#1
Which code set is used to report diagnoses in healthcare?
ICD
ExplanationICD is the International Classification of Diseases, used for reporting medical diagnoses.
#2
What does CPT stand for in medical billing and coding?
Current Procedure Terminology
ExplanationCPT stands for Current Procedure Terminology and is used for reporting medical procedures.
#3
Which of the following code sets is primarily used for reporting outpatient procedures?
CPT
ExplanationCPT (Current Procedure Terminology) is used for reporting outpatient medical procedures.
#4
What does HIPAA stand for in the context of healthcare?
Health Insurance Portability and Accountability Act
ExplanationHIPAA ensures privacy and security of patient information in healthcare.
#5
Which organization publishes the CPT code set?
AMA - American Medical Association
ExplanationThe American Medical Association (AMA) publishes the CPT code set.
#6
What is the purpose of a National Provider Identifier (NPI)?
To identify individual healthcare providers in the United States
ExplanationNPI is used to uniquely identify healthcare providers in the U.S.
#7
Which of the following is an example of a level II HCPCS code?
A0422
ExplanationA0422 is an example of a level II HCPCS code, used for specific healthcare services.
#8
What does DRG stand for in healthcare?
Diagnosis Related Group
ExplanationDRG stands for Diagnosis Related Group, a system for classifying inpatient cases.
#9
Which of the following code sets is used for reporting medical services and procedures?
CPT
ExplanationCPT is used for reporting a wide range of medical services and procedures.
#10
What is the primary purpose of medical coding in healthcare?
To ensure accurate and efficient reimbursement for healthcare services
ExplanationMedical coding ensures accurate billing and reimbursement for healthcare services.
#11
What is the purpose of the ICD-10-CM code set?
To report medical diagnoses and inpatient procedures
ExplanationICD-10-CM is used for reporting medical diagnoses and inpatient procedures.
#12
What does E/M stand for in medical coding?
Evaluation and Management
ExplanationE/M stands for Evaluation and Management, encompassing services related to patient assessment and care.
#13
Which of the following organizations oversees the ICD code set?
CMS - Centers for Medicare & Medicaid Services
ExplanationCMS oversees the ICD code set, ensuring standardization in healthcare coding.
#14
What is a modifier in medical coding?
A code used to indicate special circumstances that affect the performed service
ExplanationModifiers provide additional information or indicate special circumstances in medical coding.
#15
Which of the following is NOT a component of Evaluation and Management (E/M) services?
Diagnosis
ExplanationDiagnosis is not a component of E/M services; it focuses on patient assessment and management.
#16
What does UB-04 stand for in healthcare billing?
Uniform Billing 2004
ExplanationUB-04 is the Uniform Billing 2004 form used for submitting insurance claims in healthcare.
#17
What is the purpose of a compliance program in healthcare organizations?
To ensure adherence to laws, regulations, and guidelines
ExplanationCompliance programs in healthcare ensure adherence to legal and regulatory standards.