#1
What is the primary purpose of medical coding?
To communicate diagnoses and treatments
To schedule appointments
To manage patient records
To order medical supplies
#2
What does the acronym HIPAA stand for in the context of medical coding and documentation?
Healthcare Integrity and Protection Accountability Act
Healthcare Information and Protection Accountability Act
Health Insurance Portability and Accountability Act
Health Insurance Protection and Accountability Act
#3
What is the main function of the CPT (Current Procedural Terminology) code set?
To classify diseases and health problems
To describe medical, surgical, and diagnostic services
To assign unique identifiers to healthcare providers
To calculate reimbursement rates for healthcare facilities
#4
What does 'EHR' stand for in the context of healthcare documentation?
Electronic Health Records
Emergency Hospital Reporting
Extended Healthcare Reviews
Effective Healthcare Records
#5
What is the purpose of the 'principal diagnosis' in medical coding?
To identify the patient's main complaint
To list all diagnoses related to the patient's condition
To determine the primary reason for the patient's encounter
To indicate the treating physician's specialty
#6
What does the acronym 'HIPAA' stand for in healthcare documentation?
Health Information and Procedure Accountability Act
Healthcare Information Portability and Accountability Act
Healthcare Interoperability and Privacy Protection Act
Health Information Privacy and Accessibility Act
#7
Which code set is commonly used for outpatient services and procedures in the United States?
ICD-10-CM
CPT
HCPCS Level II
ICD-10-PCS
#8
What does DRG stand for in the context of medical coding?
Diagnosis Resource Group
Diagnosis Related Group
Documentation Reimbursement Guide
Diagnostic Reporting Grid
#9
Which of the following is NOT a key component of E/M (evaluation and management) coding?
History
Treatment
Examination
Medical Decision Making
#10
Which of the following code sets is used for reporting procedures and services performed in hospital inpatient settings in the United States?
CPT
ICD-10-CM
HCPCS Level II
ICD-10-PCS
#11
What is the purpose of the CMS-1500 form in medical billing?
To request prior authorization for medical procedures
To report services provided by physicians and other healthcare professionals
To request reimbursement for durable medical equipment
To enroll in Medicare or Medicaid
#12
Which organization is responsible for maintaining the ICD-10-CM code set?
American Medical Association (AMA)
Centers for Medicare & Medicaid Services (CMS)
World Health Organization (WHO)
American Health Information Management Association (AHIMA)
#13
What is the purpose of modifier codes in medical billing and coding?
To indicate the gender of the patient
To identify the primary physician
To provide additional information or adjust payment
To specify the location of the medical service
#14
In medical coding, what does the term 'bundling' refer to?
Combining multiple services or procedures into a single code
Dividing a single service or procedure into multiple codes
Excluding certain services or procedures from reimbursement
Applying modifiers to increase reimbursement
#15
In medical coding, what does the acronym 'HCC' typically refer to?
Healthcare Coverage Criteria
Hospital Coding Certification
Hierarchical Condition Categories
Healthcare Compliance Checklist
#16
What does the acronym 'NCCI' stand for in medical coding?
National Coverage Criteria Index
National Correct Coding Initiative
New Clinical Coding Information
Non-Covered Conditions Inventory
#17
Which type of code represents a medical service or procedure that is experimental or not yet FDA approved?
Modifier code
Unlisted procedure code
Category III CPT code
HCPCS Level II code
#18
In medical coding, what does the acronym 'MUE' typically refer to?
Medical Utilization Examination
Medicare Utilization Efficiency
Medically Unlikely Edits
Medication Usage Evaluation