Question 1

Which of the following statements about surgical coding for the musculoskeletal system is not true?

Accepted Answer

A)   Fracture repair assumes and includes cast application.
B)   If a diagnostic procedure becomes a therapeutic procedure, only the therapeutic procedure is coded.
C)   Cast application is coded only when the physician applying the cast did not initially treat the fracture.
D)   A fracture treatment is closed unless stated otherwise.
E)   Musculoskeletal subheadings begin with the foot and toes and work their way up to the head.F) A) and C)
G) A) and B)

Question 2

A(n) ________ plan is a strategy for finding, correcting, and preventing fraudulent medical office practices.

Accepted Answer

The answer of A(n) ________ plan is a strategy for...

Question 3

When a patient has no symptoms of a disease and the provider performs the tests for that disease at the patient's request, the provider has committed which of these fraudulent coding and billing practices?

Accepted Answer

A)   Reporting services that were not performed
B)   Reporting services at a higher level than was carried out
C)   Performing procedures not related to the patient's condition
D)   Billing separately for services that are bundled in a single procedure code
E)   Reporting the same service twiceF) A) and C)
G) B) and E)

Question 4

An act of deception used to take advantage of another person or entity is called ____.

Accepted Answer

A)   liability
B)   coercion
C)   slander
D)   fraud
E)   defamationF) All of the above
G) A) and B)

Question 5

What is the maximum number of modifiers that can be used per CPT code?

Accepted Answer

A)   1
B)   2
C)   3
D)   4
E)   As many as necessaryF) C) and E)
G) B) and C)

Question 6

You have consulted the index in the CPT and discovered that a dressing for a burn is found in procedure codes 16010-16030. To correctly code the dressing for the burn, you should ____.

Accepted Answer

A)   check each code in the range to choose the correct code
B)   use the codes 16010 and 16030
C)   use the code 16010
D)   choose any code within this code range
E)   use the code 16030F) All of the above
G) B) and D)

Question 7

To ensure reimbursement at the highest allowed level, CPT codes must ____.

Accepted Answer

A)   include codes and modifiers that reflect the services performed
B)   include only the modifiers
C)   include all of the unbundled procedures
D)   reflect a procedure or service higher than what was actually performed
E)   reflect a procedure or service lower than what was actually performedF) B) and C)
G) D) and E)

Question 8

Dr. Moore is scheduled to perform a routine removal of a mole from Ralph's left shoulder under local anesthesia. Dr. Moore has injected the local anesthetic and is about to begin the procedure when Ralph suddenly has a panic attack and states, "I just can't handle this!" Dr. Moore halts the procedure. When you code for this procedure, which of the following modifiers will you use?

Accepted Answer

A)   23: Unusual Anesthesia
B)   47: Anesthesia by Surgeon
C)   52: Reduced Services
D)   53: Discontinued Procedure
E)   56: Preoperative Management OnlyF) A) and D)
G) None of the above

Question 9

Care provided to unstable, critically ill patients that require constant bedside attention is known as ________ care.

Accepted Answer

The answer of Care provided to unstable, critically ill patients...

Question 10

Having a medical practice compliance plan in place ____.

Accepted Answer

A)   eliminates the risk of an audit
B)   ensures adherence to state regulations
C)   shows a "good-faith" effort to be compliant with coding regulations
D)   simplifies the tasks of the medical assistant
E)   replaces the insurance company's compliance checksF) A) and E)
G) C) and E)

Question 11

Nathan is in the office today complaining of a sore throat and fever. After ruling out strep throat, the physician diagnoses a common cold and tells Nathan to take over-the-counter medications for symptom relief. In which category does Nathan's chief complaint fall?

Accepted Answer

A)   Minimal complaint
B)   Self-limited complaint
C)   Low-severity complaint
D)   Moderate-severity complaint
E)   High-severity complaintF) D) and E)
G) A) and B)

Question 12

The CPT considers a patient ________ if that person has not received professional services from the physician within the last three years.

Accepted Answer

The answer of The CPT considers a patient ________ if...

Question 13

What symbol appears next to codes that are new since the last CPT revision?

Accepted Answer

A)   Red dot
B)   Pound (#)  sign
C)   Circle with diagonal line
D)   Blue triangle
E)   Bull's-eyeF) B) and E)
G) C) and E)

Question 14

Which of the following is not one of the six main sections in the CPT manual?

Accepted Answer

A)   Anesthesiology
B)   Physical Therapy
C)   Pathology and Laboratory
D)   Surgery
E)   Evaluation and ManagementF) None of the above
G) All of the above

Question 15

What symbol next to a CPT code tells you that moderate sedation is included in the procedure?

Accepted Answer

A)   Blue triangle
B)   Green arrows
C)   Bull's-eye
D)   Lightning bolt
E)   Red dotF) C) and D)
G) B) and D)

Question 16

Inaccuracy in linking diagnostic codes and procedural codes will result in all of the following except ____.

Accepted Answer

A)   exclusion from payers' programs
B)   denied claims
C)   reduced payments
D)   internal coding audits
E)   prison sentencesF) A) and B)
G) C) and D)

Question 17

Counseling codes are used only if ____.

Accepted Answer

A)   counseling is provided during a complete physical examination
B)   the patient is referred to a third party for counseling
C)   a complete history and physical exam does not occur
D)   counseling is provided by a physician assistant or nurse practitioner
E)   the patient specifically requests a counseling referralF) A) and E)
G) A) and C)

Question 18

When unbundling is done intentionally to receive more payment than is allowed, the claim is likely to be considered ____.

