14. What is the golden rule as a medical coder? (2 pts)
Question 15
15.
15. What is Medical Coding and the essence in the health care system? (2 pts)
2. A federal health insurance program administered by CMS that provides coverage for people over the age of 65 years old, blind and patient having ERSD or kidney failure.
a. Medicare
a. Medicaid
a. Tricare
a. Self- Pay
3. Medicare Part C is also known as?
a. Inpatient plan
b. Outpatient plan
c. Medicare Advantage plan
d. Prescription plan
4. What is ABN used for?
a. Standard form provided to the provider for all services which Medicare may not covered.
b. Standard form provided to patient for possible denial of services from Medicare.
c. Standard form given to patient after services rendered that Medicare may not covered.
d. None of the above
5. What HIPAA stands for?
a. Health Insurance Portable and Accountable Act
b. Health Insurance Portability and Accountable Act
c. Health Insurance Portability and Accountability Act
d. Health Insurance Portable and Accountability Act
6. Interpreting national policies into regional Policies.
a. MAC
b. NCD
c. LCD
d. PHI
8. Term refers whether a procedure or service is considered appropriate in a given circumstances.
a. Medical Coding
b. Medical Necessity
c. Medicare Health Plan
d. All of the above
9. Best example of Fraud.
a. Coder submitted a claim which are not provided.
b. Coder submitted a claim for a service which is not covered as per policy
c. Provider giving services which are not medically necessary.
d. All of the above.
10. Form used for Hospital – based medical billing?
a. UB-04 claim form
b. CMS 1500 claim form
c. CMS 1500 claim form
d. None of the above
11. What HITECH in medical compliance?
a. Promotes the adoption and meaningful use of health information technology
b. For Patient audit trail
c. A and B
d. A only
12. When OIG workplan is being published?
a. Twice a year
b. Yearly
c. Quarterly
d. Monthly
13. Recording of pertinent facts and observation about an individual health?