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Medical Billing Practice Flashcards

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13892919798what is the correct matching word part for corne/ocornea0
13892926889what is the surgical removal of the mastoid cells?mastoidectomy1
13892952258what is the surgical repair of the pinna of the earotoplasty2
13892972085what is the correct matching word part for phac/olens3
13892983688what is the correct matching word part for chrom/ocolor4
13892995374What is the surgical removal of the tympanic membranemyringectomy5
13893003954what is the correct matching word part for retin/oretina6
13893028616what is the correct matching word part for opt/oeyes7
13893039467what is the correct matching word part for mono/oone8
13893052167what is the correct matching word part for -opiavision9
13893063289what is the correct matching word part for scler/owhite of the eye10
13893070389what is the correct matching word part for core/opupil11
13893077550what is the surgical removal of the stapesstapedectomy12
13893088044what is the correct matching word part for ir/oiris13
13893114050what is the surgical incision of the eardrum to create a placement of tympanostomy tubes ismyringotomy14
13893202061what is the correct matching word part for pulm/opertaining to lungs15
13893208329what is the correct matching word part for pleur/opleura, side of the body16
13893213843what is the correct matching word part for bronchi/obronchial tubes17
13893223652which is the correct matching word for alveol/oair sac18
13893228174what is the correct matching word part for -pneabreathing19
13893233084what is the correct matching word part for trachea/otrachea20
13893240365what is the correct matching word part for phon/osound or voice21
13893244786what is the correct matching word part for cyan/oblue22
13893250329what is the correct matching word part for -ecstasis/oenlargement23
13893255869what is the correct matching word part for phren/odiaphragm24
13899516076which is the correct matching word part for coron/ocoronary25
13899522219which is the correct matching word part for phleb/ovein26
13899527470which is the correct matching word part for hemat/oblood27
13899532227which is the correct matching word part for angi/orelating to blood or lymph vessels28
13899535610which is the correct matching word part for -emiablood condition29
13899543857which is the correct matching word part for leuk/owhite30
13899546695which is the correct matching word part for aort/oaorta31
13899546696which is the correct matching word part for ather/oplaque or fatty substance32
13899553807which is the correct matching word part for cardi/oheart33
13899556303which is the correct matching word part for ech/osound34
13899582801A physician performed a bilateral laminectomy on a patient in an ambulatory surgical center. Which of the following place of service codes should be used on the CMS 1500?2435
13899596518Which of the following refers to documentation obtained from an insurance company that allows patients to receive treatment using their benefitspreauthorization36
13899608168Which of the following reports is used to follow up on outstanding claims to third party payers?aging37
13899627192The patient is sent a statement for an office visit. The total amount of the bill is $100.00 and this amount must be paid before the insurance company will pay on the claim. Which of the following is this called?deductible38
13899636613When should a provider have a patient sign an ABN?when the items may be denied and prior to performing the service39
13899667247A patient had surgery two weeks ago to repair a dislocated ankle, and return today to have the flexor tendon muscle repaired. Which of the following modifiers should be reported for today's service?7940
13899674330Which of the following are necessary to complete a CMS 1500 form?diagnosis and CPT codes, physician information, and demographic information41
13899699775Which of the following fees posted to the patient's account is an example of "usual, customary, and reasonable"?allowed amount42
13899715278When following up on a denied claim, an insurance and coding specialist should have which of the following information available when speaking with the insurance company?patient's claim number, physician NPI, and patient insurance ID number43
13899732307Which of the following Medicare parts covers inpatient hospital stays?Part A44
13899743974Which of the following is the most likely cause of the deposits not agreeing with the credits on the day sheet of the patient ledger?payment is misplaced45
13899762924The most effective method to manage patient statements and other financial invoices as well as avoid payment delays is tocollect fees at the time of service46
13899770031collections agencies are regulated by thefair debt collections practices act47
13899780969Providers may receive payment directly from the insurance carrier by accepting anassignment of benefits48
13899800147When filling an electronic insurance claim, the insurance and coding specialist processes which of the following forms?CMS-1500 claim form49
13899819056When using an EHR system to enter CPT codes on a CMS 1500 claim form for electronic submission, which of the following should be entered on the claim form first?the most resource-intensive procedure or service50
13899839615The provider is paid the same rate per patient whether or not they provide services and no matter which services were provided. This payment is known ascapitation51
13899843803In order to have claims paid as quickly as possible, the insurance specialist must be familiar with which of the following?payer's claim processing procedures52
13899874163A patient has called to schedule an appointment for an office visit to see the doctor tomorrow for an earache. It is discovered during the scheduling process that the insurance policy on file has been cancelled. Which of the following should the insurance and coding specialist do next?advise the patient to bring current insurance information to the appointment53
13899898037The insurance and coding specialist is billing the insurance company of a 66-year-old woman who has Medicare and is covered under her husband's private insurance. Which of the following should be billed first?the husband's insurance54
13899912721When posting an insurance payment via an EOB, the amount that is considered contractual is theinsurance allowed amount55
13899931234Which of the following modifiers is required for a return to the operating room for an unplanned related procedure or service by the same physician during the postoperative period?7856
13899940717To be eligible for Medicare, an alien resident must have lived in the US for5 consecutive years57
