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Lessons 1, 2, and 3 Medical Coding 1 Exam 1 EXAMINATION

Lessons 1, 2, and 3 Medical...
Lessons 1, 2, and 3
Medical Coding 1
Exam 1
EXAMINATION NUMBER:
38189701

Questions 1–50: Select the one best answer to each question.
1. Which of the following types of examination is limited to
an affected body area or organ system and other related
organ systems?
A. Problem focused C. Detailed
B. Expanded problem focused D. Comprehensive
2. What code should you use for an office visit for an established
patient if the level of history and examination is
detailed and the decision making is of moderate complexity?
A. 99203 C. 99213
B. 99204 D. 99214
3. What convention in the Alphabetic Index tells you to look elsewhere before assigning
a code?
A. Note C. Summary
B. Cross-reference term D. Abbreviation
4. The letter _______ designates a temporary HCPCS Level II code for durable medical
equipment only.
A. G C. K
B. Q D. J
5. The reason given by a patient for seeking health care is referred to as the
A. chief complaint. C. brief history.
B. primary diagnosis. D. morbidity factor.
6. Which one of the following items must be included in a general multisystem
examination of a constitutional system?
A. Vital signs C. Auscultation of the lungs
B. Inspection of teeth and gums D. Palpation of lymph nodes
7. The abbreviation NOS is used
A. when a separate code for a specific condition isn’t provided in the classification
system.
B. when the medical record doesn’t provide enough information to permit assignment
of a more specific code.
C. to indicate that another code may describe the condition more completely or
specifically.
D. to provide assurance that the code is correct by listing various terms that are
covered by the code.
8. In the Alphabetic Index to Procedures of the ICD-9-CM manual, locate the correct code
for “ligation and stripping of varicose veins in the lower limb.” Verify the code in the
Tabular List. The code is
A. 38.50. C. 38.58.
B. 38.53. D. 38.59.
9. One of the factors used to determine CABG procedure codes is the number
of _______ involved.
A. catheters C. vessels
B. organs D. physicians
Examination, Lessons 1, 2, and 3 31
10. Which of the following codes is used for the diagnosis “closed dislocation of
the sternum”?
A. 839.61 C. 839.71
B. 839.8 D. 839.9
11. A 50-year-old new female patient has had a sore throat and head congestion for five
days. The physician performs an expanded problem-focused history and examination
and straightfoward medical decision making. What is the correct code for this service?
A. 99201 C. 99212
B. 99202 D. 99213
12. A discharge summary contains the diagnosis “acute ethmoidal sinusitis.” Which of the
following codes represents the correct entry for this diagnosis?
A. 461.2 C. 473.2
B. 461.9 D. 473.9
13. Which one of the following subcategories of the E/M section has separate codes for
new and established patients?
A. Office or Other Outpatient Services
B. Hospital Observation Services
C. Initial Inpatient Consultation
D. Emergency Department Services
14. Which of the following initial inpatient consultation codes is used in situations involving
an expanded problem focused history and examination and straightforward medical
decision making?
A. 99251 C. 99253
B. 99252 D. 99254
15. Which of the following E codes take priority over all other E codes?
A. Cataclysmic events C. Suicide and self-inflicted injury
B. Transport accidents D. Child or adult abuse
16. Single braces are used in the Tabular List to
A. indicate fifth digits required with a code.
B. connect terms on both sides of the braces.
C. include nonessential modifiers and alternative codes.
D. connect a series of terms on the left with one term on the right.
32 Examination, Lessons 1, 2, and 3
17. An operative report shows “open reduction of humerus for separation of epiphysis, with
internal fixation.” Identify the correct code in the Alphabetic Index to Procedures and
verify it in the Tabular List.
A. 79.3 C. 79.5
B. 79.31 D. 79.51
18. The chief complaint, a brief history of present illness, and a problem-specific review of
systems are documented in what type of history level for E/M coding?
A. Detailed C. Expanded problem focused
B. Brief D. Comprehensive
19. An attending physician asks a specialist to see a patient about a specific problem and
to advise him regarding treatment. This situation is called a
A. confirmatory consultation. C. transfer of care.
B. referral. D. consultation.
20. When coding late effects, the code for the _______ is usually sequenced first.
A. original cause C. modifier
B. residual condition D. complication
21. Provide a code for the following situation: initial admission to hospital for observation
care with a detailed history and examination and moderate decision making.
A. 99217 C. 99219
B. 99218 D. 99220
22. What is the main term in the diagnosis “pituitary gland hypofunction”?
A. Ablation C. Gland
B. Pituitary D. Hypofunction
23. A physician provides an office consultation for a new patient. The history and
examination levels are comprehensive and the medical decision making is o
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2/16/2011
Cher
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Hi Kasey, and thanks for requesting me again.

