#1
What is medical coding?
A process of translating medical services into universal codes
A process of diagnosing medical conditions
A process of billing patients for medical services
A process of managing medical records
#2
Which code set is commonly used for outpatient medical coding in the United States?
ICD-10-CM
ICD-10-PCS
CPT
HCPCS Level II
#3
What is the primary role of a medical billing specialist?
Performing medical procedures
Interpreting diagnostic tests
Translating medical services into codes and submitting claims to insurance companies
Diagnosing medical conditions
#4
Which organization developed the CPT code set?
Centers for Medicare and Medicaid Services (CMS)
American Medical Association (AMA)
American Health Information Management Association (AHIMA)
World Health Organization (WHO)
#5
Which type of code describes a medical service or procedure provided to a patient?
Diagnosis code
Procedure code
Modifier code
Place of service code
#6
What does E&M stand for in medical coding?
Examination and Medicine
Evaluation and Management
Emergency and Medicine
Extraction and Management
#7
What is the purpose of the CMS-1500 form?
To bill for inpatient hospital services
To bill for outpatient services
To request authorization for medical procedures
To report adverse events
#8
What does CPT stand for in medical coding?
Current Procedural Terminology
Coding and Procedural Technology
Clinical Procedure Translation
Clinical Procedural Testing
#9
Which of the following code sets is used for inpatient hospital procedures in the United States?
ICD-10-CM
ICD-10-PCS
CPT
HCPCS Level II
#10
Which organization maintains the ICD-10-CM code set?
American Medical Association (AMA)
American Health Information Management Association (AHIMA)
Centers for Medicare and Medicaid Services (CMS)
World Health Organization (WHO)
#11
What is the primary purpose of using modifiers in medical coding?
To indicate the location of the medical service
To indicate the severity of the medical condition
To provide additional information or clarify circumstances that may affect the claim reimbursement
To identify the primary diagnosis
#12
What is the purpose of the ICD-10-PCS code set?
To code diagnoses for inpatient services
To code procedures for outpatient services
To code diagnoses for outpatient services
To code procedures for inpatient services
#13
What is the purpose of the HCPCS Level II code set?
To code procedures for inpatient services
To code diagnoses for inpatient services
To code procedures for outpatient services
To code supplies, durable medical equipment, and drugs for billing purposes
#14
Which code set is used for reporting dental procedures in the United States?
ICD-10-CM
ICD-10-PCS
CPT
CDT
#15
What does DRG stand for in the context of medical coding and billing?
Diagnosis-Related Group
Diagnostic Reporting Guideline
Document Retrieval Guide
Disease Resource Group
#16
Which of the following is NOT a component of the HIPAA standards for electronic healthcare transactions?
Privacy Rule
Security Rule
Transaction and Code Set Rule
Accessibility Rule
#17
What is a RAC audit in the context of medical coding and billing?
Routine Audit Committee
Randomized Assessment Check
Recovery Audit Contractor
Regulatory Analysis Center