#1
Which organization publishes the Current Procedural Terminology (CPT) code set?
American Medical Association (AMA)
ExplanationAMA publishes CPT codes for medical procedures.
#2
What is the purpose of the International Classification of Diseases (ICD) code set?
To classify diseases and health-related problems
ExplanationICD codes classify diseases and health issues.
#3
What does DRG stand for in the context of medical coding?
Diagnosis-Related Group
ExplanationDRG groups diagnoses for billing and reimbursement.
#4
Which code set is used to report procedures and services performed in the hospital outpatient setting?
CPT
ExplanationCPT codes report outpatient procedures and services.
#5
Which of the following code sets is used to report medical services and procedures provided by healthcare professionals?
CPT
ExplanationCPT codes report healthcare professional services and procedures.
#6
Which of the following code sets is used primarily for billing and reimbursement purposes?
CPT
ExplanationCPT codes are used for billing and reimbursement.
#7
What is the purpose of modifiers in medical coding?
To provide additional information about a service or procedure
ExplanationModifiers offer extra details for services or procedures.
#8
What is the purpose of the Evaluation and Management (E/M) codes?
To document physician-patient encounters
ExplanationE/M codes record physician-patient interactions.
#9
Which type of modifier indicates that multiple procedures were performed during the same surgical session?
Modifier 50
ExplanationModifier 50 denotes multiple procedures in one surgery.
#10
Which of the following entities maintains the HCPCS Level II code set?
Centers for Medicare & Medicaid Services (CMS)
ExplanationCMS maintains HCPCS Level II codes.
#11
Which of the following statements about Hierarchical Condition Categories (HCC) coding is true?
HCC coding is used to classify diagnoses for risk adjustment purposes
ExplanationHCC coding categorizes diagnoses for risk adjustment.
#12
What is the purpose of the National Correct Coding Initiative (NCCI) edits?
To ensure accurate code assignment
ExplanationNCCI edits guarantee correct code assignments.
#13
Which type of code represents an additional diagnosis that affects the treatment provided to the patient?
Secondary diagnosis code
ExplanationSecondary diagnosis codes affect treatment.
#14
What is the purpose of the Present on Admission (POA) indicator?
To indicate whether a condition was present at the time of admission to a healthcare facility
ExplanationPOA indicators show conditions present at admission.
#15
What is the purpose of the Resource-Based Relative Value Scale (RBRVS) in medical coding?
To assign relative values to medical services for reimbursement purposes
ExplanationRBRVS assigns values to medical services for reimbursement.