MEDICAL CODING AND BILLING
CERTIFICATION EXAM 2024 ACTUAL
EXAM COMPLETE 200 QUESTIONS WITH
DETAILED VERIFIED ANSWERS (100%
CORRECT ANSWERS) / ALREADY
GRADED A+
If an encounter for indicates a diagnosis of dermatitis on
the right hand, what does the patient have? -
....ANSWER...Inflammation of the skin
which HIPAA provision requires access to healthcare
portability, and re renewability newability -
....ANSWER...Title I
which is approval obtained from the insurance pay or prior
to a patient patient being admitted to the hospital? -
....ANSWER...Precertification
Anastasia provided her surgery is measured in 15 minute
increments called ____________. - ....ANSWER...Units
,2|Page
A crosswalk between deleted codes and corrected codes in
the CPT manual is called ___________. -
....ANSWER...Renumbered citations
When an employer employee said the cost of health
insurance, what type of insurance plan is this? -
....ANSWER...Group
The Super Bowl indicates that the patient had a diagnosis
of cephalgia. In other words, what does the patient have? -
....ANSWER...Headache
what is the act of one physician providing medical services
for another provider free of charge? -
....ANSWER...Professional courtesy
which represents a gap or the amount of money that a
medicare patient has to pay out of pocket for prescription
drugs? - ....ANSWER...Donut hole
Which entity is paid a percentage of the amount of
payment received from the patient? -
....ANSWER...Collection agency
, 3|Page
Which code convention or note indicates that more than
one code is required to fully document the patient's
condition? - ....ANSWER...Code also
If an overpayment is received from a third-party payer for
a particular patient, what must be done? - ....ANSWER...It
is returned to the third-party payer
which determines whether a medicare service of procedure
is covered at the local level? - ....ANSWER...LCD
Which physician contracts with the third-party payer and
accepts the allowed amount as payment in full? -
....ANSWER...participating
Determining primary and secondary payer for a patient
with two insurance coverages, is a process of coordination
of _______ - ....ANSWER...Benefits
What is defined as services that are reasonable and
necessary for a diagnosis? - ....ANSWER...medical
necessity
Which are codes that can be used for performance
measurement? - ....ANSWER...Category II codes
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