MIDTERM STUDY GUIDE FOR
MEDICAL BILLING AND CODING
QUESTIONS AND ANSWERS WITH
SOLUTIONS 2024
Health Insurance - ANSWER Contract that provides money to cover all or a portion of the cost of
medically necessary care
You should always answer the phone with a ? - ANSWER Smile
How many times should you allow the phone to ring? - ANSWER 3 times
How is the CPT manual categorized? - ANSWER Intro, 6 main sections, 13 appendices, a list of CPT
category II codes, list of CPT category III codes, alphabetical index
Wave Scheduling? - ANSWER Scheduling system that is set to begin and end each hour on time, in which
each hour is divided into equal segments of time depending.
Describe a matrix - ANSWER grid that shows availability of each physician, as well as periods of times
that are not available for appointments
Why is it important to document cancelled or no show appointments? - ANSWER to legally protect the
physician from a claim of patient; abandonment
what is a superbill? - ANSWER a source document for financial, diagnostic, and treatment information.
what is fraud? - ANSWER an intentional deception or misrepresentation that an individual knows to be
false or does not believe to be true and makes knowing that deception could result in some
unauthorized benefit to themselves.
What does it mean to upcode? - ANSWER selecting codes at a higher level than the service requires
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