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1
subcutaneous
into the fatty layer just below the skin
into the middle layers of the skin
directly into a vein
directly into muscle tissue
2
Computerized practice management software does
not
:
decrease errors
require a substantialn amount of time to post procedures to patient account
allow instant access to up-to-date financial information decrease errors
increase efficiency
3
which technique is used to help locate problems within blood vessels throughout the body?
preferred provider organization (PPO)
magnetic resonance angiography
doppler echocardiogram
independent practice association
4
_ is an autoimmune disorder that attacks the hair follicles, causing well-defined bald areas on the scalp or elsewhere-
alopecia unversalis
alopecia totalis
alopecia areata
alopecia
5
onychomycosis
widespread rash in children
a fungal infection of a nail
overproduction of sebum
an infestation with the itch mite
6
A payer practice in which a reported evaluation and management service is reduced to a lower level based strictly on-
bundling
unbundling
upcoding
downcoding
7
recumbent
substance that allows x-rays to pass through
patient lying on back with the feet and legs supported in stirrups
patient lying face down on the belly
any position in which the patient is lying down
8
Healthcare Common Procedural Coding System (HCPCS) Level I codes are known as:
all of the responses are correct
National Codes
Current Procedural Terminology (CPT)
ICD-10-CM
9
_ is a surgical technique in which tissue is destroyed using an electric spark
electrodesiccation
mohs surgery
electrolysis
photodynamic therapy
10
In a(n)_ plan, patients can see specialists without having to obtain referral from another physician.
health maintenance organization (HMO)
Independent practice association (IPA)
indemnity-type insurance
preferred provider organization (PPO)
11
because a primary care physician (PCP) in health maintenance organization (HMO) makes referrals and approves additional-
gatekeeper
patient advocate
specialist
care manager
12
International Classification of Diseases (ICD) codes are descriptive of the:
presenting symptoms
form of treatment used
presenting disease or condition
medications used in treatment
13
a _ drug is sold under the name given the drug by the manufacturer
brand-name
prescripiton
over-the-counter
generic
14
purulent
an infestation with lice
pinpoint hemorrhages smaller than 2 millimeters
producing or containing pus
itching
15
the process of transferring information from one record to another is called:
journalizing
posting
balancing
conferring
16
Which technique is also known as a scientigram?
bone scan
nuclear scan
thyroid scan
radiograph
17
which term is also known as a pimple?
macule
vesicle
papule
pustule
18
A/an _ is an undesirable reaction that accompanies the principal response for which the drug was taken
addiction
drug interaction
adverse drug reaction
tolerance
19
py/o
hair
hairy
pus
skin
20
when coding procedures and diagnoses, you isolate the main from the provider's statement assessment or description for-
index
subterm directory
table of contents
explanation of abbreviations
21
exanthem
a fungal infection of a nail
overproduction of sebum
widespread rash in children
an infestation with the itch mite
22
petechiae
itching
an infestation with lice
pinpoint hemorrhages smaller than 2 millimeters
skinfold infection around a nail
23
_ is a superficial bacterial infection of the hair shafts in areas with extensive swear glands
trichomycosis axillaries
mycosis
pediculosis
scabies
24
paronychia
pinpoint hemorrhages smaller than 2 millimeters
an infestation with lice
skinfold infection around a nail
itching
25
which type of tissue normally forms during the healing of a wound and eventually forms the scar?
