NCCT Medical Billing and Coding Certification Review
Call Kai
Learn
Practice Test
Spaced Repetition
Match
Flashcards
Knowt Play1/99
There's no tags or description
Looks like no tags are added yet.
Name | Mastery | Learn | Test | Matching | Spaced | Call with Kai |
|---|
No analytics yet
Send a link to your students to track their progress
100 Terms
A hyphenated last name, such as "Lewis-Davidson," may be filed in multiple locations. The actual chart would be filed under "Lewis-Davidson," but additional file that was indexed under "Davidson: is an example of______________
A. an appendix
B. cross-referencing
C. mixed filing
D. back filing
...B. cross-referencing
What is a suffix meaning "surgical removal of a botomydy part"?
A. -otomy
B. -iasis
C. - ostomy
D. -ectomy
D. -ectomy
Computerized records of one physician's encounters with patient over time are collectively called and ____
A. EHR
B. PHR
C. EMR
D. AC
...A. EHR
What is the second step of medical history taking, a concise statement describing the reason a patient came into the office, hospital or clinic?
A. chief complaint
B. Sysptom
C. problem
D. diagnosis
. chief complaint
Appendix A in the ICD-9 concerns itself with the _____
A. Morphology of Neoplasms
B. Classification of Drugs
C. Classification of Industrial Accidents
D. Glossary of Metal Disorders
A. Morphology of Neoplasms
The maximum dollar amount set for reimbursement to provider by an insurance company and an associated network of healthcare providers is called the _____
A. allowable charge
B. allowed amount
C. approved charge
D. all of the above
D. all of the above
When coding from the ICD-9, if the same condition is described as both acute and chronic, and separate subentries exist in the alphabetic index at the same indentation level, code both and sequence the ___ code first
A. acute
B. chronic
C. it does not make a difference
D. further information is needed
A. acute
According to the Patient's Bill of Rights, a patient must be informed of the name and ____ of the doctor who will be in charge of the patient's care in the hospital.
A. primary language
B. position
C. education
D. specialty
D. specialty
The block on the CMS-1500 claim form designated for service facility location information is
A. 33
B. 5
C. 31
D. 32
...D. 32
In SOAP notes, a brief summary of the patient's symptoms that may often include a diagnosis, as well as a list of other possible diagnoses, is a(n)___
A, determination
B. evaluation
C. appraisal
D. assessment
D. assessment
The plane that divides the body into equal right and left halves is the ______ plane.
A. sagittal
B. transverse
C. frontal
D. midsagittal
D. midsagittal
In the ICD-9 NEC stands for____
A. (Do) not enter code
B. Never exclude code
C. Nowhere Else code
D. Not Elsewhere Classified
D. Not Elsewhere classified
A record of one or more days' financial activity in the medical office is called a(n)______
A. aging report
B. day sheet
C. daily spreadsheet
D. fiscal summary
B. day sheet
a method of determining insurance payments is ____
A. usual, customary, and reasonable
B. reasonable, usual and customary
C. customary, reasonable, and usual
D. acceptable, usual, and customary
...A. usual, customary, and reasonable
A term that means not posing any serious threat to health, not particularly aggressive or recurrent is ____
A. malignant
B. benign
C. complaisant
D. copacetic
B. Benign
Anyone covered under another's health insurance plan (e.g. a child or spouse of the insured) is called a(n)___
A. guarantor
B. dependent
C. accessory
d. patient
B. dependent
POMR requires that a _____ be assigned to each of the patients problems
A. letter
B. alphanumeric code
C. number
D. date
...C. number
The deadline for the United States to begin using Clinical Modification ICD-10-C for diagnosis coding and Procedure Coding System ICD-10PCS for inpatient hospital procedure coding is currently _____
A. It is already being used
B. October 1, 2013
C. October 1, 2014
D. January 1, 2014
B. October 1, 2013
"Gravida" refers to _____
A. pregnancy
B. a liver biopsy
C. a bacterium
D. the gallbladder
...A. pregnancy
One of HIPAA's objectives is to _____
A. create a new diagnostic and procedural coding system
B. promote a safe exchange of health information electronically
C. expand budgets for technology throughout health care
D. create a health care clearninghouse for the exchange of health care data
B. promote a safe exchange of health information electronically
In the managed care, a list of all the allowed, predetermined amounts for each service offered by a heal care provided is called a ____
A. charge tabulation
B. Charge schedule
C. fee expense list
D. fee schedule
D. fee schedule
Most facilities use preprinted fee slips known as ____to track fees for each patient
A. CPT vouchers
B. price slips
C. tracking sheetst
D. superbills
D. superbills
The insurance carrier is allowed to use certain methods to determine the amount for a service. Medicare uses the resources-based relative value scale. Managed care uses the usual, customary, and reasonable method. These sums are known as ____
amounts.
