Medical Insurance Billing Trivia Questions

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| By Lnettles1985
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Lnettles1985
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Quizzes Created: 4 | Total Attempts: 34,885
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  • 1/10 Questions

    How many digits are there in a basic CPT code?

    • Four
    • Five
    • Seven
    • Six
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About This Quiz

Explore the intricacies of medical insurance billing with this trivia quiz. Master the basics of CPT codes, understand different category codes, and familiarize yourself with manual guidelines and text change symbols. Essential for anyone in medical billing and coding.

Medical Insurance Billing Trivia Questions - Quiz

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  • 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
    The correct answer is American Medical Association (AMA). CPT codes, descriptions, and two-digit modifiers are developed, owned, and copyrighted by the AMA. The AMA is responsible for maintaining and updating the Current Procedural Terminology (CPT) code set, which is widely used in the healthcare industry for reporting medical procedures and services. The CPT codes provide a standardized way to communicate and bill for healthcare services, ensuring consistency and accuracy in medical coding and billing practices. The AMA also provides guidance and resources to healthcare professionals for proper use and application of the CPT codes.

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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
    The correct answer is "Guidelines" because guidelines provide instructions or recommendations on how to correctly code in a specific section. They serve as a set of rules or standards that developers should follow in order to ensure their code is accurate and efficient. Guidelines often include best practices, coding conventions, and specific requirements for coding in a particular section. By referring to the guidelines, developers can ensure that their code meets the necessary criteria and functions properly.

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  • 4. 

    How many sections are there in a CPT manual?

    • 19

    • 15

    • 32

    • 6

    Correct Answer
    A. 6
    Explanation
    The CPT manual is divided into six main sections. Each section contains specific codes for different medical procedures and services. These sections include Evaluation and Management, Anesthesia, Surgery, Radiology, Pathology and Laboratory, and Medicine. Each section is further divided into subsections to provide more specific codes for different types of procedures within that category. Therefore, the correct answer is 6.

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  • 5. 

    The modifier for a repeat procedure by the same physician is_________________

    • -79

    • -78

    • -77

    • -76

    Correct Answer
    A. -76
    Explanation
    The correct answer for the modifier for a repeat procedure by the same physician is -76. This modifier is used when the same physician performs a repeat procedure on the same patient during the same session. It indicates that the procedure is a repeat of a previous procedure and is necessary for accurate billing and reimbursement.

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  • 6. 

    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 question asks about the number of Category Codes found in the CPT manual.

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  • 7. 

    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. This means that the service or procedure being performed is being done solely by the professional, without any technical or facility component. It is used to indicate that the professional is providing a service that is separately identifiable and distinct from any other services or procedures being performed.

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  • 8. 

    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 correct answer is "None of the above" because the question asks for the CPT manual appendix that contains a complete list of all modifier -51 exempt codes, and none of the options provided (A, B, C) are the correct appendix.

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  • 9. 

    What symbol in the CPT manual indicates the beginning and ending of a text change?

    • This symbol

    • This symbol

    • This symbol

    • This symbol

    Correct Answer
    A. This symbol
    Explanation
    The symbol "this symbol" in the CPT manual indicates the beginning and ending of a text change.

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  • 10. 

    How many ICD-9 Volumes are there?

    • 8

    • 9

    • 3

    • 6

    Correct Answer
    A. 3
    Explanation
    There are three ICD-9 volumes.

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  • Current Version
  • Oct 01, 2024
    Quiz Edited by
    ProProfs Editorial Team
  • May 17, 2018
    Quiz Created by
    Lnettles1985
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