Medical Billing And Coding Test: Quiz!
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Do you think you know about medical billing and coding? Medical billing is a payment practice that occurs in the United States. It involves a healthcare provider submitting an appeal claim with health insurance companies to make payment for the patient’s treatment. Medical coders must go through a patient’s diagnosis and follow up, and codes are assigned for each diagnosis. This quiz will help you understand medical billing and coding in the most conveninet manner. All the best.
- 1.
Who is the responsible personnel selecting diagnosis?
- A.
Coder
- B.
Nurse
- C.
Physician
- D.
Physiotherapist
Correct Answer
C. pHysicianExplanation
The responsible personnel for selecting a diagnosis is the physician. Physicians are trained medical professionals who diagnose and treat illnesses and diseases. They have the knowledge and expertise to evaluate patients, order tests, and interpret the results to determine the correct diagnosis. Nurses, coders, and physiotherapists may assist in the diagnostic process, but ultimately it is the physician who is responsible for making the final diagnosis.Rate this question:
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- 2.
Coder assign codes as per?
- A.
Management decision
- B.
Documentation
- C.
Insurance covered procedures
- D.
Highest payable codes
Correct Answer
B. DocumentationExplanation
Coders assign codes based on documentation because they rely on the information provided in medical records, such as diagnoses, procedures, and treatments, to accurately assign the appropriate codes. The documentation serves as a reference for coders to determine the correct codes that reflect the patient's medical condition and the services provided.Rate this question:
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- 3.
What is/are the result of documentation gaps to Tulip HCC claims?
- A.
Accuracy of coding
- B.
Accuracy of billing
- C.
Rejection of claims
- D.
All of the above
Correct Answer
C. Rejection of claimsExplanation
Documentation gaps in Tulip HCC claims can result in the rejection of claims. When there are gaps or missing information in the documentation, it becomes difficult for the insurance company to accurately assess the accuracy of coding and billing. This lack of clarity can lead to the rejection of claims as the insurance company may not have enough information to determine the validity of the claim. Therefore, all of the options mentioned, including accuracy of coding and billing, can be a result of documentation gaps, ultimately resulting in claim rejection.Rate this question:
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- 4.
What represents the Per Diem code?
- A.
Eligibility
- B.
Level of Care
- C.
Type of the facility
- D.
Reason for visit
Correct Answer
B. Level of CareExplanation
The Per Diem code represents the level of care provided. Per Diem is a Latin term meaning "per day," and in healthcare, it is used to describe a payment system where providers are reimbursed a fixed amount per day for services rendered. The Per Diem code helps determine the level of care required for a patient and is used to calculate reimbursement rates. It is not related to eligibility, type of facility, or reason for visit.Rate this question:
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- 5.
What is the suffix ‘megaly’ mean?
- A.
Softening
- B.
Enlargement
- C.
Inflammation
- D.
Production of
Correct Answer
B. EnlargementExplanation
The suffix "megaly" is commonly used in medical terminology to indicate enlargement. Therefore, the correct answer is "Enlargement."Rate this question:
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- 6.
Daman mandated to provide updated medical report for homecare patients in every_____________.
- A.
6 months
- B.
3 months
- C.
Monthly
- D.
2 months
Correct Answer
D. 2 monthsExplanation
The correct answer is 2 months. This means that Daman, a healthcare provider, requires homecare patients to provide updated medical reports every 2 months. This frequency allows for regular monitoring of the patients' health conditions and ensures that appropriate care is provided.Rate this question:
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- 7.
What does ICD stand for?
- A.
International Code of Diseases
- B.
International Classification of Diseases
- C.
Intentional Classification of Diseases
- D.
Integument Class of Diseases
Correct Answer
B. International Classification of DiseasesExplanation
ICD stands for International Classification of Diseases. It is a globally recognized system used for classifying and coding various diseases, disorders, injuries, and other health conditions. The ICD provides a standardized way for healthcare professionals to communicate and share information about diseases and their corresponding codes. It is widely used for statistical purposes, epidemiological studies, healthcare management, and reimbursement systems.Rate this question:
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- 8.
The Coder is responsible personnel for confirming diagnoses and procedures codes by an in-house physician, final review by Medical Advisory, and submitting documents for pre-authorization.
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
The statement is describing the responsibilities of a Coder, who is responsible for confirming diagnoses and procedures codes by an in-house physician, having a final review by Medical Advisory, and submitting documents for pre-authorization. The answer is true because it accurately reflects the given responsibilities of a Coder.Rate this question:
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- 9.
CPT stands for Current Procedure Terminology that It standardized code set used to describe the medical, surgical, and diagnostic services and procedures provided by physicians and other healthcare providers.
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
The statement is true because CPT does stand for Current Procedure Terminology and it is a standardized code set used to describe medical services and procedures provided by healthcare providers.Rate this question:
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- 10.
It is the transformation of healthcare diagnosis, procedures, medical services, and equipment into universal medical alphanumeric codes.
- A.
ICD
- B.
CPT
- C.
Matrix
- D.
Medical Coding
Correct Answer
D. Medical CodingExplanation
Medical coding refers to the process of converting healthcare diagnosis, procedures, medical services, and equipment into universal medical alphanumeric codes. These codes are used for various purposes, such as billing, insurance claims, and statistical analysis. By using standardized codes, medical coding ensures accuracy, consistency, and efficiency in healthcare documentation and communication.Rate this question:
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Current Version
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Mar 22, 2023Quiz Edited by
ProProfs Editorial Team -
Dec 24, 2017Quiz Created by
Junell
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