MIBC CERTIFICATION EXAM STUDY GUIDE REVIEW QUESTIONS

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MIBC CERTIFICATION EXAM STUDY GUIDE REVIEW QUESTIONS Which of the following entities is responsible for implementing the various provisions of HIPAA in Health Care? a. occupational safety and heal... th administration (OSHA) b. centers for disease control and prevention (CDC) c. food and drug administration (FDA) d. centers for medicare and medicaid services (CMS) 5 - ✔✔Centers for Medicare and Medicaid Services Which of the following is not a key component in selecting a level of Evaluation and Management services? a. history b. date c. examination d. medical decision - ✔✔date When a non-member physician treats an HMO patient, the service rendered is termed: a. provisional b. within network c. improper d. out of plan or out of network - ✔✔out of plan or out of network New codes in the CPT manual are represented by: a. a plus sign b. a triangle c. a solid circle d. right and left triangle - ✔✔a solid circle The Medical Program for dependents of active military personnel is called: a. CHAMPVA b. TRICARE c. Medicaid d. Blue Cross/Blue Shield - ✔✔TRICARE When a code has less than 6 characters and a 7th character applies, is it appropriate to leave a space in the code? a. true b. false - ✔✔false A sequela of an injury is reported with the code that describes the sequela followed by the code for the injury with 7th character 'S.' a. true b. false - ✔✔true Karen has been in a car accident and broke her arm. Which volume will you refer to first to find a code representing her problem? a. Volume 1 - the Tabular List b. Volume 2 - the Instruction Manual c. Volume 3 - the Alphabetical Index - ✔✔Volume 3 - the Alphabetical Index Janice has breast cancer and is coming into the office today for Chemotherapy. In which chapter would you find the code for chemotherapy? a. Chapter XIX - Injury, poisoning, and certain other consequences of external causes (S00-T98) b. Chapter XX - External causes of morbidity and mortality (V01-Y98) c. Chapter XXI - Factors influencing health status and contact with health services (Z00-Z99) - ✔✔Chapter XXI In which chapter would you find a malignant cancer of the esophagus? a. Chapter II Neoplasms b. Chapter XI Diseases of the digestive system c. Chapter XX Diseases of the respiratory system - ✔✔Chapter II Neoplasms A veteran's wife needs to go to the doctor. Her husband's leg was cut off due to an explosion in Afghanistan. Which insurance is she likely to have? a. TRICARE b. CHAMPVA c. Blue Cross and Blue Shield c. Workers' Compensation - ✔✔CHAMPVA In the diagnostic statement "eye dryness form insufficient tear production" the primary diagnosis is: a. eye dryness b. eye irritation c. insufficient tear production d. conjunctivitis - ✔✔insufficient tear production Health policies concerning the patient's consitutional right to privacy, confidentiality, and informed consent are a part of: a. disclosure laws b. patient's bill of rights c. statutes of limitations d. technical guidelines - ✔✔patient's bill of rights Services that are not covered by an insurance plan are referred to as: a. procedures billed with incorrect CPT codes b. adjustments c. bad debt d. exclusions - ✔✔exclusions C codes, in the HCPCS describe some services, such as drugs, biologicals, devices, and supplies that are provided in the _____ setting? a. inpatient b. office c. outpatient hospital d. nursing home - ✔✔outpatient hospital What do the letters NEC indicate? a. indicates terms that are to be coded elsewhere b. appears under a code to further define or explain the content c. encloses synonyms, alternative words, or explanatory phrases d. indicates the use of code assignment for "other" when a more specific code does not exist - ✔✔indicates the use of code assignment for "other" when a more specific code does not exist The term malignant refers to: a. malignancy that is located within the original site of development b. site to which a malignant tumor has spread c. site of origin or where the tumor originated d. used to describe a cancerous tumor that grows worse over time - ✔✔used to describe a cancerous tumor that grows worse over time An inconclusive diagnosis is indicated by terms such as: a. rule out, suspected, probable b. finding, result, report c. malignant, benign, in situ d. adverse effect, poisoning, unspecified - ✔✔rule out, suspected, probable Codes that identify the procedures performed for a patient are called: a. CPT b. ICD c. DOS d. POS - ✔✔CPT Giving the patient adequate information concerning the method, risk, and consequences prior to a procedure is called: a. tort b. confidentiality c. informed consent d. the right to know - ✔✔informed consent [Show More]

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