Font size
WorksheetsHCMA 115 Week 3 test review
Total questions: 32
Worksheet time: 8hrs 0mins
Which code represents deoxyribonucleic acid antibody, native or double stranded?
86225
89215
96226
A history is an interview of the patient that includes which of the following elements?
chief complaint, history of present illness, past/family/social history, physical examination
chief complaint, history of present illness, past/family/social history, review of systems
hief complaint, history of present illness, past/family/social history
Which is the examination of a patient by a health care provider, usually a specialist, for the purpose of advising the referring or attending physician in the evaluation and/or management of a specific problem with a known diagnosis?
discharge
referral
consultation
When the physician makes arrangements with other providers or agencies for services to be provided to a patient, this is called __________ of care.
coordination
transfer
delivery
Which codes represent decompression of spinal cord using transpedicular approach, three lumbar segments?
63064, 63066
63056, 63057 x2
63064, 63066 x2
Which code represents computed tomography, head or brain, without contrast material, followed by contrast material and further sections?
76376
70470
70450
The CPT detailed history includes the __________.
chief complaint, extended HPI, problem-pertinent system review extended to include a limited number of
additional systems, and pertinent PFSH directly related to the patient’s problem
chief complaint, brief history of present illness or problem, and problem-pertinent system review
.chief complaint and brief history of present illness or problem
Which code represents excision of 6.2 cm malignant lesion including margins, face?
11606
11646
11644
Which code represents exploratory supratentorial craniectomy?
61304
61305
61314
Which code represents an intermediate closure of a heavily contaminated hand wound that required extensive cleaning, 14.3 cm?
12001
12045
12035
Which code represents excision of lip, full thickness, reconstruction with cross lip flap (Abbe-Estlander)?
40527
40525
40510
Which code represents cholecystectomy with exploration of common duct?
47612
47610
47600
Which code represents bilateral excision of hydrocele?
55040
55040-50
55041
Which code represents syndactylization, toes (Kelikian-type procedure)?
28286
28285
28280
Which are reported when a physician directly delivers medical care for a critically ill or critically injured patient?
critical care services
inpatient services
outpatient services
CPT modifiers __________ the meaning of services and procedures performed by providers.
delete
clarify and alter
revise
Which codes represent critical care evaluation and management of the critically injured patient for 90 minutes?
99292, 99292, 99292
99285, 99288
99291, 99292
Physicians’ services involving patient contact that are considered beyond the usual service in either an inpatient or outpatient setting may be reported as __________ services.
prolonged
case management
unlisted
The CPT problem-focused history includes the __________.
chief complaint, extended HPI, ROS directly related to the problem(s) identified in the HPI in addition to a
review of all additional body systems, and complete PFSH
chief complaint, extended HPI, problem-pertinent system review extended to include a limited number of
additional systems, and pertinent PFSH directly related to the patient’s problem
chief complaint and brief history of present illness or problem
Which code represents hemodialysis procedure with physician evaluation?
90935
90937
90940
Which of the following steps to medical billing should be performed prior to rendering medical services?
Collect patient insurance information.
Verify the patient’s eligibility for insurance coverage and collect patient insurance information
Verify the patient’s eligibility for insurance coverage
The medical assistant should always follow office __________ for claim review and signatures.
rules
policies
directions
Which of the following methods can be used to determine a patient’s eligibility for insurance?
Calling the provider services number on the back of the health insurance ID and using the provider web portal sponsored by the patient’s health insurance company
Calling the provider services number on the back of the health insurance ID
Using the provider web portal sponsored by the patient’s health insurance company
f the ICD-10-CM codes and the CPT/HCPCS codes do not match the claim will not show __________.
eligibility
medical necessity
precertification
Services and/or supplies used to treat the patient’s diagnosis meet the accepted standard of medical practice is the definition of:
eligibility.
capitation.
medical necessity.
A set dollar amount that the patient must pay for each office visit is the definition of:
adjudicate.
copayment.
deductible.
The insured’s address in block 7 refers to the __________ address.
policyholder’s
patient’s
insurance carrier’s
The physician’s signature is located in block:
12
31
13
A secondary health plan is noted in which block?
11a
11b
11d
Dirty claims cannot be resubmitted.
true
false
A PAR provider can bill the patient for the difference between their fee and insurance companies allowed amount.
true
false
Only physicians can be providers of medical services.
True
False