granuloma
cicatrix
granulation tissue
keloid
26
for many patients and staff members, discussing the subject of money owed is touchy and uncomfortable. which of the -
for a patient procedure: "I have an estimate of your costs for your-
"co-payment is expected at the time of service" or "your office visit will-
for the patient checking in at the front desk: "you have not paid your-
for patients checking out: "your charges for today's office visit are $__.-
27
seborrhea
overproduction of sebum
widespread rash in children
an infestation with the itch mite
a fungal infection of a nail
28
the term _ refers to the discovery of the maximum amount of money that carrier will pay for primary surgery,-
predetermination
pretreatment
preauthorization
precertification
29
a form of massage that uses soft-tissue manipulation focusing on applying pressure to trigger points to treat injuries-
neuromuscular therapy
acupressure
osteopathic manipulative therapy
myofascial release
30
scabies
overproduction of sebum
widespread rash in children
a fungal infection of a nail
an infestation with the itch mite
31
A(n) _ form lists the procedures performed in a medical office and their respective codes
encounter
credit
coding
confidentiality
32
chloasma
Also known as the mask of pregnancy
noninfected buildup of sebum and keratin in a hair follicle
cluster of connected furuncles
normal scar from a healing scar
33
hematuria
the presence of blood in the urine
extremely high fever
the presence of glucose in the urine
abnormally low body temperature
34
Which of the following would
not
be a required step in utilizing medical necessity guidelines?
reviewing the order from provider
reviewing the family history section of the progress note
reviewing the narrative diagnostic finding(s) indicated
looking over the entire encounter form and progress note to make sure all-
35
Patient should be given a receipt:
When they pay by check
only when they pay in cash
when they charge the bill to a credit card
when they make payment in any form
36
The AMA defines medical necessity as services or procedures that a prudent physician would provide to a patient in-
not for the intended economic benefit of the health plan or purchaser or-
clinically appropriate in terms of frequency, type, extent, site, and-
all of the responses are correct
in accordance with the generally accepted standard of medical practice
37
The standard claim form (format) designed by the centers for Medicare and Medicaid services (CMS) to submit provider-
affarable care act (ACA)
CMS-1500
fee disclosure
coordination of benefits (COB)
38
A/An _ is a benign skin growth that has a waxy or "pasted-on" look
seborrheic keratosis
seborrheic dermatitis
age spot
sebaceous cyst
39
A/An _ relieves inflammation and pain without affecting consciousness
anti-inflammatory
antidepressant
anticonvulsant
prescription
40
Which term describes a torn or jagged wound, or an accidental cut wound?
puncture wound
laceration
fissure
abrasion
41
radi/o
sound
radiation
direct visual examination
urine
42
Which of the following statements is
not
true when using healthcare common procedural coding system (HCPCS) level II-
the search for the correct HCPCS code begins in the tabular list
the search for the correct HCPCS code begins in the index
both current procedural terminology (CPT) and HCPCS level II codes can be -
when appropriate, the correct HCPCS modifier should be appended to provide-
43
which term is considered to be the fifth vital sign in certain settings, such as a hospital?
blood pressure
respiration
pain
pulse
44
-uria
direct visual examination
visual examination instrument
sound
urine
45
which term refers to a type of treatment in which a patient follows verbal prompts to envision a specific, peaceful-
guided imagery
hypnosis
mindfulness meditation
biofeedback
46
a _ is a flat vascular birthmark made up of dilated blood vessels
pigmented birthmark
port-wine stain
capillary hemangioma
vascular birthmark
47
hidr/o
sweat
skin
hairy
pus
48
services performed in the office are generally selected on a patient's encounter in the EMR by the:
provider
administrative medical assistant
clinical medical asssistant
patient
49
otoscope
instrument used to listen to sounds within the body
instrument used to examine the interior of the eye
instrument used to examine the external ear canal and tympanic membrane
instrument used to enlarge the opening of a body canal
50
a(n) _ form lists the procedures performed in a medical office and their respective codes
confidentiality
coding
encounter
credit
51
who publishes current procedural terminology (CPT)?
world health organization (WHO)
american medical association (AMA)
department of health and human services (HHS)
american public health association (APHA)
52
when a patient arrives at the medical office, you should copy (or scan) _ of the insurance card(s)
neither side
both sides
only the back
only the front
53
purpura
widespread rash in children
overproduction of sebum
a fungal infection of a nail
spontaneous bruises greater than 2 millimeters in diameter
54
The
International Classification of Disease, 9th Revision, Clinical Modification
(ICD-9-CM) remained in use in the-
2016
2015
2018
2017
55
-scopy
visual examination instrument
urine
sound
direct visual examination
56
Which term refers to an abnormal heart sound that is most commonly a sign of defective heart valves?
