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