Navigation » List of Schools » Glendale Community College » Medical Office Administration » MOA 183 – Medical Billing and Coding » Fall 2020 » Final Exam
Below are the questions for the exam with the choices of answers:
Question #1
A worker is also receiving Social Security disability benefits.
B worker signed an acknowledgement of workplace hazards.
C worker failed to follow safety procedures.
Question #2
A state workers’ compensation funds.
B self-funded plans.
C private insurance carriers.
D federal programs.
Question #3
A Energy Employees Occupational Illness Compensation Program Act.
B Federal Employees’ Compensation Act.
C Longshore and Harbor Workers’ Compensation Act.
D District of Columbia Workers’ Compensation Act.
Question #4
A Federal Employees’ Compensation Act.
B Energy Employees Occupational Illness Compensation Program Act.
C Occupational Safety and Health for Private Employers Act.
D District of Columbia Workers’ Compensation Act.
Question #5
A Occupational Standards for Health Administration.
B Occupational Safety and Health Administration.
C Optional Safety and Health Act.
D Optional Standards for Health Act.
Question #6
A $120 from the insurance carrier and $80 from the patient.
B $160 from the insurance carrier and $40 from the patient.
C $120 from the insurance carrier and $30 from the patient.
D $150 from the insurance carrier and $50 from the patient.
Question #7
A the insurance carrier and the patient.
B the patient only.
C the insurance carrier only.
D None of these.
Question #8
A file a complaint with the Department of Health and Human Services (DHHS).
B request assistance from the state insurance commissioner.
C bill the patient for the remaining balance.
D file a complaint with the Centers for Medicare and Medicaid Services (CMS).
Question #9
A medically feasible.
B medically reasonable.
C medically necessary.
D medically appropriate.
Question #10
A entering patient information data into the computer.
B verifying patient insurance benefits.
C obtaining correct and complete patient information.
D posting charges and diagnoses.
Question #11
A Veterans Administration (VA) hospital network.
B Department of Defense (DoD).
C Veterans Administration (VA) Health Administration Center.
D Centers for Medicare and Medicaid Services (CMS).
Question #12
A physician consulting manager.
B physician case manager.
C primary care manager.
D preventive care manager.
Question #13
A $7,500 per family.
B $1,000 per family.
C $7,500 per beneficiary.
D $1,000 per beneficiary.
Question #14
A June 30.
B September 30.
C January 31.
D December 31.
Question #15
A CHAMPVA.
B TRICARE for Life
C TRICARE Standard.
D TRICARE Prime.
Question #16
A claim was not filed in a timely manner.
B necessary preauthorization was not obtained.
C service was not medically necessary.
D patient signed an advance beneficiary notice (ABN).
Question #17
A early and periodic screening, diagnostic, and treatment services for children younger than age 21.
B physical therapy services.
C prescribed drugs.
D transportation services.
Question #18
A emergency services.
B prenatal care.
C well-child checkups.
D preventive services.
Question #19
A a deductible is paid.
B Medicare begins paying for services.
C a coinsurance amount applies.
D Medicaid begins paying for services.
Question #20
A each state government.
B the federal government.
C the Centers for Medicare and Medicaid Services (CMS).
D contracted insurance carriers.
Question #21
A outpatient hospital services.
B clinical laboratory services.
C ambulance transportation.
D routine foot care.
Question #22
A 30 days.
B 60 days.
C unlimited days if medically necessary.
D 90 days.
Question #23
A inpatient hospital care.
B home healthcare.
C telemedicine.
D hospice care.
Question #24
A Department of Health and Human Services (DHHS).
B Centers for Medicare and Medicaid Services (CMS).
C Social Security Administration (SSA).
D Internal Revenue Service (IRS).
Question #25
A low income.
B end-stage renal disease.
C disabled.
D age 65 or older.
Question #26
A red
B blue
C black
D purple
Question #27
A severity of illness.
B discharge status.
C resource intensity.
D treatment difficulty.
