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Medical Billing and Coding Essentials Quiz

#1

What is the purpose of medical coding?

To assign numeric codes to diagnoses and procedures
Explanation

Assigning codes for diagnoses and procedures in healthcare records.

#2

Which code set is commonly used for outpatient medical coding?

CPT
Explanation

CPT is commonly used for outpatient coding, detailing procedures and services.

#3

What does the acronym 'EHR' stand for in healthcare?

Electronic Health Record
Explanation

EHR stands for Electronic Health Record in healthcare.

#4

What does 'EDI' stand for in the context of medical billing?

Electronic Data Interchange
Explanation

EDI stands for Electronic Data Interchange in medical billing.

#5

What is the primary purpose of the CPT (Current Procedural Terminology) code set?

To describe surgical procedures
Explanation

CPT describes surgical procedures in medical coding.

#6

What does HCPCS stand for in medical coding?

Healthcare Common Procedure Coding System
Explanation

HCPCS is the Healthcare Common Procedure Coding System for medical procedures.

#7

Which of the following is NOT a part of the Revenue Cycle Management process?

Scheduling
Explanation

Scheduling is not a part of Revenue Cycle Management; it involves other stages.

#8

Which of the following code sets is used for reporting inpatient procedures and services?

ICD-10-PCS
Explanation

ICD-10-PCS is used for reporting inpatient procedures and services in medical coding.

#9

What does DRG stand for in the context of medical billing?

Diagnosis-Related Group
Explanation

DRG stands for Diagnosis-Related Group in medical billing.

#10

What is the purpose of a modifier in medical coding?

To indicate that a service or procedure has been altered
Explanation

Modifiers indicate alterations in services or procedures in medical coding.

#11

What does 'EOB' stand for in medical billing?

Explanation of Benefits
Explanation

EOB stands for Explanation of Benefits in the context of medical billing.

#12

Which organization oversees the implementation of HIPAA standards in healthcare?

HHS (Department of Health and Human Services)
Explanation

HHS oversees HIPAA standards in healthcare.

#13

Which of the following is an example of a 'clean claim'?

A claim submitted with accurate and complete information
Explanation

A clean claim is accurate and complete in the information submitted.

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