CPT codes are Correct Answer-5 digits
An organization which provides a wide range of services for a specified group at a fixed periodic payment
is termed an Correct Answer-HMO
TBSA refers to: Correct Answer-Total body surface area
There are two types of CPT codes, stand alone and: Correct Answer-Indented Codes
Services in which opinions of specialists are requested, are called: Correct Answer-Consultations
Examples of HCPCS Level II codes are: Correct Answer-Supplies, orthotics, prosthetics, DME, equipment,
and ambulance services
Everything that you see, hear, or read about a patients condition must remain: Correct AnswerConfidential
Because of the new Medicare regulations insurance companies are predominantly using what type of
claims? Correct Answer-Electronic
A "combining form" meaning joint is: Correct Answer-Arthro/o
If an error is made in a patients chart, what should be done before adding the correct information nearby?
Correct Answer-Draw a single line through the error
When sequencing codes for multiple burns, list: Correct Answer-Third degree first
Another name for a release of information form is a: Correct Answer-Consent
Which of the following is not a type of wound? Correct Answer-Excision
The opposite of ventral is: Correct Answer-Dorsal
In a Medicare billing dispute, the amount of controversy must be at least: Correct Answer-$100
A suffix indicating the surgical creation of an opening is: Correct Answer-Ostomy
The usual abbreviation for complete blood count is: Correct Answer-CBC
Which of the following abbreviations might charted if a patient has a bladder infection: Correct AnswerUTI
All of the following are included in the Medicare EPSDT program for welfare children except: Correct
Answer-Remedial Education
Intentional misrepresentation of facts in order to deceive or mislead others is: Correct Answer-Fraud
Self-Employed insurance billing specialists can deduct all but which one of the following expenses from
income taxes: Correct Answer-Theatre Tickets
The medical term for high blood pressure: Correct Answer-Hypertension
An individual who promises to pay the medical bill by signing an agreement to pay form is the: Correct
Answer-Guarantor
A report mentioning such words as cranium, maxilla, and mandible would be referring to: Correct AnswerHead
The following subsections of Evaluation and Management services except: Correct Answer-Concurrent
Care
In the Medicare program a clean claim means that: Correct Answer-D. The claim has no deficiencies, does
not further investigation, and that it passes all electronic edits
HCT is the medical abbreviation for: Correct Answer-Hematocrit
The subsequent injury fund was established for problems that arise when a: Correct Answer-Previously
injured person is injured at work again
Tricare offers 3 types of plans: Correct Answer-Standard, Extra & Prime
Workers Compensation can be found in: Correct Answer-All US States
A 66 year old retired school teacher presenting for a first visit at a medical office would most likely be
covered by: Correct Answer-Medicare
When a claim is returned for incorrect or missing information, the correct action for a medical biller to
take would be to:
A. Add or correct the information & resubmit the claim
B. Send an appeal letter
C. Schedule a hearing before an administrative law judge
D. Resend duplicate claim Correct Answer-Add or correct the information & resubmit the claim
One insurance plan jointly sponsored by federal & state government is:
A. Medicare
B. Medicaid
C. Tricare
D. Blue Cross/Blue Shield Correct Answer-Medicaid