Please allow me a little while to complete these for you.

Thanks,
Cher
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Hi again, Kasey.

Here are the answers for numbers 1-22 for comparison with your own:

CLICK (please let me know as soon as you download the file)

As you can see, question number 23 did not come through completely, so if you can supply the full question, I will be happy to send you the answer.

Please remember to click "ACCEPT" if my answer has been helpful, so I may receive credit for helping you.

Best regards,
Cher
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Customer reply replied 6 years ago
IM SORRY THANK YOU SO MUCH!!

23. A physician provides an office consultation for a new patient. The history and
examination levels are comprehensive and the medical decision making is of
high complexity. What is the correct code for this situation?
A. 99254 C. 99244
B. 99255 D. 99245
24. Provide the ICD-9-CM and CPT codes for a history and physical examination of a single
liveborn delivered in hospital by caesarian section.
A. V30.00, 99430 C. V30.02, 99432
B. V30.01, 99460 D. V30.03, 99433
Examination, Lessons 1, 2, and 3 33
25. _______ are used to indicate factors influencing health status and contact with
health services.
A. Manifestation codes C. E codes
B. Cross-reference codes D. V codes
26. In the Tabular List, where would you find alternative terms and explanatory phrases?
A. In square brackets C. In double braces
B. After a colon D. In parentheses
27. The minimum examination level required to code 99203 is
A. problem focused. C. comprehensive.
B. expanded problem focused. D. detailed.
28. According to the Tabular List for code 463, which one of the following conditions is
excluded from the code?
A. Follicular tonsillitis C. Septic sore throat
B. Acute viral tonsillitis D. Septic tonsillitis
29. Which of the following range of codes is located in the Evaluation and Management
section of the CPT manual?
A. 90001–90699 C. 89000–89999
B. 99201–99450 D. 80600–88999
30. J codes in the HCPCS Level II system are used to indicate
A. bandages. C. durable medical equipment.
B. medications and dosages. D. ambulance services.
31. The _______ medical decision-making category includes minimal diagnoses, minimal
complexity of data, and minimal risk of complications.
A. straightforward C. low complexity
B. simple D. uncomplex
32. When is it correct to assign a four-digit category code?
A. When a manifestation code is given
B. When no fifth-digit subcategory codes are in that category
C. When the cross reference tells you to do so
D. When there are no nonessential modifiers
34 Examination, Lessons 1, 2, and 3
33. Which of the following ICD-9-CM and CPT codes would you use to describe
physician supervision only of a cardiovascular stress test on a patient with an
abnormal electrocardiogram?
A. 794.31, 93016 C. 787.1, 93012
B. 793.40, 93000 D. V70.01, 93014
34. Which of the following codes is used for initial neonatal critical care?
A. 99477 C. 99468
B. 99469 D. 99472
35. When coding, you should always use the Tabular List to
A. verify the codes you’ve located in the Alphabetic Index.
B. locate codes not found in the Alphabetic Index.
C. find the range of codes for a particular disease.
D. determine if there are any cross references for the code.
36. How many bulleted topics must be included in documentation relating to a detailed
psychiatric analysis?
A. 1–5 C. 7
B. 6 D. Any 12
37. Which of the following categories is used to code heart conditions caused by hypertension?
A. 429 C. 402
B. 425 D. 405
38. Which of the following codes would be used for a one-hour initial therapeutic
intravenous infusion under the supervision of a physician?
A. 96365 C. 96367
B. 96366 D. 96369
39. In the Alphabetic Index to Procedures in the ICD-9-CM manual, locate the correct code
for “open drainage of the chest by incision.” Verify the code in the Tabular List.
A. 34.09 C. 34.04
B. 34.05 D. 34.01
40. Which of the following range of codes is used to report Emergency Department Services?
A. 99271–99280 C. 99289–99297
B. 99281–99288 D. 99298–99305
41. Which of the following physical status modifiers would be used to code a patient with a
mild systemic disease?
A. P1 C. P3
B. P2 D. P4
Examination, Lessons 1, 2, and 3 35
42. What is the code for the unlisted surgery procedure for the inner ear?
A. 25999 C. 58999
B. 43499 D. 69949
43. Anesthesia procedure codes are grouped according to
A. patient status. C. anatomic site.
B. time required. D. procedure used.
44. Which of the following code ranges is used to report a coronary bypass graft using
veins only?
A. 33510–33516 C. 33517–33523
B. 33533–33545 D. 33533–33536
45. Which of the following HCPCS Level II modifiers is used to indicate a procedure
performed on the thumb of the left hand?
A. -FA C. -FT
B. -F1 D. -L1
46. A diagnosis of spinal stenosis of the lumbar spine is coded to
A. 723.00. C. 724.01.
B. 724.00. D. 724.02.
47. Which of the following range of codes is used to describe laparoscopic removal of
the gallbladder?
A. 47562–47564 C. 56340–56342
B. 47611–47620 D. 56345–56347
48. Which of the following procedures is used to correct sleep apnea?
A. ICCE C. ERCP
B. PEG D. UPPP
49. In addition to the CPT codes, _______ are frequently used when reporting general
surgical procedures to provide better detail.
A. modifiers C. physician signatures
B. ICD-9-CM codes D. anesthesiologist reports
50. Which of the following procedures involves inserting an endoscope past the third part
of the duodenum?
A. ERCP C. EGD
B. Esophagoscopy D. Ileoscopy
No problem, and you're most welcome! Smile

