#1
Which organization oversees the official diagnosis coding system used in the United States?
Centers for Medicare & Medicaid Services (CMS)
ExplanationCMS oversees the official diagnosis coding system in the US.
#2
What is the primary purpose of CPT codes in medical billing?
To report procedures and services performed by healthcare providers
ExplanationCPT codes are used to report procedures and services by healthcare providers.
#3
Which of the following code sets is used for reporting medical procedures and services in outpatient settings?
CPT
ExplanationCPT is used for reporting procedures and services in outpatient settings.
#4
What is the purpose of medical billing software?
To assign codes to diagnoses and procedures
ExplanationMedical billing software assigns codes to diagnoses and procedures.
#5
What is the purpose of a remittance advice in the medical billing process?
To inform a healthcare provider about a denied claim
ExplanationRemittance advice informs healthcare providers about denied claims.
#6
What does ICD stand for in medical coding?
International Classification of Diseases
ExplanationICD stands for International Classification of Diseases.
#7
What is the purpose of HCPCS Level II codes?
To identify procedures and services not covered by CPT codes
ExplanationHCPCS Level II codes identify procedures and services not covered by CPT codes.
#8
What is the purpose of a modifier in medical coding?
To provide additional information or alter the description of a service
ExplanationModifiers provide additional information or alter service descriptions in medical coding.
#9
What does DRG stand for in the context of hospital reimbursement?
Diagnosis Related Group
ExplanationDRG stands for Diagnosis Related Group in hospital reimbursement.
#10
What is the primary purpose of the CMS-1500 form in medical billing?
To submit claims for reimbursement to insurance payers
ExplanationCMS-1500 form is used to submit claims for reimbursement to insurance payers.
#11
Which of the following is a role of a medical coder?
Assigning codes to diagnoses and procedures
ExplanationMedical coders assign codes to diagnoses and procedures.
#12
Which organization is responsible for maintaining and updating the ICD-10-CM coding system?
Centers for Disease Control and Prevention (CDC)
ExplanationCDC maintains and updates the ICD-10-CM coding system.
#13
Which of the following is an example of a compliant coding practice?
Applying appropriate specificity
ExplanationA compliant coding practice involves applying appropriate specificity.
#14
What is the primary purpose of the National Correct Coding Initiative (NCCI)?
To establish guidelines for coding procedures and services
ExplanationNCCI's primary purpose is to establish guidelines for coding procedures and services.