#1
Which organization publishes the Current Procedural Terminology (CPT) code set?
World Health Organization (WHO)
American Medical Association (AMA)
Centers for Medicare & Medicaid Services (CMS)
International Classification of Diseases (ICD)
#2
What is the purpose of the International Classification of Diseases (ICD) code set?
To classify diseases and health-related problems
To identify medications and treatments
To determine patient demographics
To specify surgical procedures
#3
What does DRG stand for in the context of medical coding?
Diagnostic Radiology Group
Diagnosis-Related Group
Drug Rehabilitation Guidelines
Disease Risk Gauge
#4
Which code set is used to report procedures and services performed in the hospital outpatient setting?
ICD-10-CM
CPT
HCPCS Level II
ICD-10-PCS
#5
Which of the following code sets is used to report medical services and procedures provided by healthcare professionals?
ICD-10-CM
CPT
HCPCS Level II
DRG
#6
Which of the following code sets is used primarily for billing and reimbursement purposes?
ICD-10-CM
CPT
HCPCS Level II
SNOMED CT
#7
What is the purpose of modifiers in medical coding?
To provide additional information about a service or procedure
To change the primary diagnosis code
To identify the patient's insurance provider
To specify the location of the procedure
#8
What is the purpose of the Evaluation and Management (E/M) codes?
To report surgical procedures
To classify laboratory tests
To document physician-patient encounters
To identify durable medical equipment
#9
Which type of modifier indicates that multiple procedures were performed during the same surgical session?
Modifier 50
Modifier 25
Modifier 51
Modifier 59
#10
Which of the following entities maintains the HCPCS Level II code set?
American Medical Association (AMA)
Centers for Medicare & Medicaid Services (CMS)
World Health Organization (WHO)
International Classification of Diseases (ICD)
#11
Which of the following statements about Hierarchical Condition Categories (HCC) coding is true?
HCC coding is used primarily in outpatient settings
HCC coding is used to classify diagnoses for risk adjustment purposes
HCC coding is not related to reimbursement
HCC coding is only used for pediatric patients
#12
What is the purpose of the National Correct Coding Initiative (NCCI) edits?
To define surgical procedures
To ensure accurate code assignment
To classify laboratory tests
To determine patient demographics
#13
Which type of code represents an additional diagnosis that affects the treatment provided to the patient?
Primary diagnosis code
Secondary diagnosis code
Principal diagnosis code
Present on admission (POA) indicator
#14
What is the purpose of the Present on Admission (POA) indicator?
To identify the patient's insurance provider
To specify the location of the procedure
To indicate whether a condition was present at the time of admission to a healthcare facility
To provide additional information about a service or procedure
#15
What is the purpose of the Resource-Based Relative Value Scale (RBRVS) in medical coding?
To determine the patient's insurance provider
To classify diseases and health-related problems
To assign relative values to medical services for reimbursement purposes
To provide additional information about a service or procedure