Medical Administrative Assistant Hi-1011 Chapter 16

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| By Dhardma1
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Dhardma1
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Medical Assistant Quizzes & Trivia

The Basics of Procedure coding


Questions and Answers
  • 1. 

    The appendies are where you will find the notes for a section

    • A.

      True

    • B.

      False

    Correct Answer
    B. False
    Explanation
    Notes are found in the Guidelines in front of each section of the CPT book.

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  • 2. 

    HCPCS are used for supplies

    • A.

      True

    • B.

      False

    Correct Answer
    A. True
    Explanation
    HCPCS (Healthcare Common Procedure Coding System) codes are used to identify and classify medical supplies, equipment, and services provided by healthcare professionals. These codes are used for billing and reimbursement purposes by insurance companies and government healthcare programs such as Medicare and Medicaid. Therefore, the statement that HCPCS codes are used for supplies is true.

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  • 3. 

    Coders only use category I codes for billing?

    • A.

      True

    • B.

      False

    Correct Answer
    B. False
    Explanation
    Coders do not only use category I codes for billing. Category I codes are used for reporting services and procedures performed by healthcare professionals. However, coders also use category II codes for performance measurement and category III codes for emerging technologies. Therefore, the statement that coders only use category I codes for billing is false.

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  • 4. 

    Which one indicates a use of a modifier

    • A.

      Service was charged

    • B.

      Service was reduced

    • C.

      Date was changed

    • D.

      Physician assistant performed the service

    Correct Answer
    B. Service was reduced
    Explanation
    A modifier can be used if the service performed was reduced from the original description.

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  • 5. 

    There are three components to determine and E/M level

    • A.

      True

    • B.

      False

    Correct Answer
    A. True
    Explanation
    The given answer is true. To determine an E/M (Evaluation and Management) level, three components are taken into consideration. These components include history, examination, and medical decision-making. Each component has specific criteria that are used to assign a level to the E/M service provided by a healthcare professional. By assessing these three components, healthcare providers can accurately document and code the level of complexity and resources involved in a patient's visit.

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  • 6. 

    Which statement is correct about stand alone codes

    • A.

      They have a full description

    • B.

      They have a partial description

    • C.

      They are the only codes used

    • D.

      They are unspecified codes

    Correct Answer
    A. They have a full description
    Explanation
    Stand alone codes have a full description of the procedure done.

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  • 7. 

    Unbundling codes is a method that can be used to show the insurance company the extent of the procedures performed by the physician

    • A.

      True

    • B.

      False

    Correct Answer
    B. False
    Explanation
    Unbundling codes is not a method used to show the insurance company the extent of procedures performed by the physician. Instead, it refers to the practice of billing separately for components of a bundled procedure, which is considered fraudulent and can result in penalties.

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  • 8. 

    Which one is not a modifying term for a procedure

    • A.

      Alternative anatomic site

    • B.

      Alternative procedure

    • C.

      Extent of service

    • D.

      Alternative physician

    Correct Answer
    D. Alternative physician
    Explanation
    The term "alternative physician" does not modify a procedure. It refers to a different doctor who could potentially perform the procedure, but it does not describe or change the procedure itself. The other options, such as "alternative anatomic site," "alternative procedure," and "extent of service," all describe different aspects or variations of the procedure being performed.

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  • 9. 

    CPT stands for

    • A.

      Common Procedure Terminology

    • B.

      Current Procedural Terminology

    • C.

      Category Procedural Terminology

    • D.

      Current Practice Terminology

    Correct Answer
    B. Current Procedural Terminology
    Explanation
    CPT stands for Current Procedural Terminology

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  • 10. 

    Unlisted procedures should never be used for billing

    • A.

      True

    • B.

      False

    Correct Answer
    B. False
    Explanation
    Unlisted procedure codes can be used if necessary. A report will need to go with the claim.

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  • 11. 

    CPT is published every

    • A.

      January

    • B.

      July

    • C.

      October

    • D.

      December

    Correct Answer
    C. October
    Explanation
    The CPT book is published every year in the fall (October).

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  • 12. 

    CPT codes have a dollar value associated with them

    • A.

      True

    • B.

      False

    Correct Answer
    A. True
    Explanation
    PT codes have a dollar value associated with them and diagnosis codes give medical reason for those services to be paid.

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  • 13. 

    Modifiers are numeric and alphanumeric

    • A.

      True

    • B.

      False

    Correct Answer
    A. True
    Explanation
    Modifiers are indeed numeric and alphanumeric. Modifiers are used to provide additional information or clarification about a concept or object. They can be in the form of numbers or a combination of numbers and letters. Numeric modifiers provide quantitative information, such as size or quantity, while alphanumeric modifiers can include both numbers and letters to provide more specific or detailed information. Therefore, the statement that modifiers are numeric and alphanumeric is correct.

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  • 14. 

    What type of procedure would you find in the surgery section

    • A.

      Stereotatic guidance

    • B.

      Office visit

    • C.

      Arthroscopy

    • D.

      Blood smear

    Correct Answer
    C. Arthroscopy
    Explanation
    Arthroscopy is a type of procedure that would be found in the surgery section. Arthroscopy is a minimally invasive surgical procedure that allows doctors to visualize, diagnose, and treat problems inside a joint. It involves inserting a small camera called an arthroscope into the joint through a small incision. This procedure is commonly used for diagnosing and treating various joint conditions, such as torn ligaments, cartilage damage, and inflammation. Therefore, arthroscopy is the correct answer for the given question.

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  • 15. 

    Which one is not an E/M factor

    • A.

      Place

    • B.

      Type

    • C.

      Status

    • D.

      Date

    Correct Answer
    D. Date
    Explanation
    In the given options, "date" is not an E/M (Evaluation and Management) factor. E/M factors typically refer to elements that are considered when determining the level of evaluation and management services provided to a patient, such as the complexity of the medical case, the type of service provided, the location or place where the service is rendered, and the status of the patient (e.g., new or established). However, "date" does not fall under any of these factors and is not directly related to the evaluation and management of a patient.

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Our quizzes are rigorously reviewed, monitored and continuously updated by our expert board to maintain accuracy, relevance, and timeliness.

  • Current Version
  • Mar 21, 2023
    Quiz Edited by
    ProProfs Editorial Team
  • Mar 27, 2012
    Quiz Created by
    Dhardma1
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