Question #28
A capitation.
B per diem.
C prospective payment system.
D fee for service.
Question #29
A capitation.
B prospective payment system.
C fee for service.
D per diem.
Question #30
A admission.
B discharge
C diagnosis.
D surgery.
Question #31
A Superbill
B UB-04 claim form
C CMS-1500 claim form
D Verification of benefits form
Question #32
A at every visit.
B once per year.
C every 2 years.
D every 3 years.
Question #33
A Patient information form
B Assignment of benefits form
C Release of information form
D Explanation of benefits form
Question #34
A employment information.
B All of these.
C insurance information.
D demographic information.
Question #35
A private donations.
B bank loans.
C payments from patients.
D payments from insurance companies.
Question #36
A evaluation and management (E/M).
B surgery.
C radiology.
D medicine.
Question #37
A unbundling.
B downcoding.
C bundling.
D upcoding.
Question #38
A ensure compliance with HIPAA regulations.
B assess the completeness of the medical record.
C All of these.
D determine the accuracy of the physician’s documentation.
Question #39
A It delays insurance payment.
B It ensures compliance.
C It increases the risk of errors.
D It decreases the workload of the medical office specialist.
Question #40
A certification audits.
B accreditation audits.
C internal audits.
D external audits.
Question #41
A complete.
B accurate.
C authorized.
D clean.
Question #42
A two letters.
B two letters or one letter and one number.
C two letters or two numbers.
D two digits.
Question #43
A implementing standard fee structures for all providers across all plans.
B ensuring the validity of profiles and fee schedules through standardized coding.
C allowing providers and suppliers to communicate their services in a consistent manner.
D coordinating government programs by uniform application of Centers for Medicare and Medicaid Services (CMS) policies.
Question #44
A Healthcare Coding for Procedures and Claims Systems.
B Health Coding for Procedures and Claim Sets.
C Healthcare Current Procedures Coding System.
D Healthcare Common Procedure Coding System.
Question #45
A Evaluation and Management
B Surgery
C Radiology
D Anesthesia
Question #46
A reduced reimbursement.
B denials of claims.
C increased reimbursement.
D claim-processing delays.
Question #47
A abdominal distention.
B arthroscopy.
C evaluation and management.
D osteopathic manipulation.
Question #48
A verify the code in the main text of the CPT book.
B refer to the patient chart for more information.
C look under a related procedure for more information.
D assign the code.
Question #49
A submit the required information and follow up with the carrier.
B bill the patient.
C write off the entire amount.
D ask the patient to write a letter explaining the situation.
Question #50
A write off the entire amount.
B file an appeal with the insurance carrier.
C bill the patient.
D negotiate with the patient for partial payment.
Question #51
A charges on the original claim were not detailed.
B some of the services provided to a patient were not billed on prior claims.
C the medical office specialist made a mistake on the claim.
D the patient was not eligible when the initial claim was filed.
Question #52
A sign of error on the part of the physician’s office.
B fraudulent practice.
C recommended practice.
D requirement.
Question #53
A modifier.
B Category III CPT code.
C written explanation.
D Category II CPT code.
Question #54
A Surgery.
B Evaluation and Management .
C Anesthesia.
D Medicine.
Question #55
A increased use of nonstandard CPT codes.
B elimination of local, temporary codes.
C increased use of temporary codes for emerging technology.
D use of local codes.
Question #56
A 6 digits.
B 3 digits.
C 4 digits.
D 5 digits.
Question #57
A Neoplasm Table.
B External Causes Index.
C Tabular List of Diseases and Injuries.
D Table of Drugs and Chemicals.
Question #58
A outpatient codes.
B complication codes.
C inpatient codes.
D co-existing condition codes.
Question #59
A conduct studies of disease trends.
B forecast healthcare needs.
C review costs and evaluate facilities.
D All of these.
Question #60
A filling out a claim form.
B reading and understanding the physician’s documentation.
C calling the insurance carrier.
D registering the patient.