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MidTerm-MED1850

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
show admission  
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show Low-income  
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show End-stage renal disease  
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show Medicare Part A  
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The process of collecting a patient's personal information and entering it into the hospital's database is referred to as:   show
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The Medicare coverage that pays for physician services is   show
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It is necessary for a professional coder to exhibit ethical behavior when coding for services and procedures. T/F   show
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HCPCS stands for health care providers code sets. T/F   show
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show True  
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show False  
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It is not permissible to use "assumption coding" T/F   show
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show False  
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show True.  
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show False  
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There is only one kind of audit. T/F   show
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One of the top coding and documentation errors is that the chief complaint is missing. T/F   show
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If a patient is covered by more than one insurance policy, a physician's office will always file both the primary and secondary/ T/F   show
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Medicare prescription drug coverage is offered through   show
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The Medicare profram that provides expanded benefits through private managed care health plans is   show
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show paying claims for Medicare beneficiaries  
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show CMS  
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show True  
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show False.  
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Superbills are also referred to as encounter forms, charge slips, or routing slips. T/F   show
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show True  
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show Health Common Procedure Coding System.  
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show Level 1 HCPCS.  
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HCPCS was developed to achieve all of the following goals EXCEPT.   show
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Level 1 HCPCS codes are also known as the   show
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HCPCS level 1 codes were developed by the.   show
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HCPCS level 2 codes are updated annually by the.   show
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The code for durable medical equipment(DMA) would be found in the   show
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A coder who needs to find the codes for prosthetic devices and related procedures would find it in the   show
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HCPCS level 2 codes would include all of the following EXCEPT codes for:   show
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show One alphabetic character and four digits.  
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The person who is ultimately responsible for payment to the medical office is called the:   show
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If an insured patient signs an assignment of benefits form, the insurance carrier will send payment directly to the:   show
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show Release of information form  
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show Policyholder  
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If needed information is missing from a claim when it is submitted to an insurance carrier, it is referred to as a(n).   show
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When a patient has more than one insurance policy, one policy is considered the primary coverage and the additional policy is:   show
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On the CMS-1500 claim form, the abbreviation NPI indicates that:   show
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The CMS-1500 claim form is mandatory for all Medicare claims.   show
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show A) True  
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The majority of hospital reimbursement comes from:   show
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show Admission.  
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show Registration.  
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A hospital will bill for patient services:   show
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show Physician identification number.  
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show Capitation.  
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show Prospective payment system.  
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show Per Diem.  
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show Procedures.  
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Services covered under the ambulatory payment classification (APC) system include all of the following EXCEPT:   show
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OPPS Stands for:   show
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show The centers for medicare and medicaid services (CMS)  
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The diagnosis related group (DRG) system is a type of.   show
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show A particular organ system.  
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Diagnosis related group (DRG) classification takes into account all of the following criteria EXCEPT:   show
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The physician who is primarily responsible for a patient's care while in the hospital is referred to as the:   show
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The UB-04 claim form allows for a maximum of:   show
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A facility's case mix is based on all of the following EXCEPT:   show
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Software that is used to calculate the diagnosis related group (DRG) payment group is called a(n)   show
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A case that cannot be assigned an appropriate diagnosis related group (DRG) because of the typical situation is called a(n)   show
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When referring to diagnosis related groups (DRGs), the abbreviation CC is used to indicate:   show
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Individuals eligible for medicare may be classified into one or more of the following categories EXCEPT:   show
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show end-stage renal disease.  
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The medicare coverage that consists of hospital insurance is   show
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The medicare coverage that pays for physician services is   show
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show Medicare Advantage (MA)  
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Medicare prescription drug coverage is offered through.   show
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show Paying claims for medicare beneficiaries.  
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The organization that enrolls new medicare beneficiaries into the program is the   show
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show Contractors.  
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A spouse of a deceased, retired, or disabled individual who was or is eligible for medicare benefits:   show
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Medicare part A provides coverage for all of the following services EXCEPT:   show
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Individuals age 65 and older qualify for medicare if they have paid FICA taxes for at least:   show
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show More than 2 years.  
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show Medicare Part A.  
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show Short-term hospital care, Inpatiet respite care, In-home care. ALL THE ABOVE.  
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Private-duty nursing care is:   show
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Medicare Advantage plans ( Part C) offer which of the following benefits?   show
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Medicare Part D consists of:   show
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show 20%  
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Medicare Part B provides agree to accept as payment in full the amount paid by:   show
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