Medical Coding and Credentialing Quiz

Test your understanding of medical coding with questions on CPT, ICD, credentials, modifiers, and more! Get ready for your exam.

Practice Learn Test

Which organization oversees the CPT coding system?

American Medical Association (AMA)

Centers for Medicare & Medicaid Services (CMS)

World Health Organization (WHO)

American Hospital Association (AHA)

What does the acronym 'ICD' stand for in medical coding?

International Coding Directory

Internal Classification of Diseases

Inpatient Care Diagnosis

Intensive Care Documentation

Which code set is used for reporting procedures and services performed by physicians and other healthcare providers?

ICD-10-CM

CPT

HCPCS Level II

ICD-10-PCS

What is the primary function of a medical billing specialist?

Coding medical procedures

Obtaining patient consent for treatment

Communicating with insurance companies for payment

Performing diagnostic tests

What is the purpose of the CPT Manual in medical coding?

To assign diagnosis codes

To assign procedure codes

To track patient demographics

To determine insurance coverage

Which of the following is a benefit of electronic health records (EHRs) in medical coding?

Reduced risk of data breaches

Increased paperwork for healthcare providers

Limited access to patient information

Decreased efficiency in coding and billing

What is the purpose of a NPI (National Provider Identifier) in medical coding?

To identify healthcare providers

To identify medical diagnoses

To track patient progress

To bill insurance companies

What is the primary responsibility of a medical coder?

Administering medications

Diagnosing patients

Translating medical procedures into codes

Performing surgeries

What is the purpose of modifiers in medical coding?

To specify the number of units for a procedure

To indicate additional information that may affect payment

To identify the primary diagnosis

To categorize the type of healthcare provider

#10

What is the purpose of HCPCS Level II codes?

To identify diagnosis codes for inpatient procedures

To report services, supplies, and equipment not covered by CPT

To classify diseases and related health problems

To track patient demographics

#11

Which organization is responsible for maintaining the HCPCS Level II coding system?

American Medical Association (AMA)

Centers for Medicare & Medicaid Services (CMS)

American Health Information Management Association (AHIMA)

World Health Organization (WHO)

#12

What is the purpose of a Compliance Plan in medical coding?

To ensure patient satisfaction

To prevent fraud and abuse

To monitor medical staff performance

To increase revenue for healthcare facilities

#13

Which of the following is NOT a credential for medical coding?

CPC (Certified Professional Coder)

CCS-P (Certified Coding Specialist-Physician-based)

CMA (Certified Medical Assistant)

RHIA (Registered Health Information Administrator)

#14

Which of the following is NOT a type of medical coding certification offered by AAPC (American Academy of Professional Coders)?

CPC (Certified Professional Coder)

CCS (Certified Coding Specialist)

CPC-H (Certified Professional Coder-Hospital)

RHIT (Registered Health Information Technician)

#15

What is the purpose of the OIG (Office of Inspector General) in relation to medical coding?

To provide legal advice to healthcare providers

To oversee compliance with federal healthcare laws

To develop new medical coding guidelines

To establish reimbursement rates for medical procedures