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Insurance and Medical Coding
Quiz 1: Free Coding Specialist
Path 4
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Question 1
Multiple Choice
Theodore is an elderly 90-year-old man, who has been unable to leave his bed for the last six months. During his last check-up, the physician noticed a pressure ulcer on the back of his calf muscle. The ulcer was already at an elevated stage, with partial thickness skin loss involving the epidermis of the back of the calf. His physician recommended that Theodore be moved to an upright position to relieve the pressure on his calf muscle and prevent infection. If the pressure ulcer persists, Theodore's physician may recommend using a healing chamber as a way to treat the wound before it gets any worse. What is the appropriate way to code Theodore's pressure ulcer?
Question 2
Multiple Choice
A 76-year-old woman visited her dermatologist's office in response to a large suspicious nevus on her back. The dermatologist excised the nevus and sent it to the pathology lab for examination. The patient experienced pain excision site, due to its large size and was prescribed pain medication. What two part of Medicare insurance will the patient need to pay for the dermatologist's office visit and the prescription charges?
Question 3
Multiple Choice
A physician performed the following trigger point injections: Two injections into the flexor carpi muscle One injection into the extensor carpi muscle Three injections into the triceps brachii One injection into the biceps brachii What is the correct code for these injections?
Question 4
Multiple Choice
A physician performed craniotomy on a patient with a severe head trauma and intracerebral hematoma. Due to the patient's condition the procedure was extremely difficult, requiring a significant amount of extra time and effort. What is the correct code for this procedure?
Question 5
Multiple Choice
HIPAA was created to:
Question 6
Multiple Choice
A physician biopsied the skin on a 30-year-old woman's upper eyelid, with a possible fungal infection. Three sites were biopsied. How should the physician code for this procedure?
Question 7
Multiple Choice
A pediatric patient presented to the office with a severe asthma attack. The pediatrician ordered a pulse oximetry to check the patient's blood oxygen saturation level and a spirometry to evaluate her lung capacity. The physician interpreted the results and ordered an albuterol nebulizer treatment and a post-spirometry to check the patient's responsiveness to the albuterol treatment. What are the correct codes for this office visit?
Question 8
Multiple Choice
Medical billing fraud is:
Question 9
Multiple Choice
Tricare Prime patients typically must see physicians:
Question 10
Multiple Choice
Why are ICD-9 codes necessary to include on a claim?
Question 11
Multiple Choice
A physician excised the head of the humeral bone and replaced it with the appropriate implant. What is the correct code for this procedure?
Question 12
Multiple Choice
A physician performed a complex repair of the scalp measuring 7.2 cm and an intermediate repair of the arm measuring 3.4 cm. The repairs are different complexities, so they would be reported with separate repair codes, but you would need to add a modifier to indicate that they are two separate procedures performed on the same date of service. Which modifier would you use?
Question 13
Multiple Choice
Sheila took her 5-year-old daughter to the pediatrician's office for an annual well-child exam. She has a commercial Blue-Cross Blue-Shield insurance plan, through her work, which covers her daughter. Sheila also has Medicaid coverage on her daughter, due to her low-income status. Which one of her insurances is billed for the well-child exam?
Question 14
Multiple Choice
Devonne recently experienced a death in her family and has been severely depressed. She went to her psychiatrist and he prescribed a new anti-depressant drug. After Devonne started taking the anti-depressant, she experienced nausea, vomiting, and dizziness. She called her physician, who advised her to stop taking the anti-depressant and come into the clinic so that he could examine her and prescribe a new anti-depressant. What are the appropriate ICD-9 diagnosis codes for Devonne's reaction to the anti-depressant?
Question 15
Multiple Choice
What is the purpose of an internal audit?
Question 16
Multiple Choice
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?
Question 17
Multiple Choice
In the RBRVS calculation, the GPCI takes into account:
Question 18
Multiple Choice
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?
Question 19
Multiple Choice
Level 1 studies in the surgical pathology section of the Laboratory and Pathology chapter of the CPT manual describe:
Question 20
Multiple Choice
The physician on duty examined the patient and determined that patient was ready for discharge. The physician spent 25 minutes on the hospital discharge of an inpatient discharge. What is the correct procedure code?
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