MOA 183 - Intro to Health Insurance » Fall 2022 » Weekly Quiz 6 Chapter 7 & 8
Need help with your exam preparation?
Get Answers to this exam for $6 USD.
Get Answers to all exams in [ MOA 183 - Intro to Health Insurance ] course for $25 USD.
Existing Quiz Clients Login here
Question #1
Examples of procedures or services include all of the following EXCEPT:
A.
arthroscopy.
B.
osteopathic manipulation.
C.
evaluation and management.
D.
abdominal distention.
Question #2
If two codes apply to an entry in the CPT index, the codes are separated by a:
A.
colon.
B.
semicolon.
C.
comma.
D.
hyphen.
Question #3
Within an indented series of codes, the first left-justified code is the:
A.
main term.
B.
subterm.
C.
official code.
D.
parent code.
Question #4
The modifier used to report a bilateral procedure is:
A.
-22
B.
-50
C.
-53
D.
-47
Question #5
Modifier -47 is used to report:
A.
anesthesia administered by a surgeon.
B.
use of local anesthesia.
C.
multiple procedures that involve anesthesia.
D.
procedure performed by a surgical assistant.
Question #6
A special report detailing increased time and difficulty should be submitted with a claim when which modifier is used?
A.
-79
B.
-22
C.
-25
D.
-63
Question #7
When a physician performs a surgical procedure but does NOT provide the preoperative and/or postoperative management, the coder should use modifier:
A.
-55
B.
-54
C.
-58
D.
-56
Question #8
Which of the following can be billed separately in a surgical procedure?
A.
positioning the patient
B.
None of these
C.
fulguration of bleeding points
D.
exploration of operative area
Question #9
Anesthesia is reimbursed according to the:
A.
time under anesthesia.
B.
type of surgery or procedure being performed.
C.
type of drug administered.
D.
experience of the anesthesiologist.
Question #10
A bundled code refers to a:
A.
group of procedures pertaining to the same diagnosis.
B.
group of unrelated procedures done on the same day.
C.
code used with modifier -99.
D.
group of related procedures covered by a single code.
Question #11
The subsections under Anesthesia in the CPT code book are organized by:
A.
type of surgery or procedure.
B.
time under anesthesia.
C.
body site.
D.
type of drug administered.
Question #12
The physical status modifier that should be used for a patient with severe systemic disease that is a constant threat to life is:
A.
P6.
B.
P4.
C.
P3.
D.
P1.
Question #13
The physical status modifier P1 refers to a:
A.
normal, healthy patient.
B.
patient with severe systemic disease.
C.
patient with mild systemic disease.
D.
patient who is not expected to survive without the surgery.
Question #14
The largest section of the CPT code book is:
A.
Pathology and Laboratory.
B.
Surgery.
C.
Medicine.
D.
Evaluation and Management.
Question #15
Which type of procedure is reported as an additional procedure performed in addition to a main procedure?
A.
primary procedure
B.
elective procedure
C.
essential procedure
D.
secondary procedure
Question #16
A surgical package would include:
A.
one evaluation and management (E/M) encounter on the date immediately prior to the date of the procedure.
B.
all general anesthesia services.
C.
all E/M encounters prior to the date of the procedure.
D.
all care provided within 30 days of surgery.
Question #17
A service NOT included in the surgical package code would be:
A.
one related evaluation and management (E/M) encounter on the date immediately prior to the date of the procedure.
B.
immediate postoperative care, including talking with the patient's family.
C.
D.
evaluating the patient in the postanesthesia recovery room.
E.
surgical complications or the presence of other diseases requiring additional services.
Question #18
The global surgical period is determined by the:
A.
surgeon.
B.
patient.
C.
patient's primary care physician.
D.
insurance carrier or other third-party payer.
Question #19
In coding radiology services, the part of the procedure that reflects the technologist and the equipment used is the:
A.
professional component.
B.
supply and equipment component.
C.
technical component.
D.
results component.
Question #20
The use of the term supervision and interpretation (S&I) means that the radiology code represents only the:
A.
results component.
B.
supply and equipment component.
C.
technical component.
D.
professional component.
Question #21
If a physician's office collects a blood sample and sends it to an outside lab, the physician:
A.
can bill for analyzing the test results only in certain cases.
B.
can never bill for any type of lab work.
C.
cannot bill for obtaining the sample.
D.
can bill for obtaining the sample.
Question #22
To code for immunizations, the coder should use:
A.
one bundled code for the administration and the vaccine given.
B.
one code for the administration only.
C.
one code for the administration and one code for the vaccine.
D.
one code for the vaccine given.
Question #23
A range of codes is shown when more than one code applies to an entry.
A.
True
B.
False
Question #24
When add-on codes are used, the coder should also use modifier -51 to identify more than one code.
A.
False
B.
True
Question #25
The five-digit CPT codes used to report services and procedures performed by healthcare providers are also known as:
A.
Level II HCPCS.
B.
Level III HCPCS.
C.
They are not considered HCPCS codes.
