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Medical Coding and Credentialing Quiz

#1

Which organization oversees the CPT coding system?

American Medical Association (AMA)
Explanation

AMA oversees the CPT coding system.

#2

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

Internal Classification of Diseases
Explanation

ICD stands for Internal Classification of Diseases.

#3

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

CPT
Explanation

CPT is used for reporting physician services.

#4

What is the primary function of a medical billing specialist?

Communicating with insurance companies for payment
Explanation

Medical billing specialists communicate for payment.

#5

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

To assign procedure codes
Explanation

CPT Manual is used to assign procedure codes.

#6

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

Reduced risk of data breaches
Explanation

EHRs reduce the risk of data breaches.

#7

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

To identify healthcare providers
Explanation

NPI is used to identify healthcare providers.

#8

What is the primary responsibility of a medical coder?

Translating medical procedures into codes
Explanation

The primary responsibility of a medical coder is translating procedures into codes.

#9

What is the purpose of modifiers in medical coding?

To indicate additional information that may affect payment
Explanation

Modifiers indicate additional payment-affecting information.

#10

What is the purpose of HCPCS Level II codes?

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

HCPCS Level II codes report non-CPT covered items.

#11

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

Centers for Medicare & Medicaid Services (CMS)
Explanation

CMS maintains the HCPCS Level II coding system.

#12

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

To prevent fraud and abuse
Explanation

A Compliance Plan in coding prevents fraud and abuse.

#13

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

CMA (Certified Medical Assistant)
Explanation

CMA is not a credential for medical coding.

#14

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

RHIT (Registered Health Information Technician)
Explanation

RHIT is not a certification offered by AAPC.

#15

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

To oversee compliance with federal healthcare laws
Explanation

OIG oversees compliance with healthcare laws.

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