diastolic
abdominal sounds
heart murmur
systolic
57
_ is the destruction or elimination of abnormal tissue cells through the application of extreme cold
chemabrasion
cryosurgery
curettage
cauterization
58
ecchymosis
inflammation of hair follicles
a large bruise
also known as boils
excessive body and facial hair in women
59
radiolucent
patient lying on back with the feet and legs supported in stirrups
patient lying face down on the belly
substance that does not allow x-rays to pass thorugh
substance that allows x-rays to pass through
60
hypothermia
the presence of glucose in the urine
extremely high fever
abnormally low body temperature
the presence of blood in the urine
61
pil/o
hair
skin
pus
hairy
62
-scope
visual examination instrument
direct visual examination
sound
urine
63
furuncles
also known as boils
inflammation of hair follicles
excessive body and facial hair in women
a large bruise
64
glycosuria
the presence of glucose in the urine
extremely high fever
the presence of blood in the urine
abnormally low body temperature
65
speculum
instrument used to examine the interior of the eye
instrument used to enlarge the opening of a body canal
instrument used to examine the external ear canal and tympanic membrane
instrument used to listen to sounds within the body
66
-centesis
surgical puncture
creatinine
calcium
albumin
67
transdermal
directly into muscle tissue
into the middle layers of the skin
absorbed through intact skin
into the fatty layer just below the skin
68
albumin/o
albumin
creatinine
surgical puncture
calcium
69
the condition known as _ is excessive sweating in one area or over the whole body
hyperhidrosis
anhidrosis
heat rash
sleep hyperhidrosis
70
Health insurance offered by private companies to persons eligible for Medicare benefits and specifically designed to-
Medicaid
CHAMPVA
Medigap
TRICARE
71
urtic/o
sebum
skin
rash
dry
72
Which condition involves tissue death that is usually associated with a loss of circulation?
gangrene
pressure sore
abscess
ulcer
73
prone position
patient lying face down on the belly
any position in which the patient is lying down
patient lying on back with the feet and legs supported in stirrups
substance that allows x-rays to pass through
74
A _ is a determination of the number of erythrocytes in the blood
white blood cell count
red blood cell count
white blood cell differential count
total hemoglobin test
75
upcoding can result in:
capturing all related procedures and diagnoses for the patient visit
serious fines and penalties
increased revenue to the practice
none of the responses are correct
76
cutane/o
rash
dry
skin
sebum
77
There are no options for patients that do not have insurance
False
True
78
lithotomy position
patient lying face down on the belly
substance that allows x-rays to pass through
patient lying on back with the feet and legs supported in stirrups
any position in which the patient is lying down
79
A _ test is used to diagnose conditions with abnormalities of clotting time and to monitor anticoagulant therapy
serum bilirubin
crossmatch
c-reactive protein
prothrombin time
80
When patients without health insurance are seen in the medical practice, they are classified as _ patients
pro bono
reimbursement
TRICARE
self-pay
81
intradermal
into the middle layers of the skin
into the fatty layer just below the skin
absorbed through intact skin
directly into muscle tissue
82
part _ of Medicare was created to provide coverage for both generic and brand-name drugs
A
D
B
C
83
which chemical causes the signs of an allergic response when it is released in response to allergens?
keratin
collagen
heparin
histamine
84
Which of the following would be considered a step or steps to verify insurance coverage and eligibility?
access the website for the patient's insurance carrier (or use the-
complete the required fields, verifying you have the correct patient-
all of the responses are necessary steps
determine if the insurance is managed care
85
pruritus
an infestation with lice
pinpoint hemorrhages smaller than 2 millimeters
itching
producing or containing pus
86
Which term means the evaluation or appraisal of a condition?