A. allowed
B. lawful
C. remittance
D. allowable
A. allowed or d allowable
The POS code for an outpatient medical office on the CMS-1500 form is _____
A. 20
B. 21
C. 11
D. 12
c 11
The combining form cyst(o) means ____
A. sac or bladder
B. lung
C. pancreas
D cyst
A. sac or bladder
A condition that appears after the acute phase of an earlier condition has run its course is called a ____ effect
A. cold
B. delayed
C. late
D. chronic
C. late
The combining form hepat(o) means _____
A. gallbladder
B. mouth
C. stomach
D. liver
D. liver
A health program for certain people and families with low incomes and resources that is jointly funded by the state and federal governments and is managed by the state is ____
A. Medicare
B. CHAMPVA
C. TRICARE
D. Medicaid
D. Medicaid
A flat fee due at the time of a visit to the physician's office for covered services compensated by an insurance company is called a _____
A. benefit
B. premium
C. copayment
D. fee
C. copayment
Which federal agency regulated collections calls?
A. Department of Labor
B. Office of Compliance
C. The Federal Trade Commission
D. Department of Health and Human Services
...C. The Federal Trade Commission
The POS Code on the CMS-1500 for emergency room is _____
A. 23
B. 22
C. 12
D. 11
...A. 23
One difference between ICD-10-CM and ICD-9-CM is ____
A. ICD-10-CM uses only letters from the alphabet, and no numbers. ICD-9-CM uses only numbers
B. ICD-9-CM uses three to five characters,
ICD-10-CM requires six characters
C. ICD-10-CM has an eighth character that identifies an initial or secondary encounter, or sequela, ICD-9-CM does not
D. ICD-0- uses three to five numbers, ICD-10 uses three to seven characters
...D. ICD-0- uses three to five numbers, ICD-10 uses three to seven characters
PPO stands for____
A. preferred provider organization
B. partnership provider operation
C. please pass out
D. professional provider organization
A. preferred provider organization
What is the abbreviation for chest x-ray
A. CX
B. CXR
C. Cx
D. all of the above
D. all of the above
The plane that divides the body into right and left sections is the _____plane
A. sagittal
B. midsagittal
C. transverse
D. frontal
...A. sagittal
The ICD-10 CM has ____ codes than/as the ICD-9-CM
A. the same amount of
B. less
C. more
D. this has not yet been determined
...C. more
The suffix that means "viewing," "seeing," or "observation" is _____
A. -otomy
B. -scopy
C. -ostomy
D. -scope
...D. -scope
One of the reasons HIPAA was enacted was to ____
A. create rules for establishing an Electronic Health Records
B. create Health Information Exchanges
C. promote the safe exchange of health date electronically
D. prevent medical malpractice
...C. promote the safe exchange of health date electronically
ROI stand for ____
A. relief of illness
B. return on investment
C. return of idiopathy
D. release of information
...D. release of information
Inpatient services for medicare are covered under Part ____
A. B
B. A
C. D
D. C
...B. A
A percentage that the insured pays to the provider, clinic, or hospital after the insurance policy's deductible is met is called_____
A. coinsurance
B. an indemnification
C. a fee schedule
D. a premium
...A. coinsurance
In situ means_____
A. in it original position or place
B. to spread to another parts of the body
C. nothing (it is a made-up term)
D. in a certain situation
...A. in it original position or place
Current Procedural Terminology (CPT) is maintained by the _____
A. World Health Organization
B. American Medical Association
C. Department of Health and Human Services
D. Federal Trade Commission
...B. American Medical Association
Vital signs comprise____
A. blood pressure
B. pulse
C. respiratory rate
D. body temperature
E. A and B
F. A, B. and C
G A, B, C and D
...G A, B, C and D
In health insurance, a person or entity that supplies health care services, such as a doctor, nurse, hospital or clinic is called a _____
A. gatekeeper
B. provider
C. primary caregiver
D. caregiver
...B. provider
If a prescribed medication is administered properly and it has an undesired effed, such as diarrhea, hives, or even a coma, such an effect is called a(n)____
A. adverse effect
B. aftereffect
C. side effect
D. unwanted secondary effect
...A. adverse effect
In insurance, EPO stands for _____
A. emergency provider operation
B. end point organization
C. exclusive provider organization
D. electronic purchase order
...C. exclusive provider organization
Insurance that provides coverage for employees for job-related illnesses or injuries is called _____
A. self-insure
B. worker's compensation
C. TRICARE
D. CHAMPVA
...B. worker's compensation
Patient Status is found in block _____ of the CMS-1500
A. 3
B. 8
C. 6
D. 10
...B. 8
The rule whereby the health insurance plan of the parent whose birthday occurs first in the calendar years is designated as primary is called the ____ rule.
A. parental
B. spousal
C. children's
D. Birthday
...D. Birthday
Coverage through an employer or other entity that covers all individuals in the group is called ____ health insurance
A. company
B. corporate
C. group
D. combination
...C. group
Latin for "let the master answer" is
A. respondeat superior
B. res gestae
C. ad litem
D. in loco parentis
...A. respondeat superior
Nephro(o) is a combining form that means ____
A. liver
B. stomach
C. kidney
D. gallbladder
...C. kidney
A fracture not indicated as closed or open should be coded as ____
A. it does not matter
B. closed
C. whichever is listed first
D. open
...B. closed
Codes for the integumentary system in the CPT would be found in the ____ section
A. surgery
B. medicine
C. radiology
D. pathology & laboratory
...A. surgery
Counseling, coordination of care, and time may be consideration when determining _____ codes
A. radiology
B. surgery
C. anesthesia
D. E & M
...D. E & M
A facility may require separate records to be kept for the same patient if the patient has received major injuries due to a _____
A. car accident
B. job-related incident
C. both A & B
D. none of the above
...B. job-related incident
A patient or his/her doctor must contact the insurer to obtain approval prior to receiving care, or else the insurer may not cover it. This is called ____
A. preapproval
B. preacceptance
C. prior qualification
D. preagreement
A. preapproval
The combining form or (o) means ______
A. esophagus
B. throat
C. tongue
D. mouth
...D. mouth
President Barack Obama's economic stimulus package, which became law in February 2009, calls for every American to have an EHR by_____
A. 2015
B. 2020
C. 2012
D. 2014
...A. 2015
Typically, a physician may spend _____ time with a new patient versus an established patient
A. less
B. quality
C. more
D. the same amount of
...C. more
In an insurance policy, the ____ is the amount of expenses that must be paid out of pocket before an insurer will pay any expenses.
A. coinsurance
B. deductible
C. premium
D. copayment
... deductible
A participating physician's agreement to accept the allowed charge as payment in full is called
A. accept assignment
B. consent to fee
C. financial assignment
D. fee schedule
...A. accept assignment
A term that has to do with "tending to produce death" or a tumor "characterized by uncontrolled growth" is __________
A. lethal
B. diseased
C. malignant
D. benign
...C. malignant
An established patient is one who has been seen within the past
A. three years
B. one year
C. six months
D. two years
...A. three years
These are used in the ICD-9-CM to enclose supplementary words (also known as non-essential modifiers) that may be present in the documentation without affecting the code assignment
A. Braces
B. Slated brackets
C. Brackets
D. Parentheses
...D. Parentheses
Either the physician or medical assistant will use the fee slip to make note of the services or procedures that were performed, in addition to any ___ the patient
A. subjective findings about
B. diagnoses assigned to
C. objective findings about
D. assessments written about
...B. diagnoses assigned to
A method where the person receiving the medical benefits assigns the payment of those benefits to a physician or hospital is called ____ of benefits
A. commission
B. assignment
C. appointment
D. apportionment
...B. assignment
HIPAA stands for____
A. Health Insurance Privacy and Accountability act of 1996
B. Health Insurance Portability and Accounting Act of 1996
C. Health Insurance Privacy and Accounting Act of 1996
D. Health Insurand Portability and Accountability Act of 1996
...D. Health Insurand Portability and Accountability Act of 1996
The glossary of Mental Disorders in the ICD-9 is found in Appendix____
A. B
B. D
C. A
D. C
...A. B
CPT codes that begin with 99 refer to ____ codes
A. Anesthesia
B. Surgery
C. Evaluation and Management
D. Radiology
...C. Evaluation and Management
CPT is currently identified by the Centers for Medicare and Medicaid Services as Level ____ of the Health Care Procedure Coding System
A. 3
B. 2
C. 1
D. none of the above
...C. 1
A neoplasm is a(n) _____
A. abnormal cell growth
B. buildup of fluid
C. cyst
D. type of fracture
...A. abnormal cell growth
When offices charge fees based on the patient's financial ability to pay, this is called a ____
A. payment plan
B. sliding account
C. drop scale
D. sliding fee scale
...D. sliding fee scale
What is the current health care program of the United State Department of Defense Military Health System that provides civilian health benefits for military personnel, military retirees, and their dependents, including some members of the Reserve Component?
