Insurance and Medical Coding Test Prep - Question List

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16. What is the purpose of an internal audit?
  1. It allows an outside agency to see your records to make sure that the patients were billed correctly
  2. It allows the coders and billers in your office to make sure your claims were billed correctly
  3. It allows Medicare to go through your charges to make sure that they are reasonable
  4. It allows patients to make sure they were not overcharged for their office visit co pays
17. Alma is a 32-weeks pregnant, Type I diabetic, who was diagnosed at 10-years-old. She has taken insulin continuously since her diagnosis. So far, Alma’ diabetes has not significantly affected her pregnancy, but Alma and her physicians have closely monitored her pregnancy and diabetes. What are the correct ICD-9 diagnosis codes for Alma’s condition?
  1. 648.80, V58.67
  2. 648.00, 250.00
  3. 648.00, 250.01, V58.67
  4. 648.80, 250.01, V58.67
18. In the RBRVS calculation, the GPCI takes into account:
  1. The geographic location of a practice or provider
  2. The type of provider specialty
  3. The malpractice risk of a procedure
  4. The overhead cost of the practice
19. The patient is a 20-month-old with end-stage renal disease receiving dialysis twice a week, awaiting a kidney transplant. The patient’s parents receive weekly face-to-face counseling services regarding the patient’s care and ESRD status. What is the correct code for the patient’s dialysis care?
  1. 90951 (X4)
  2. 90951
  3. 90952
  4. 90954 (X4)
20. Level 1 studies in the surgical pathology section of the Laboratory and Pathology chapter of the CPT manual describe:
  1. Gross and Microscopic Examination
  2. Quantitative Examination
  3. Qualitative Examination
  4. Gross Examination Only

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