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WorksheetsMedical Coding
Total questions: 20
Worksheet time: 15mins
Why is it important for the medical assistant to understand medical insurance coding?
Needed to transfer all information
Assists explanations to patients
Helps the patient file claims
Serves as basis for the information on the claim form
What is necessary in order to authorize release of medical information to an insurance carrier?
A verbal agreement between the patient and the doctor is necessary.
A medical release from the patient is needed.
A handshake between the patient and the doctor is all that is necessary.
Authorization is never required to release medical information.
Physicians never have to share medical information.
Which of the following organizations developed ICD-10-CM in 1992?
American Medical Association
Centers for Medicare and Medicaid Services
World Health Organization
Health Care Financing Administration
Which of the following applies to the coding book used for specifying services and procedures performed in the medical office?
ICD-9-CM
RBRVS
CPT
EOB
How many major sections are in the Current Procedural Terminology reference book?
Four
Five
Six
Seven
Which section of the CPT book includes coding of immunizations and chemotherapy?
Medicine
Surgery
Pathology
Laboratory
Which section of the CPT book includes coding of lacerations?
Medicine
Surgery
Pathology
Laboratory
The ICD-10-PCS codes have how many alphanumeric characters?
3
7
4
9
Who is responsible for maintaining the procedure codes for the ICD-10-CM?
CMS
WHO
AMA
FDA
Which of the following is NOT affected by coding accuracy?
Ruling out a diagnosis
Physician reimbursement
Resubmissions
Medical records
Which of the following is completed using data from the patient’s electronic health record in most offices today?
CMS 1490
UB92
CMS 1500
HCFA form
Which of the following information is NOT included in coding?
Visit complexity
Diagnosis for visit
Specific procedures
Counseling
Which of the following is recommended to do first when a claim is not paid within 4–6 weeks?
Allow the carrier 30 days more to pay the claim.
Check the carrier’s regulations for payment
Call the insurance carrier and ask about the delay.
Resubmit the claim.
Which of the following applies to codes used as supplements to the basic CPT system and are required when reporting services and procedures to Medicare patients?
HCPCS
M codes
E&M codes
DRGs
Which of the following is NOT a section of the CPT coding system?
Evaluation and Management
Anesthesiology
Medicine
Psychiatry
The ICD-CM 10th revision will utilize alphanumeric codes that will consist of up to how many characters?
Five
Six
Seven
Eight
Separating the components of a procedure and reporting them as billable codes with charges in order to increase reimbursement rates is known as what?
Upcoding
Unbundling
Bundling
Downcoding
Which of the following is the claim form used for filing inpatient admissions claims?
CMS 1500
UB-04
CMS 1490
HCFA 1500
Which of the following occurs when the insurance carrier is deliberately billed a higher rate service than what was performed to order for the provider to obtain greater reimbursements?
Upcoding
Bundling
Downcoding
Unbundling
On completion of the processing of the claim, the insurance company sends what to the insured person?
POS
Claim remittance
EOB
1490 form