vital signs
palpation
assessment
auscultation
87
Which of the following would be considered a step or steps to obtain precertification or preauthorization (predeter-
Determine if precertification or preauthorization is required
all of the responses are necessary steps
locate the form on the insurance company website (or call the insurance-
complete the form correctly; fax to the insurance company (or send-
88
an elevated _ indicates the presence of inflammation in the body
erythrocyte sedimentation rate
blood urea nitrogen test
complete blood cell count
platelet count
89
hirsutism
also known as boils
a large bruise
inflammation of hair follicles
excessive body and facial hair in women
90
which abnormal sac contains fluid, gas, or semisolid material?
pustule
cyst
vesicle
abscess
91
computerized accounting systems:
offer more room for errors
are more expensive for the practice than manual systems in the long run
typically offer only two types of reporting options
automatically update records as information is entered into the system
92
which type of health maintenance organization (HMO) is composed of providers who practice in their own individual-
preferred provider organization (PPO)
staff model
independent practice association
group model
93
Which term refers to an open lesion of skin or mucous membrane resulting in tissue loss around the edges?
erosion
ulcer
plaque
pressure sore
94
assigning a procedure code that does not match patient documentation for the purpose or increasing reimbursement is-
upcoding
downcoding
unbundling
bundling
95
erythema
inflammation of hair follicles
also known as boils
a large bruise
skin redness due to dilated capillaries
96
Which type of tissue form the upper layer of the epidermis?
squamous epithelial tissue
skin
dermis
basal layer
97
xer/o
sebum
rash
skin
dry
98
under the birthday rule, if the parents divorce and retain their plans, the parent with _ is primary
the plan in effect the longest
custody
the greater income
the plan that provides the best coverage
99
calc/i
creatinine
albumin
surgical puncture
calcium
100
when records are reviewed by third-party payers, if a procedure is not documented, it:
must be resubmitted with a statement of explanation from the provider
is considered to never have been performed
will be reimbursed at only 50 percent oft he standard rate
will be reimbursed at only 10 percent of the standard rate
101
Which technique is used when only a small amount of blood is needed as a specimen for a blood test?
arterial stick
phlebotomy
capillary puncture
centesis
102
According to CMS, the provider or supplier who routinely waives Medicare deductibles and co-payments is misrepresenting-
False
True
103
when coding, the primary reason for the office visit is listed first, and other reasons are listed in what order?
numerical order
order of importance
chronological order
alphabetical order
104
Carbuncle
Also known as the mask of pregnancy
cluster of connected furuncles
noninfected buildup of sebum and keratin in a hair follicle
bacterial infection within the connective tissues
105
Which position is used for examination and treatment of the anterior surface of the body?
dorsal recumbent
sims' position
knee-chest position
horizontal recumbent
106
The placement of medication under the tongue is known as _ administration
rectal
sublingual
inhalation
oral
107
which term is also known as a mole?
callus
skin tag
nervus
polyp
108
Which term refers to a form of abrasion involving use of a revolving wire brush or sandpaper?
exfoliative cytology
curettage
dermabrasion
chemabrasion
109
stethoscope
instrument used to examine the external ear canal and tympanic membrane
instrument used to enlarge the opening of a body canal
instrument used to examine the interior of the eye
instrument used to listen to sounds within the body
110
Pediculosis
producing or containing pus
an infestation with lice
itching
pinpoint hemorrhages smaller than 2 millimeters
111
The process of transferring information from one record to another is called:
conferring
balancing
posting
journalizing
112
A/An _ is the result of medical treatment that yields the exact opposite of normally expected results
drug interaction
contraindication
paradoxical reaction
idiosyncratic reaction
113
Part _ of Medicare is for payment of medical expenses such as office visits and X-ray and laboratory services
B
A
D
C
114
glycos/o
glucose
creatinine
albumin
calcium
115
son/o
urine
sound
visual examination instrument
direct visual examination
116
which term is also known as a scab?