D.
Level I HCPCS.
Question #26
What is an individual called who files a lawsuit on behalf of the federal government?
A.
source
B.
plaintiff
C.
informant
D.
relator
Question #27
HCPCS Level II codes are updated annually by the:
A.
Centers for Medicare and Medicaid Services (CMS).
B.
World Health Organization (WHO).
C.
American Medical Association (AMA).
D.
American Dental Association (ADA).
Question #28
A coder who needs to find the code for prosthetic procedures would find it in the:
A.
Level II HCPCS code book.
B.
Level I HCPCS code book.
C.
Level III HCPCS code book.
D.
This is not considered an HCPCS code.
Question #29
An example of an HCPCS Level II code is:
A.
J0290.
B.
E849.0.
C.
250.00.
D.
99213
Question #30
HCPCS Level II codes in the range J0120-J9999 would be used for:
A.
diagnostic radiology services.
B.
drugs administered other than oral method.
C.
dental procedures.
D.
durable medical equipment (DME).
Question #31
The National Panel that maintains Level II HCPCS codes includes representatives from:
A.
Blue Cross/Blue Shield Association.
B.
All of these.
C.
Health Insurance Association of America (HIAA).
D.
Centers for Medicare and Medicaid Services (CMS).
Question #32
State Medicaid agency codes are reported with what HCPCS code range?
A.
V2020—V2799
B.
T1000—T5999
C.
G0008—G9156
D.
C1300—C9899
Question #33
To identify that a procedure was performed on the thumb of the left hand, the coder would select the modifier:
A.
F1.
B.
LA.
C.
FA.
D.
L1.
Question #34
The HCPCS modifier GA indicates:
A.
All of these.
B.
an advance beneficiary notice has been signed by the patient.
C.
the procedure billed may be denied by Medicare as "not medically necessary."
D.
a waiver of liability statement is on file.
Question #35
Inaccurate coding and incorrect billing can result in:
A.
loss of the provider's license to practice medicine.
B.
delays in receiving payments.
C.
prison sentences.
D.
All of these.
Question #36
Code linkage refers to the connection between the:
A.
HCPCS Level I and Level II codes.
B.
diagnosis and symptom.
C.
procedure and modifier.
D.
diagnosis and procedure.
Question #37
Procedure and diagnostic codes should be appropriate to the patient's:
A.
health condition.
B.
age.
C.
gender.
D.
All of these.
Question #38
In physical therapy cases, if a coder bills for supervised attendance:
A.
one-on-one direct contact by the therapist is not required.
B.
one-on-one direct contact by the therapist is required.
C.
the therapist must be in constant attendance with the patient.
D.
the therapist must be supervised by a physician.
Question #39
The Stark Law was enacted to govern the practice of:
A.
utilization of controlled substances in medical facilities.
B.
physician referrals to other providers such as physical and occupational therapists.
C.
medical office coding practices.
D.
physician referrals of Medicare and Medicaid patients to facilities in which he or she has a financial interest.
Question #40
Under civil law, the maximum penalty for medical fraud is:
A.
10 years in jail.
B.
$10,000.00
C.
exclusion from the American Medical Association.
D.
loss of professional license.
Question #41
To bill for a procedure that was NOT performed is considered:
A.
abuse.
B.
upcoding.
C.
fraud.
D.
unbundling.
Question #42
Misusing Medicare funds is considered:
A.
abuse but not illegal.
B.
abuse and illegal.
C.
fraud and illegal.
D.
fraud but not illegal.
Question #43
To bill for a procedure that was NOT medically necessary is considered:
A.
abuse.
B.
inaccurate.
C.
incomplete.
D.
fraud.
Question #44
Healthcare payers base their decision to pay or deny claims on the:
A.
diagnosis codes only.
B.
neatness of the claim.
C.
diagnosis and procedure codes.
D.
procedure codes only.
Question #45
All the following are true of Column I edits EXCEPT:
A.
contains the comprehensive code.
B.
cannot be billed together with the Column I code for the same patient on the same day.
C.
includes all the services that are described by Column II code.
D.
formerly known as the component column.
Question #46
Benefits of a voluntary compliance plan include:
A.
reducing the chances that an audit will be conducted by the CMS or OIG.
B.
minimizing billing mistakes.
C.
All of these.
D.
avoiding conflicts with the self-referral and anti-kickback statutes.
Question #47
If a provider requests an advisory opinion and fails to follow the advice of the Office of Inspector General (OIG), the provider:
A.
could claim "not knowing."
B.
would be treated leniently for asking the question.
C.
should not change its practices.
D.
could be prosecuted.
Question #48
HCPCS is the acronym for Healthcare Coding Procedures in a Common System.
A.
False
B.
True
Question #49
HCPCS is organized by code number rather than by service or supply name.
A.
False
B.
True
Need help with your exam preparation?
Get Answers to this exam for $6 USD.
Get Answers to all exams in [ MOA 183 - Intro to Health Insurance ] course for $25 USD.
Existing Quiz Clients Login here