Ophthalmic Coding Specialist Study Questions - Question List

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31. When you are searching for a diagnosis code in the ICD-9 manual:
  1. You must first locate the diagnosis code description in the index and then verify the correct code selection in the tabular list
  2. You must locate the diagnosis code in the index and then assign the appropriate code
  3. You must determine which procedure you will bill for first, and then find out which diagnosis codes match the procedure
  4. You must first locate the diagnosis code description in the index and then verify the code in Volume III
32. Tricare Prime patients typically must see physicians:
  1. Whenever they feel like it
  2. At their military treatment facility
  3. Whenever their commander asks them to
  4. At their typical private practice doctor’s office
33. The HCPCS manual includes codes for:
  1. Procedures that are also found in the CPT coding manual
  2. Supplies, services, and procedures that are not found in the CPT manual
  3. Only supplies that you cannot find in the CPT manual
  4. All services performed in the office, except for procedures
34. Medical billing fraud is:
  1. Billing for services at a reduced level
  2. Billing correctly for services performed
  3. Billing for services that are not medically necessary
  4. Billing for services that were not performed
35. 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

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