MOA115 Test #2 Procedural Coding and Health Insurance (Ch 13-14)

Question 1

insurance that protects works from lose of wages after a accident at work

Accepted Answer

workers’ compensation..

Question 2

HMO model of phys with owned practices but organize into a gp but practice their own offices?

Accepted Answer

Independent practice association

Question 3

code range between 70000 and 79999 cover what

Accepted Answer

Surgery section

Question 4

Which of the following levels of history include a review of systems that relate to the cc?

Accepted Answer

Expanded problem-focused history

Question 5

Mr. Jones’s insu has 500 deduct a 50 surgery co-pay, how much insu pd on his bill of 4,359

Accepted Answer

$3,809

Question 6

When searching the alphabetic index, “humerus” is an example of which of the following

Accepted Answer

Organ or anatomic site

Question 7

The MA should always verify which of the following prior to the patient’s appointment

Accepted Answer

All of the above

Question 8

amt pays per claim or per accident toward total amt of an insured loss before the com will pay

Accepted Answer

deductible.

Question 9

Medical records used for procedural coding can include which of the following?

Accepted Answer

All of the above

Question 10

eponym will be used in which of the following CPT divisions?

Accepted Answer

Alphabetic index

Question 11

Medicare plans for primary care and specialists’ services

Accepted Answer

Part B

Question 12

The max amt of money 3rd-party payer will pay for a specific procedure or service is called the

Accepted Answer

allowable amount.

Question 13

P4 MOD represents what

Accepted Answer

Pt with severe systemic disease that constant threat to life

Question 14

Which part of Medicare covers prescription drug services?

Accepted Answer

D

Question 15

The amount of money paid to keep an insurance policy in force is the

Accepted Answer

premium.

Question 16

Mod 4 a pc is used for separate tech that does service an provider review the rep and makes dx

Accepted Answer

26

Question 17

Which of the following is a method of closed treatment of fractures?.e.All of the above

Accepted Answer

Both A and B

Question 18

Codes with a plus sign are additional codes that must be used with which of the following?

Accepted Answer

Category I codes

Question 19

Health insurance designed for military dependents and retired military personnel is called

Accepted Answer

TRICARE.

Question 20

Review of individual case by a committee to make sure services are medically necessary called

Accepted Answer

utilization review

Question 21

Which of the following codes can be used to help measure performance and outcomes.

Accepted Answer

Category II codes.

Question 22

Medigap polices cover which of the following

Accepted Answer

Difference between Medicare reimbursement & pt financial rsp

Question 23

Which of the following HCPCS codes range from A4000 to A8999

Accepted Answer

Both B and C

Question 24

amt payable by an insu com for loss to insured by that com, 4 each coverage is called

Accepted Answer

benefits.

Question 25

One time unit in anesthesia coding typically equals which of the following?

Accepted Answer

15 min

MOA115 Test #2 Procedural Coding and Health Insurance (Ch 13-14)

Questions 25

MOA115 Test #2 Procedural Coding and Health Insurance (Ch 13-14)

Questions 25