilities.