CMAA Week 6 Kickoff [ARCHIVE]

Multiple Choice

When using ICD-10-CM codes, what is the importance of the "Code First" notation?

• It suggests which symptoms to code first

• It requires identifying and coding the underlying condition first

• It prompts the coder to use placeholder characters

• It directs coders to only use main terms

Multiple Choice

What should a coder do if an ICD-10-CM code requires additional characters for specificity?

• Use a placeholder "X" if the specific characters are not available

• Leave the code incomplete

• Skip the code and move on

• Use a similar code that doesn't require additional characters

Multiple Choice

What should a coder do when faced with incomplete documentation for a diagnosis?

• Guess the most likely diagnosis

• Assign a code based on symptoms alone

• Ask for additional documentation from the provider

• Skip coding the diagnosis entirely

​Use the website https://www.icd10data.com/ to assign ICD-10-CM codes for the following. 

• Urticaria

• Cardiac murmur

• Fever of unknown origin

• Bell’s Palsy

• Mixed hyperlipidemia

As you use the website, write down the codes to submit on the next page. 

Multiple Choice

In procedural coding, what should be considered when a patient undergoes a surgery that includes both diagnostic and therapeutic procedures in the same session?

• Only code for the therapeutic procedure

• Code both the diagnostic and therapeutic procedures separately, unless instructed otherwise by the coding guidelines

• Bundle all procedures into a single code

• Use the higher complexity code and ignore the rest

Multiple Choice

How are procedures performed bilaterally (on both sides of the body) typically indicated in CPT coding?

• By using two separate codes for each side

• By applying a bilateral procedure modifier (-50) to the procedure code

• By using a special code for bilateral procedures

• By leaving the coding as is without any changes

Multiple Choice

In the Medicine section, how should a coder document a scenario where a patient receives both a flu vaccine and counseling on the vaccine during the same visit?

• Only code for the vaccine administration

• Use a single code that includes both the vaccine and counseling

• Code separately for the vaccine administration and the counseling time

• Skip the counseling and code only for the vaccine

Multiple Choice

How should a coder document multiple procedures performed in a single surgical session?

• Code only the most complex procedure

• Code each procedure and apply the appropriate modifiers

• Combine the procedures into one bundled code

• Use a single code for the entire session

Reorder

Place the following steps within the Revenue Cycle in proper order

• Scheduling Appointment

• Check-In

• Utilization review

• Encounter and Documentation

• Charge capture and coding

1

2

3

4

5

• 1
• 2
• 3
• 4
• 5

Multiple Select

Which of the following are a CMAA’s responsibility as it relates to financial eligibility? (Select all that apply)

• Accurately assessing a patient’s situation

• Gathering documentation

• Guide patients through payment options

• Applying discounts/write-offs

• Accurate billing that reflects assistance

Match

Match the term with its proper description:

• Categorizes outstanding balances by how long they’re overdue

• Insurance payer agrees to pay less than the amount billed

• Applied when a patient is having financial difficulties

• The removal of a balance from the books when it is no longer collectible

• Occurs when a claim is not submitted within required time frame

Aging report

Contractual Adjustment

Financial Hardship Adjustment

Write-off

Timely filing denial

• Aging report

• Contractual Adjustment

• Financial Hardship Adjustment

• Write-off

• Timely filing denial

Multiple Choice

A claim is returned to the medical office with the reason code indicating invalid CPT codes. What should the medical administrative assistant do next?

• File an appeal with supporting documentation

• Correct the CPT codes and resubmit the claim

• Wait for the insurance company to process the claim again

• Notify the patient to resolve the issue