Certified billing and Coding Specialist Exam prep – COMPLETE SOLUTIONS

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Certified billing and Coding Specialist Exam prep – COMPLETE SOLUTIONS The insured may not necessarily be the patient seen for the medical service. - ✔✔True Personal insurance is usually less... expensive than other health insurance. - ✔✔False Time limits stated in individual health insurance policies about an insurance company's obligation to pay benefits are the same for all insurance companies. - ✔✔False There is standardization of format for the explanation of benefit document for all private insurance carriers. - ✔✔False What organization publishes diagnostic and procedure coding competencies for outpatient services and diagnostic coding and reporting requirements for physician billing? - ✔✔American Health Information Management Association (AHIMA) Medical etiquette refers to: - ✔✔Consideration of others CPT codes are assigned to which of these? - ✔✔Coding procedures and services Exceptions to the right of privacy rule include: - ✔✔Gunshot wound cases A common format for medical record documentation is called: - ✔✔SOAP Most physician/patient contracts are: - ✔✔Implied An inventory of body systems for which the patient complains of signs and symptoms is called? - ✔✔ROS When coding a front torso burn, which percentage of body would be indicated? - ✔✔18% To which of the following would be assigned CPT code? - ✔✔Tonsillectomy Urine moves through the kidneys to the bladder through the: - ✔✔Ureters Which box of the CMS-1500 Form would be completed with codes for procedures, services or supplies? - ✔✔Box 24d Which of these is considered PHI? - ✔✔Photographic images, even in profile This means "Let the Master Answer"? - ✔✔Respondeat Superior Patient sees the physician for a regular office visit which is charged at $90. The allowable amount for the patient's insurance company covers the office visit in full, with a $10 copay, and the patient has not met the $125 deductible. How much does the patient owe? - ✔✔$90 Using SOAP notes, what would be found in the Assessment portion of the record? - ✔✔Diagnosis If a Medicare patient wants a procedure that is a non-covered benefit, what form do they need to sign that indicates they are aware it is not covered? - ✔✔Advanced Beneficiary Notice Who is responsible for entering proper medical documentation to support reimbursement of procedures and services? - ✔✔Clinician The primary function of the spleen is: - ✔✔Production and removal of blood cells as part of the immune system The pre-established percentage of expenses paid by the patient, or another insurance carrier, after the primary insurance has made payment, and the deductible is met: Select one: - ✔✔Coinsurance What happens with information that is abstracted from the medical record? - ✔✔Coded and forwarded to the insurance The significant reason for which a patient is admitted to the hospital is coded using the: - ✔✔Principal Diagnosis Which of these is a common abbreviation for the test that assesses the electrical activity of the heart? - ✔✔ECG Confidential information about patients should never be discussed with: - ✔✔Family Coworkers Friends Name the correct procedure for keeping an industrial patient's financial and health records when the same physician is also seeing the patient as a private patient - ✔✔Separate financial and health records must be used Patient presents with abdominal pain. In what part of documentation would the duration and symptoms be indicated? - ✔✔HPI The statutes for workers' compensation laws fall under: - ✔✔Federal and state compensation laws Which of these is the result of a claim that is submitted electronically with an old insurance policy number? - ✔✔Denial [Show More]

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