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2020 Medical Coding Two Flashcards | StudBud
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2020 Medical Coding Two
2020 Medical Coding Two
30 terms
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Multiple choice
Flashcards
30 cards
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Questions
30
Answers
1
A physician performed a colposcopy in the medical office. Which code set would be used?
HCPCS
CPT
ICD-10-CM
ICD-10-PCS
2
Frank is having a rhythm electrocardiography for evaluation of his condition. Look this up in the Alphabetic Index as:
evaluation>rhythm>electrocardiography.
Any of these
electrocardiography>rhythm>evaluation.
rhythm>electrocardiography>evaluation.
3
A $100 fine with no prison time is the penalty for a HIPAA:
fraud
criminal violation.
civil violation.
ethical violation.
4
Before placing a code on a claim, what must a professional coding specialist make certain he or she has?
Supporting documentation
Internet connection
hospital affiliated with the procedure
notarized testimony from the patient
5
If a patient is without signs or symptoms and is being watched for a suspected illness, then the patient is under
observation
preventive care.
continuous care.
aftercare.
6
Using three codes to report procedures rather than one combination code is called:
mutually exclusive coding.
unbundling.
coding for coverage.
upcoding.
7
____ laws are those governing the behavior of the actions of the population related to health and well-being.
Criminal
Civil
Common
Statutory
8
The term
disclosure
per HIPAA’s Privacy Rule refers to the exchange of information between health care personnel
in the same office.
and health care personnel in other covered entities.
and family members.
and the patient.
9
When Dr. Katlyn "discloses" PHI, according to HIPAA, it means she is discussing a patient with:
a physical therapist at the hospital
her biller/coder.
her nurse.
her appointment scheduler.
10
CPT stands for
Current Procedural Terminology.
Classification of Procedural Techniques.
Current Procedural Trailers.
Classification of Procedural Terms.
11
Steps involved in coding the procedures include all of the following
except:
abstracting the physician's notes.
verifying the patient’s insurance coverage.
looking up the key terms.
verifying the correct code.
12
If the donor and recipient are of different species, the graft is
xenogeneic.
isogeneic.
allogeneic.
autologous.
13
Upcoding is an illegal practice in which coders
bill using several individual codes instead of one combination code.
bill using a code for a higher level of service than what was provided
bill for services never provided.
bill for services with no documentation.
14
Changing a code from one that is most accurate to one you know the insurance company will pay for is called
coding for coverage.
coding for packaging.
double billing.
unbundling.
15
An example of a health care provider, under HIPAA, is:
a dentist.
WebMD.
Abbott Health
a computer software manufacturer.
16
____ codes are for use in any healthcare setting.
Z
A
P
G
17
The intent of HIPAA’s Privacy Rule is to
not interfere with the flow of information necessary for care.
protect an individual’s privacy.
protect individual’s privacy, not interfere with the flow of information.
restrict health care professionals from doing their jobs.
18
A plus sign next to a CPT code:
indicates the code cannot be reported alone.
indicates the code can be listed as a primary procedure.
The code has been revised or is being shown for the first tim
distinguishes a code whose description has been changed since the last edit
19
Which of the following would be considered a routine encounter?
Well-woman exam
Well-baby checks
All of the above
Annual physicals
20
The star symbol identifies a
a revised code.
a telemedicine encounter.
a new code.
an add-on code.
21
Those who are permitted to file an official complaint with DHHS are any
health plans.
any individual.
health care providers.
clearinghouses.
22
Where will coders find the most accurate information for coding an encounter?
Patient registration form
Patient interview
Physician's notes
Superbill
23
Which of the following facilities is considered an outpatient facility?
Same-day surgery center
Ambulatory surgery center
A physician's office All of these
All of these
24
Under HIPAA, a covered entity includes all of the following except a:
health care clearinghouse.
health care school.
health care provider.
health plan.
25
Category III codes are:
one number and one letter.
four numbers followed by the letter T.
five numbers with no punctuation.
four numbers followed by the letter F
26
_____ are known as the official policies issued by the President of the United States.
Statutory Laws
Executive Orders
Common Laws
Administrative Laws
27
To know the correct code to use, you should:
follow all guidelines.
disregard the rules of ethical and legal coding.
participate in fraud.
unbundle codes.
28
CPT guidelines
change every 2 months.
can be found in a separate guidelines book.
must be memorized by professional coders
can be found in the front of every CPT section.
29
An indented description or term indicates that:
it attaches to the description
codes have been deleted.
it is an add-on code.
his is the complete description of this code.
30
The hashtag symbol identifies an exemption from modifier 51.
an exemption from modifier 51.
a reinstated or recycled code.
product pending FDA approval
an out-of-numeric-sequence code.