Accepted Answer

A)   ethical
B)   invalid
C)   noncompliant
D)   fraudulent
E)   erroneousF) B) and D)
G) C) and D)

Question 19

The ________ coding system has two levels and is used for coding services for Medicare patients.

Accepted Answer

HCPCSHealt...

Question 20

Organ- or disease-oriented ________ listed in the pathology and laboratory section of the CPT include tests that are frequently ordered together.

Accepted Answer

The answer of Organ- or disease-oriented ________ listed in the...

Exam 19: Procedure Coding

Nathan is in the office today complaining of a sore throat and fever. After ruling out strep throat, the physician diagnoses a common cold and tells Nathan to take over-the-counter medications for symptom relief. In which category does Nathan's chief complaint fall?

Correct Answer
verified

When a patient has no symptoms of a disease and the provider performs the tests for that disease at the patient's request, the provider has committed which of these fraudulent coding and billing practices?

Correct Answer
verified

The CPT considers a patient ________ if that person has not received professional services from the physician within the last three years.

Correct Answer
verified

Care provided to unstable, critically ill patients that require constant bedside attention is known as ________ care.

Correct Answer
verified

When unbundling is done intentionally to receive more payment than is allowed, the claim is likely to be considered ____.

Correct Answer
verified

Counseling codes are used only if ____.

Correct Answer
verified

What is the maximum number of modifiers that can be used per CPT code?

Correct Answer
verified

Which of the following statements about surgical coding for the musculoskeletal system is not true?

Correct Answer
verified

What symbol appears next to codes that are new since the last CPT revision?

Correct Answer
verified

The ________ coding system has two levels and is used for coding services for Medicare patients.

Correct Answer
verified
HCPCSHealt...
View Answer

To ensure reimbursement at the highest allowed level, CPT codes must ____.

Correct Answer
verified

Organ- or disease-oriented ________ listed in the pathology and laboratory section of the CPT include tests that are frequently ordered together.

Correct Answer
verified

An act of deception used to take advantage of another person or entity is called ____.

Correct Answer
verified

Having a medical practice compliance plan in place ____.

Correct Answer
verified

Correct Answer
verified

You have consulted the index in the CPT and discovered that a dressing for a burn is found in procedure codes 16010-16030. To correctly code the dressing for the burn, you should ____.

Correct Answer
verified

Which of the following is not one of the six main sections in the CPT manual?

Correct Answer
verified

A(n) ________ plan is a strategy for finding, correcting, and preventing fraudulent medical office practices.

Correct Answer
verified

What symbol next to a CPT code tells you that moderate sedation is included in the procedure?

Correct Answer
verified

Inaccuracy in linking diagnostic codes and procedural codes will result in all of the following except ____.

Correct Answer
verified

Exam 19: Procedure Coding

Nathan is in the office today complaining of a sore throat and fever. After ruling out strep throat, the physician diagnoses a common cold and tells Nathan to take over-the-counter medications for symptom relief. In which category does Nathan's chief complaint fall?

Correct AnswerverifiedShow Answer

When a patient has no symptoms of a disease and the provider performs the tests for that disease at the patient's request, the provider has committed which of these fraudulent coding and billing practices?

Correct AnswerverifiedShow Answer

The CPT considers a patient ________ if that person has not received professional services from the physician within the last three years.

Correct AnswerverifiedShow Answer

Care provided to unstable, critically ill patients that require constant bedside attention is known as ________ care.

Correct AnswerverifiedShow Answer

When unbundling is done intentionally to receive more payment than is allowed, the claim is likely to be considered ____.

Correct AnswerverifiedShow Answer

Counseling codes are used only if ____.

Correct AnswerverifiedShow Answer

What is the maximum number of modifiers that can be used per CPT code?

Correct AnswerverifiedShow Answer

Which of the following statements about surgical coding for the musculoskeletal system is not true?

Correct AnswerverifiedShow Answer

What symbol appears next to codes that are new since the last CPT revision?

Correct AnswerverifiedShow Answer

The ________ coding system has two levels and is used for coding services for Medicare patients.

Correct AnswerverifiedHCPCSHealt...View AnswerShow Answer

To ensure reimbursement at the highest allowed level, CPT codes must ____.

Correct AnswerverifiedShow Answer

Organ- or disease-oriented ________ listed in the pathology and laboratory section of the CPT include tests that are frequently ordered together.

Correct AnswerverifiedShow Answer

An act of deception used to take advantage of another person or entity is called ____.

Correct AnswerverifiedShow Answer

Having a medical practice compliance plan in place ____.

Correct AnswerverifiedShow Answer

Correct AnswerverifiedShow Answer

You have consulted the index in the CPT and discovered that a dressing for a burn is found in procedure codes 16010-16030. To correctly code the dressing for the burn, you should ____.

Correct AnswerverifiedShow Answer

Which of the following is not one of the six main sections in the CPT manual?

Correct AnswerverifiedShow Answer

A(n) ________ plan is a strategy for finding, correcting, and preventing fraudulent medical office practices.

Correct AnswerverifiedShow Answer

What symbol next to a CPT code tells you that moderate sedation is included in the procedure?

Correct AnswerverifiedShow Answer

Inaccuracy in linking diagnostic codes and procedural codes will result in all of the following except ____.

Correct AnswerverifiedShow Answer

Correct Answer
verified

Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
verified

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verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified
HCPCSHealt...
View Answer

Correct Answer
verified

Correct Answer
verified

Correct Answer
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Correct Answer
verified

Correct Answer
verified

Correct Answer
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Correct Answer
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