13899945612DRG's are a type ofhospital inpatient reimbursement58
13899957083which of the following have spurred the development of DRGadvances in technology59
13899963592Unbundling, exploding, or a la carte coding arefraudulent60
13899974425If a person eligible for Medicaid has other insurance coverage, Medicaid is always thesecondary carrier61
13899983353CPT codes, descriptions, and two-digit modifiers are copyrighted by theAmerican Medical Association (AMA)62
13899990670Codes 99281 through 99285 refer toEmergency Department Services63
13900006450which of these hospital records will contain not only information about the patient's condition (including diagnosis and treatment) and final prognosisdischarge summary64
13900011498Add-on modifier -26 indicates theProfessional component65
13900016536The Physician's Current Procedural Terminology (CPT) is revisedannually66
13900025368Which of these are an advantage of electronic claims submission-online error edit process identifies errors quickly -helps to increase cash to the practice -saves time for the sender and receiver67
13900048302when transferring codes to claim forms be careful tokeep from transposing numbers68
13903188054For Medicare inpatient services, a benefit period begins theday a patient enters the hospital69
13903231467If multiple lacerations are repaired under the same classification and in the same group of anatomic parts a billing and coding specialist shouldadd the sum of lengths of report one code70
13903255741what does the bullet in the CPT codebooks stand fornew code71
13903262493basic CPT codes use5 digits72
13903270304A patient might submit his own Medicare claim whenpurchasing medical equipment73
13903275670When an illiterate patient cannot sign a Medicare form,a witness should sign the form74
13903291025The transformation of verbal descriptions of diseases, injuries, and procedures into numbers is calledcoding75
13903297204Two coding systems are used by physicians' offices. One is for diagnoses and the other is forservices and procedures76
13903305509Medicare is a federal health insurance program for:-people 65 years or older -blind individuals -disabled widows77
13903330838A physician must make a decision to accept or refuse to treat a Medicaid patient based on theentire medicaid program78
13903344262Which of the following is an example of unethical or illegal coding?Dividing services provided into separate codes when a single code is available79
13903366435Which chapters of the ICD-10-CM code book includes certain infectious and parasitic diseases?Chapter 180
13903371350In some billing cases it is necessary to add a 2 digit modifier in order togive a more accurate description81
13903398196What is the correct matching word part for cortex/oouter region82
13903404098What is the correct matching word part for poly-many83
13903407571What is the correct matching word part for retro/obackward84
13903412397What is the correct matching word part for -uriaurination85
13903418437What is the correct matching word part for urethr/ourethra86
13903424603What is the correct matching word part for ren/okidney87
13903432117What is the correct matching word part for vesic/obladder88
13903441432What is the correct matching word part for meat/oopening or passageway89
13903445228What is the correct matching word part for ureter/oureter90
13903449435What is the correct matching word part for ur/ourine91
13903453282What is the correct matching word part for nephr/okidney92
13903459582What is the correct matching word part for medull/omiddle or inner portion93
13903468386What is the correct matching word part for pyle/orenal pelvis94
13903468569What is the correct matching word part for epi/oupper or above95
13903472468What is the correct matching word part for py/opus96
13903486855What is the correct matching word part for gastr/ostomach97
13903486856What is the correct matching word part for an/oanus98
13903492003What is the correct matching word part for lingu/otongue99
13903497543What is the correct matching word part for emesisvomiting100
13903497749What is the correct matching word part for or/omouth101
13903503909What is the correct matching word part for dent/oteeth102
13903503910What is the correct matching word part for lip/ofat103
13903517412What is the correct matching word part for col/ocolon104
13903524661What is the correct matching word part for enter/ointestine105
13903527792What is the correct matching word part for esophag/oesophagus106
13903528207What is the correct matching word part for gingiv/ogum107
13903530796What is the correct matching word part for phag/oeat or swallow108
13903537652What is the correct matching word part for proct/oanus and rectum109
13903542735What is the correct matching word part for ile/oileum110
13903542736What is the correct matching word part for hepat/oliver111
13903554684What is the correct matching word part for macr/olarge112
13903559023What is the correct matching word part for lymph/olymph113
13903562566What is the correct matching word part for sarc/oflesh114
13903569183What is the correct matching word part for myel/obone marrow115
13903575482What is the correct matching word part for carcin/ocancer116
13903575483What is the correct matching word part for onc/otumor117
13903578882What is the correct matching word part for perisurrounding118
13903585408What is the correct matching word part for meta/obeyond and change119
13903588216What is the correct matching word part for lytic-reduce or destroy120
13903593459What is the correct matching word part for aut/oself121
13903604917What is the correct matching word part for pelv/ipelvis cavity122
13903612022What is the correct matching word part for gravid/opregnant123
13903618352What is the correct matching word part for prostat/oprostate124
13903624957What is the correct matching word part for part/olabor and childbirth125
13903629933What is the correct matching word part for spermat/ospermatozoa126
13903636234What is the correct matching word part for galact/omilk127
13903636235What is the correct matching word part for orch/otestis128
13903638932What is the correct matching word part for pen/ipenis129
13903644398What is the correct matching word part for mast/obreast130
13903644399What is the correct matching word part for -pexysurgical fixation131
13903649969What is the correct matching word part for semin/isemen or sperm132
13903654685What is the correct matching word part for gest/ocarry young or offspring133
13903659241What is the correct matching word part for cervic/ocervix134
13903664261What is the correct matching word part for hyster/outerus135
13903667844What is the correct matching word part for corp/ubody136

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