Final Exam: Medical Billing & Coding Latest 2024-25. Questions & Correct Answers.Graded A+, Exams of Nursing

Download Final Exam: Medical Billing & Coding Latest 2024-25. Questions & Correct Answers.Graded A+ and more Exams Nursing in PDF only on Docsity! Final Exam: Medical Billing & Coding Latest 2024-25. Questions & Correct, Verified Answers. Graded A+ 11200, 11201 - ANSThe patient requested removal of 20 skin tags. What is the CPT code? 58 - ANSThe surgeon performed debridement of an open leg wound. Two days later the surgeon performed a more extensive debridement of the same wound. What modifier is reported with the second service? 64719-LT - ANSThe hand surgeon performed a neuroplasty of the ulnar nerve of the left wrist. What is the CPT code? 77080-26 - ANSThe patient with a history of osteopenia was referred for a DXA scan of the axial skeleton. What is the correct CPT code, professional component only? 97035 - ANSThe patient was seen in the outpatient physical therapy department for 15 minutes of ultrasound therapy for bursitis of the hip. What is the correct CPT code? 99283 - ANSA visit in the E/M involved an expanded problem focused history and physical exam with decision making of moderate complexity. What is the correct CPT code? A4500 - ANSFollowing surgery the patient was provided with below knee length surgical stockings. What is the correct HCPCS level II code? Accounts receivable - ANSIn a physician practice, revenue cycle management is also called what? Advance Beneficiary Notice (ABN) - ANSWhat is the form required for all physician services or procedures that might not be covered by the Medicare program? Allowable charge - ANSWhat is the maximum amount that an insurer will reimburse for a covered service or procedure? An aging population will use more healthcare services to manage a multitude of chronic diseases. - ANSWhich of the following is a reason for why the field of medical billing and coding is in high demand? AS - ANSWhat is the correct level II modifier used for a PA's role to assist a surgeon during a procedure? Breast cancer - ANSThe patient was referred for a bone scan to check for metastatic disease. Which diagnosis would support medical necessity for this procedure? Bundled payment - ANSWhat is the reimbursement method where one payment covers all services during an episode of care? Codes for reporting procedures, services, medical equipment, and supplies not included in CPT. - ANSWhat does the HCPCS level II coding classification system provide to medical providers and suppliers? Commercial - ANSWhat is health insurance issued by private companies? Commercial - ANSWhat type of health insurance is provided through your employer or purchased directly from an insurance company? Consolidated Omnibus Budget Reconciliation Act (COBRA) - ANSWhich of the following allows employees to continue healthcare coverage beyond the benefit termination date? Consumer-directed health plans - ANSWhat health plans are designed to put more responsibility on the employee for their healthcare spending? continuing education units (CEUs) - ANSWhat is usually required after attaining a certification? Deductible - ANSWhat is the amount for which the patient is financially responsible before an insurance policy provides payment? Deductible - ANSWhich of the following is an example of an out of pocket cost? Documented - ANSWhat is the missing word in the following phrase: "If it wasn't __________, it wasn't done." E0561 - ANSThe durable medical equipment dealer supplied the patient with a non heated humidifier to be used with his CPAP device. What is the correct HCPCS level II code? Electronic - ANSThe HIPAA security rule provides standards for health information maintained or transmitted in what format? Electronic Data Interchange (EDI) - ANSWhat is the computer to computer transfer of data between providers and third-party payers? Electronic Health Record (EHR) - ANSWhat is health information in a digital format that is created and shared by providers across more Thant one healthcare setting?