Insurance And Medical Coding Test Prep

10 Questions | Total Attempts: 205

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Insurance And Medical Coding Test Prep - Quiz

The Insurance and Medical Coding Test prepares candidates for the Insurance and Coding Specialists certification administered by the National Center for Competency Testing. The certification exam is a multiple choice examination administered as either a computer-based or paper-based exam, depending on the preference of the applicant. Candidates are required to complete the exam in two and a half hours. Take this review quiz to prepare for the Certification exam.


Questions and Answers
  • 1. 
    Which of the following rightly defines Medical billing fraud?
    • A. 

      Billing for services that were not performed

    • B. 

      Billing for services that are not medically necessary

    • C. 

      Billing for services at a reduced level

    • D. 

      Billing correctly for services performed

  • 2. 
    Meningitis and encephalitis are terms that seem similar but are different What is that difference?
    • A. 

      Meningitis is the inflammation of the lining of the brain and encephalitis is the swelling of the spinal cord

    • B. 

      Meningitis is a respiratory infection and encephalitis is the inflammation of the nervous system

    • C. 

      Meningitis is the inflammation of the spinal cord, and encephalitis is the inflammation of the lining of the brain

    • D. 

      Meningitis is the inflammation of the lining of the brain and encephalitis is the inflammation of the brain

  • 3. 
    An internal audit has a purpose for which it done. What is that purpose?
    • A. 

      It allows patients to make sure they were not overcharged for their office visit co pays

    • B. 

      It allows Medicare to go through your charges to make sure that they are reasonable

    • C. 

      It allows the coders and billers in your office to make sure your claims were billed correctly

    • D. 

      It allows an outside agency to see your records to make sure that the patients were billed correctly

  • 4. 
    On a claim, it is neccessary to include ICD-9 codes. What is the reason for this?
    • A. 

      They are the services that are charged for on the claim

    • B. 

      They indicate the medical necessity of the service

    • C. 

      They indicate the code linkage on the claim

    • D. 

      They report the procedures performed on the patient

  • 5. 
    When should Tricare Prime patients see physicians?
    • A. 

      At their typical private practice doctor’s office

    • B. 

      Whenever their commander asks them to

    • C. 

      At their military treatment facility

    • D. 

      Whenever they feel like it

  • 6. 
    What was HIPAA created to do?
    • A. 

      Create standards of electronic transactions

    • B. 

      Protect patient privacy

    • C. 

      Enact ways to uncover fraud and abuse

    • D. 

      All of the above

  • 7. 
    Which of the following refers to a radiographic image of the interior of a colon?
    • A. 

      Colonoscopy

    • B. 

      Colonography

    • C. 

      Cholangiography

    • D. 

      Duodenoscopy

  • 8. 
    What is the correct code for a procedure carried out by a physician by excising the head of the humeral bone and replacing it with the neccessary or right implant?
    • A. 

      23470

    • B. 

      23195

    • C. 

      23472

    • D. 

      23195, 23470

  • 9. 
    What does the GPCI take into account when it involves the RBRVS calculation?
    • A. 

      The malpractice risk of a procedure

    • B. 

      The overhead cost of the practice

    • C. 

      The type of provider specialty

    • D. 

      The geographic location of a practice or provider

  • 10. 
    The dividing of the repair codes of Diaphragmatic hernia are based on which of the following?
    • A. 

      The age of the patient and the site of the hernia

    • B. 

      The stage of the hernia and the site of the hernia

    • C. 

      The age of the patient and whether or not the hernia is acute or chronic

    • D. 

      The age of the patient and whether or not mesh was used

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