A. TRICARE
B. CHAMPUS
C. CHAMPVA
D. TRICAMP
...D. TRICAMP
The plane that divides the body into front and back portions is the _____plane
A. frontal
B. sagittal
C. midsagittal
D. transverse
...A. frontal
Nearly____ of the patients the medical assistant encounters will have insurance through a private or commercial insurance company
A. half
B. all
C. a third
D. a quarter
...C. a third
A report showing how long invoices from each patient have been outstanding is called an ___ report
A. advance accounts
B. aging
C. accounts receivable
D. none of the above
...B. aging
The Patient's Bill of Rights states that the patient has the right to "receive all the information that he/she needs to give informed consent for any proposed procedure or treatment. This information shall include the possible ____ and ____ of the procedure or treatment"
A. side effects, benefits
B. risks, benefits
C. cost, risk
D. cost, side effects
...B. risks, benefits
HMO stands for___
A. health maintenance operation
B. health maintenance organization
C. high maintenance organization
D. health management organization
...B. health maintenance organization
In the ICD-9 NOS stands for____
A. Not otherwise specified
B. Not on Site
C. Not on Substance
D. Not set
...A. Not otherwise specified
Medicare outpatients services are covered under Part____
A. C
B. D
C. A
D. B
...D. B
The combining form splen(o) means
A. spleen
B. Specialist
C. SPL
D. special
...A. spleen
What do the initials PFSH stand for
A. past family and social hazards
B. previous family and social history
C. past folk and societal history
D. past, family and social history
...D. past, family and social history
The word that means of or pertaining to the side is ____
A. ventral
B. medial
C. dorsal
D. lateral
...D. lateral
"Medial" means situated in or pertaining to the ____
A. side
B. left
C. middle
D. right
...C. middle
A national social insurance program, administered by the US Federal government since 1965, that guarantees access to health insurance for Americans ages 65 and older and younger people with disabilities, as well as people with end stage renal disease, is ____
A. Medicaid
B. TRICARE
C. Medicare
D. CHAMPVA
...C. Medicare
If a patient is covered by a federal program such as Medicare or Medicaid he/she is known as a ____
A. member
B. policyholder
C. subscriber
D. beneficiary
...D. beneficiary
How often is the ICD-9 updated?
A. every ten years
B. monthly
C. every five years
D. yearly
...D. yearly
What is part of the United States Department of Veterans Affairs (VA) that implements the medical assistance program of the VA through the administration and operation of numerous VA outpatient clinics, hospitals, medical centers and long-tern healthcare facilities (i.e. nursing homes)?
A. TRICARE
B. CHAMPVA
C. CHAMPUS
D. TRICAMP
...B. CHAMPVA
When a group of patients is scheduled to come in to receive the same type of service, they should be arranged around the same block of time. This is called _____
A. cluster scheduling
B. double booking
C. fixed appointment scheduling
D. wave scheduling
...A. cluster scheduling
A method in which the employer pays directly for the employee's medical bills is called____
A. managed care
B. reimbursement
C. point of service
D. self-insure
...D. self-insure
Reducing the value and code of a claim when the documentation does not support the level of service billed by the provider is called____
A. subcoding
B. downcoding
C. pronation
D. Subluxation
...B. downcoding
Evaluation and Management codes are found in the ___
A. national codes
B. CPT
C. ICD-9
D. PDR
...B. CPT
The person who owns an insurance policy is called the____
A. subscriber
B. member
C. insured
D. all of the above
.... all of the above
The plane the divides the body into upper and lower portions in the _____ plane
A. sagittal
B. frontal
C. Transverse
D. midsagittal
...C. Transverse
Consent which is not expressly granted by a person, but rather inferred from the person's actions and the facts and circumstances of the particular situation, is ___ concent
A. stated
B. implied
C. implicit
D. express
...B. implied
The intellectual identification with or vicarious experiencing of the feelings, thoughts, or attitudes of another is called ____
A. compassion
B. Sympathy
C. empathy
D. affinity
...C. empathy
The policyholder contributes to his/her policy by paying a set amount of money. This is usually a monthly fee he/she pays to the insurance company to keep the policy active. Such a payment is called ____
A. coinsurance
B. premium
C. a copayment
D. a deductible
...B. premium
A type of insurance plan that controls costs by controlling the amounts reimbursed to health care providers is called a ____ plan
a. health savings account
B. consumer directed health
C. TRICARE
D managed care
...D managed care