#1
What is medical coding?
Assigning codes to medical diagnoses, procedures, and services
ExplanationCoding for medical services.
#2
What does CPT stand for in medical coding?
Current Procedural Terminology
ExplanationAbbreviation for coding terminology.
#3
In medical billing, what does the term 'EOB' stand for?
Explanation of Benefits
ExplanationExplanation of benefits.
#4
What is the purpose of a fee schedule in medical billing?
To establish standard charges for medical services
ExplanationEstablishing standard charges.
#5
What is the purpose of a Remittance Advice (RA) in medical billing?
To provide a summary of paid claims
ExplanationSummarizing paid claims.
#6
What is the purpose of the Health Insurance Portability and Accountability Act (HIPAA) in relation to medical coding and billing?
To protect patient health information
ExplanationProtecting patient information.
#7
Which code set is commonly used for outpatient medical coding in the United States?
CPT
ExplanationCommonly used for outpatient coding.
#8
Which of the following is NOT a role in medical billing?
Insurance Adjuster
ExplanationNot a role in billing.
#9
What is the primary purpose of medical coding and billing?
To translate medical services into universally recognized codes for billing and reimbursement
ExplanationTranslating services into billing codes.
#10
Which organization maintains the ICD-10-CM (International Classification of Diseases, 10th Revision, Clinical Modification) code set?
Centers for Medicare & Medicaid Services (CMS)
ExplanationMaintains ICD-10-CM.
#11
Which of the following is NOT a common healthcare claim form used in the United States?
HCFA-9000
ExplanationNot a common claim form.
#12
What does DRG stand for in the context of medical coding and billing?
Diagnosis-Related Group
ExplanationAbbreviation for diagnostic grouping.
#13
Which of the following is an example of a non-covered service in medical billing?
Routine physical exam
ExplanationExample of non-covered service.
#14
What is a modifier in medical coding?
An additional code that provides more information about a procedure or service
ExplanationAdditional code for procedure/service details.
#15
In medical coding, what does 'NCCI' stand for?
National Correct Coding Initiative
ExplanationAbbreviation for coding initiative.
#16
What is unbundling in medical coding?
Separately billing components of a service as if they were distinct procedures
ExplanationSeparate billing of service components.