plaque
scale
exudate
crust
117
which term is also known as cardiopuncture?
cardiocentesis
centesis
abdonminocentesis
pericardiocentesis
118
which term describes the path that the x-ray beam follows through the patient's body from the entrance to the exit?
radiographic positioning
extraoral radiography
radiographic projection
intraoral radiography
119
hyperthermia
abnormally low body temperature
the presence of glucose in the urine
the presence of blood in the urine
extremely high fever
120
Medicare will _ pay for services or supplies considered medically reasonable and necessary for the diagnosis given
not
none of the responses are correct
only
sometimes
121
_ medicine is a general term for practices and systems of health care that are used to supplement conventional, or-
allopathic
alternative
complementary
integrative
122
rhytid/o
dry
skin
wrinkle
sebum
123
folliculitis
also known as boils
a large bruise
inflammation of hair follicles
skin redness due to dilated capillaries
124
comedo
cluster of connected furuncles
bacterial infection within the connective tissues
noninfected buildup of sebum and keratin in a hair follicle
Also known as the mask of pregnancy
125
seb/o
sebum
rash
skin
dry
126
which cells are also known as fat cells?
sebaceous glands
mast cell
adipose tissue
lipocytes
127
dermat/o
skin
hairy
pus
sweat
128
radiopaque
patient lying face down on the belly
substance that allows x-rays to pass through
patient lying on back with the feet and legs supported in stirrups
substance that does not allow x-rays to pass thorugh
129
Medicare pays _ percent of the approved medical bill amount once the deductible is satisfied
20
70
80
60
130
creatin/o
surgical puncture
albumin
creatinine
calcium
131
which term refers to a group of eight specific tests that provide important information about the current status of the-
lipid panel
thyroid-stimulating hormone assay
arterial blood gas analysis
basic metabolic panel
132
which term reflects the amount of wastes, minerals, and solids that are present in urine?
pH
urine culture and sensitivity test
drug-screening urine test
specific gravity
133
intravenous
directly into muscle tissue
directly into a vein
into the fatty layer just below the skin
into the middle layers of the skin
134
which type of insurance does not require a referral for patient care and specialists?
indemnity-type insurance
health maintenance organization (HMO)
all require a referral to see a specialist or another provider
preferred provider organization (PPO)
135
ketonuria
abnormally low body temperature
the presence of glucose in the urine
the presence of blood in the urine
the presence of ketones in the urine
136
Which of the following demonstrates why it is important to explain patient financial obligations for services rendered?
It presents an opportunity to explain why the chargers are as stated
It allows the patient to concentrate on getting well
all of the responses are correct
It assists the patient in planning a reasonable payment schedule
137
ophthalmoscope
instrument used to examine the interior of the eye
instrument used when measuring blood pressure
instrument used to enlarge the opening of a body canal
instrument used to listen to sounds within the body
138
Once a patient is ready to leave the hospital, _ is used to ensure that the patient is being discharged to the most-
capitation
diagnostic planning
utilization review
discharge planning
139
sphygmomanometer
instrument used when measuring blood pressure
instrument used to enlarge the opening of a body canal
instrument used to listen to sounds within the body
instrument used to examine the interior of the eye
140
hirsut/o
pus
hair
skin
hairy
141
cicatrix
noninfected buildup of sebum and keratin in a hair follicle
normal scar from a healing scar
Also known as the mask of pregnancy
cluster of connected furuncles
142
a professional courtesy discount is an example of a(n):
deposit
overpayment
adjustment
balance
143
a class of chemical compounds derived from vitamin A that are used in skin care are known as _
topical steroids
retinoids
collagen replacement therapy
botox
144
intramuscular
into the middle layers of the skin
into the fatty layer just below the skin
directly into muscle tissue
directly into a vein