Bundle for Coding Tests Compilation

NHA Billing and Coding practice test (CBCS)

Diagnostic-related groups (DRGs) and ambulatory patient classifications (APCs) are similar in that they are both: a. Determined by HCPCS codes b. Focused on hospital outpatients c. Focused on hospital inpatients d. Prospective payment systems Correct Answer: d. Prospective payment systems **...

What is the Level of Detail in Coding Correct Answer: ICD-10 codes are to be used and reported at their highest number of characters possible (specificity) What is the Level of Detail in Coding Example Correct Answer: (in this example do not stop at "Hypertension 110" go to the highest level ...

ICD 10-CM MANUAL HAS AN ESTMATED OF HOW MANY CODES Correct Answer: 72,000 ICD 10-CM MANUAL GUIDELINES ARE DIVIDED INTO HOW MANY SECTION(S) Correct Answer: FOUR (4) ICD 10-CM MANUAL DIVIDED INTO HOW MANY APPENDIX (S) Correct Answer: ONE (1) ICD 10-CM MANUAL SECTION (I) HAS HOW MANY PRIMAR...

Section IV Guidelines are not used for ___________ Correct Answer: Inpatient Services Section IV Guidelines are used for ___________ Correct Answer: Outpatient Services For Inpatient Services we use the ______ Correct Answer: Uniform Hospital Discharge Data Set Guidelines (In sections II, ...

Encounter and Visit are often used interchangeably in describing ____________ - Outpatient Service (Diagnostic Coding and Reporting Guidelines for Outpatient Services) In the outpatient setting, the term _______diagnosis is used in lieu of principal diagnosis. - FirstListed (Selection of first-liste...

What 2 groups of persons were added to those eligible for Medicare benefits after the initial establishment of the Medicare program? - 1. Persons eligible for disability benefits from Social Security 2. Persons with permanent kidney failure requiring dialysis or transplant To what government organiz...

An insurance and coding specialist is reviewing a patient's encounter form that is documented in the medical record prior to competing a CMS-1500 form. She notices that the physician upcoded the encounter form. The specialist has the ethical obligation to first - query the physician A patient had s...

When coding for outpatient and professional services and procedures, a billing and coding specialist must sequence the diagnosis codes according to ICD-10-CM guidelines. Which of the following describes the first listed diagnosis code on a claim? Correct Answer: Primary diagnosis Which of the fo...

CPT codes are A. 2 digits B. 5 digits C. 3 digits D. 4 digits Correct Answer: 5 digits An organization which provides a wide range of services for a specified group at a fixed periodic payment is termed an A. Individual Contract B. HMO C. Conversion Privilege D. Exclusive Provider Org...

It is important to make the patient aware of the mailing address, interest rates, and length of agreement when setting up a Correct Answer: payment arrangement. What is the correct term for a doctor who enters into an agreement with a third party payer on charges, discounts, and services rendere...

An insurance and coding specialist is reviewing a patient's encounter form that is documented in the medical record prior to competing a CMS-1500 form. She notices that the physician upcoded the encounter form. The specialist has the ethical obligation to first Correct Answer: query the physician ...

A coding analyst consistently enters the wrong code for patient gender in the electronic billing system. What data quality or data integrity measures should be in place to ensure that only allowable code numbers are entered? a. Access controls b. Audit trail c. Edit checks d. Password controls C...

Are limitations of the clinical privileges of a psychiatrist for more than 30 days reportable to the NPDB? - Yes According to TJC, who may amend the medical staff bylaws? - Governing body/board. Failure to meet the established qualifications and criteria for appointment should be reported to whom? -...