Medical Insurance Billing Quiz Questions

2.

CPT codes, descriptions and two digit modifiers are developed, owned and copyrighted by the ___________________________

American Medical Association (AMA)
Centers for Medicare and Medicaid Services
Blue Cross and Blue Shield Organization
World Health Organization (WHO)

Correct Answer

A. American Medical Association (AMA)

Explanation

CPT codes, descriptions, and two-digit modifiers are developed, owned, and copyrighted by the American Medical Association (AMA). This organization is responsible for creating and maintaining the Current Procedural Terminology (CPT) system, which is widely used in the healthcare industry to report medical procedures and services. The AMA updates and publishes the CPT code set annually, ensuring that it remains accurate and up-to-date. The other options listed, such as the Centers for Medicare and Medicaid Services, Blue Cross and Blue Shield Organization, and World Health Organization, do not have ownership or authority over the CPT codes and modifiers.

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3.

These contain information that you will need to know in order to correctly code in the section

Guidelines
Notes
Appendices
Glossary

Correct Answer

A. Guidelines

Explanation

Guidelines are a set of instructions or recommendations that provide direction on how to code correctly in a specific section. They serve as a reference and provide important information that programmers need to follow while writing code. Guidelines ensure consistency, accuracy, and efficiency in coding practices. They may include coding standards, best practices, naming conventions, and other important rules that help programmers produce high-quality code. By following the guidelines, programmers can ensure that their code meets the required standards and is easily understandable and maintainable.

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4.

How many ICD-9 Volumes are there?

8
9
3
6

Correct Answer

A. 3

Explanation

There are three ICD-9 volumes. This is because the International Classification of Diseases, 9th Revision (ICD-9) is divided into three volumes. Each volume focuses on a different aspect of medical coding. Volume 1 contains the Tabular List, which provides codes for diseases and injuries. Volume 2 contains the Alphabetic Index, which helps in locating the appropriate code in Volume 1. Volume 3 contains the Procedure Codes, which are used for reporting medical procedures.

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5

5.

How many Category Codes are found in the CPT manual?

One
Two
Three
None of the above

Correct Answer

A. Three

Explanation

The correct answer is three because the CPT manual contains three different category codes. These codes are used to classify and categorize medical procedures and services for billing and reporting purposes. Each category code represents a specific type of procedure or service, allowing for accurate coding and reimbursement.

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6

6.

How many sections are there in a CPT manual?

19
15
32
6

Correct Answer

A. 6

Explanation

The CPT manual, which stands for Current Procedural Terminology, is a medical code set used by healthcare professionals to report medical procedures and services. It is published by the American Medical Association (AMA). The CPT manual is divided into six main sections, each representing a different category of medical procedures. These sections include Evaluation and Management, Anesthesia, Surgery, Radiology, Pathology and Laboratory, and Medicine. Therefore, the correct answer is 6.

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7.

The modifier for a repeat procedure by the same physician is_________________

-79
-78
-77
-76

Correct Answer

A. -76

Explanation

The correct answer is -76. The modifier -76 is used to indicate that a procedure or service was repeated by the same physician or provider. This modifier is typically used when a procedure needs to be repeated due to unforeseen circumstances or complications. It helps to distinguish the repeated procedure from the initial one and ensures accurate billing and reimbursement.

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8.

Modifier -26 indicates the_____________________________?

Services is significant and separately identifiable
Unusual nature of the service or procedure
Technical component
Professional component

Correct Answer

A. Professional component

Explanation

Modifier -26 indicates the professional component of a service or procedure. This means that the physician or healthcare provider is only responsible for the interpretation and report of the service, while the technical component, such as the equipment or facility, is provided by someone else. Modifier -26 is used to distinguish the professional component from the technical component when billing for these services.

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1

9.

Which of the following is a primary responsibility of a medical insurance biller?

Diagnosing medical conditions
Performing surgical procedures
Submitting claims to insurance companies for reimbursement
Dispensing medications to patients

Correct Answer

A. Submitting claims to insurance companies for reimbursement

Explanation

Medical insurance billers are responsible for submitting claims to insurance companies on behalf of healthcare providers to ensure timely reimbursement for services rendered to patients.

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4

10.

Which CPT manual appendix contains a complete list of all modifier -51 exempt codes?

A
B
C
None of the above

Correct Answer

A. None of the above

Explanation

The question asks about the appendix in the CPT manual that contains a complete list of all modifier -51 exempt codes. However, the given options A, B, and C do not correspond to any specific appendices in the CPT manual. Therefore, the correct answer is "None of the above" as there is no appendix mentioned in the given options that contains the requested information.

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Medical Insurance Billing Quiz Questions

How many digits are there in a basic CPT code?

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CPT codes, descriptions and two digit modifiers are developed, owned and copyrighted by the ___________________________

These contain information that you will need to know in order to correctly code in the section

How many ICD-9 Volumes are there?

How many Category Codes are found in the CPT manual?

How many sections are there in a CPT manual?

The modifier for a repeat procedure by the same physician is_________________

Modifier -26 indicates the_____________________________?

Which of the following is a primary responsibility of a medical insurance biller?

Which CPT manual appendix contains a complete list of all modifier -51 exempt codes?