Unfinished Test and Answers for Cbcs study guide

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1.

Which of the following sections of the CPT manual lists the appropriate code for WBC with differential, automated? A) surgery B) anesthesia C) pathology and laboratory D) evaluation and management

2.

Which of the following codes includes a history, an examination, and a medical decision making of high complexity? A) 00320 B) 74000 C) 88300 D) 99205

3.

To assign a diagnosis code to the highest level of specificity, a billing and coding specialist should A) check for a 3rd digit B) check for exclusion or inclusion notes C) check for 4th or 5th digit D) check for code first or code also notes

4.

The CPT code was developed and is updated annually by the A) AMAA B) AMT C) AMA D) WHO

5.

Under which of the following circumstances should a paper claim to be submitted to the insurance company? A) a claim containing modifier-24 B) a claim containing unlisted procedure codes C) a claim containing unspecified diagnosis code D) a claim containi

6.

According to HIPAA standards, which of the following identifies the rendering provider on the CMS-1500 claim form in block 24j? A) UPIN B) EIN C) SSN D) NPI

7.

HIPAA required standard transactions and code sets include which of the following? A) HCPCS level ll national codes B) HCPCS level lll codes C) ABC codes D) DSM-lV codes

8.

To submit a clean claim for the application of a long leg cast, which of the following diagnosis is appropriate? A) scapula fracture B) metacarpal fracture C) humerus fracture D) patella fracture

9.

Which of the following should a billing and coding specialist obtain from a Medicare patient when services for a diagnostic test are not covered? A) a consultation report B) a predetermination C) a referral D) an ABN form

10.

When submitting a clean claim with a diagnosis of kidney stones, which of the following procedures is correct? A) nephrolysis B) nephrectomy C) nephrolithiasis D) nephrorrhexis

11.

If a patient has a history of breast cancer that has metastasized to the liver and is undergoing chemotherapy for the liver cancer, which of the following icd-9 codes should be sequenxed? A) 174.9 primary breast cancer B) 197.7 secondary liver cancer C) V

12.

Which of the following actions should be taken if an insurance company denies a service as not medically necessary? A) send the patient a cooy of the remittance advice B) appeal the decision with a provider's report C) submit a claim to the patients secon

13.

Which of the following takes precedence over ICD-9 ch-specific guidelines? A) WHO guidelines B) coding conventions and instruction C) carrier billing instructions D) managed care guidelines

14.

Of which of the following claim forms are professional outpatient services and procedures submitted? A) CMS-1500 B) CMS-1450 C) UB-04 D)UB-92

15.

Patient Jane Austin; SS #: 555-22-1111; medicaid id #: 555-33-2222A; DOB 05/22/1945. Claim info entered: Austin, Jane; ss# 555-33-1111; medicare id 555-33-2222A DOB 052245. Which of the following is a reason the claim was rejected? A) medicare id entered

16.

Representatives from which of the following accrediting agencies can visit office laboratories to review manuals and interview staff? A) CLIA B) JCAHO C) NAACLS D) CMS

17.

Which of the following systems in the surgical section of the CPT manual lists the correct code for ablation of renal cysts by laparascopy? A) urinary B) cardiovascular C) respiratory D) digestive

18.

Which of the following is the correct term for the tube in the urinary system that transport urine from the kidney? A) ureter B) urethra C) distal convoluted tubule D) proximal convoluted tubule

19.

Ambulatory surgery centers, home health care, and hospice organizations use the A) cms-1500 claim form B) ub-04 claim form C) advance beneficiary notice D) first report of injury form

20.

Which of the following is the purpose of precertification? A) verification of benefits B) assignment of benefits C) determining the annual deductible amount D) determining the coinsurance amount

A.

B) a claim containing unlisted procedure codes

B.

D) patella fracture

C.

B) coding conventions and instructions

D.

B) appeal the decision with a providers report

E.

A) urinary

F.

C) AMA