Practice Quiz

Insurance and Medical Coding Test Prep - Question List

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36. What is the purpose of a compliance plan?
  1. It makes sure you are properly credentialed
  2. It allows your office to defend itself in case of an audit
  3. It helps your employees claim worker’s compensation
  4. It helps your office follow the correct coding and billing protocols
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37. What does HIPAA stand for?
  1. Health Insurance Portability and Accountability Act
  2. Health Insurance Protection and Accountability Association
  3. Health Insurance Post-Payment Auditing Association
  4. Health Insurance Accountability and Auditing Act
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38. In order for a physician to appropriately code for a consultation service, three things must be documented. What are those three things?
  1. The referral or request from the PCP, the rendering of the opinion by the specialist or consultant, and the written report or findings sent from the specialist to the PCP
  2. The rendering of the specialty service to the patient, the referral of the patient from the specialist to an additional specialist, and the written report of the findings provided to the specialist
  3. The specialist request of a second opinion regarding the patient, the PCP’s advice regarding which second specialist the patient should see, and the second specialist’s report or findings
  4. The referral from the PCP to the specialist, an additional referral from the specialist to another specialist, and the written report or findings sent from the specialist to the PCP
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39. A new patient was seen in the office complaining of ear pain, headache and a mild fever. The physician performed a problem-focused history assessment and an expanded problem-focused examination on the patient. The physician diagnosed the patient with an acute inner ear infection. This medical diagnosis was considered to be of low complexity. What is the correct E&M code for the service?
  1. 99212
  2. 99202
  3. 99201
  4. 99211
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40. When selecting an evaluation and management code, what is the first thing that the coder needs to determine?
  1. The time the provider spent with the patient
  2. The appropriate category of E&M service
  3. Whether the patient was new or established
  4. How long the discharge took
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