I'll have these for you later on tonight.

Regards,
Cher
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Customer reply replied 6 years ago
Thank you, XXXXX XXXXX the best!
You're most welcome, Kasey! Thanks very much for your accept!

Feel free to request me again for any future questions by just typing "FOR CHER" to begin your question.

Regards,
Cher
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Customer reply replied 6 years ago
Medical Coding 1
Final Examination # XXXXX
Part A: Answer each of the following questions in one or two paragraphs. Each answer is
worth 20 points.
1. Differentiate between the official coding guidelines for using V codes in an inpatient and
outpatient setting.
2. You’ve started your first day at Venture Outpatient Surgery Center. Explain how you
would code an operative report.
3. Discuss coding for obstetrics, including items covered by the global fee for antepartum
and postpartum periods of normal pregnancy.

Part B: Answer each of the following items in two to five sentences. Each answer is worth
four points.
1. Explain the importance of a fee schedule and the factors it’s based on.
2. Why would a coder want to take special precaution when coding the diagnosis of
human immunodeficiency virus or acquired immunodeficiency syndrome?
3. If a patient suffers multiple burns, describe the correct coding sequence.
4. What is the result of an erroneous coding of a neoplasm?
5. Explain how evaluation and management (E/M) codes are grouped.

Part C: Select the one best answer to each question. Each item is worth two points.
1. Which of the following modifiers is used to indicate partial reduction or elimination of a
pathology procedure?
A. -22 C. -42
B. -32 D. -52
2. When a physician provides a “complete” radiological procedure, two codes are submitted.
One code is a radiological code, the other is a code from the _______ section.
A. oncology C. surgery
B. HCPCS Level II modifier D. supervision
3. CPT Category II codes consist of _______ digits followed by one alpha character.
A. two C. four
B. three D. fiveFinal Examination Booklet 3
4. Which of the following forms is used to request payment from an insurer?
A. ICD-9 3400 C. RFP
B. CPT 2002 D. CMS-1500
5. The technical component of a diagnostic radiology procedure is indicated by the HCPCS
Level II modifier
A. -td. C. -dc.
B. -tc. D. -dx.
6. In a _______ fee schedule, the individual physician determines the price for each service.
A. CMS C. POS
B. UCR D. PPO
7. Which of the following codes is used to report a barium enema with KUB?
A. 74750C C. 7473O
B. 74740D D. 74270
8. Which type of audit may be conducted within a practice setting to expose billing problems?
A. External C. OIG
B. Internal D. FBI
9. CLIA ’88 defines _______ levels of testing based on complexity.
A. six C. four B. five D. three
10. Which of the following CPT code ranges describes evocative/suppression testing
procedures?
A. 80400–80440 C. 81000–81099
B. 80500–80502 D. 82000–82999
Customer reply replied 6 years ago
This is my last exam for my certificate can u help w any of it?
Hi again, Kasey.

I think I can help with the multiple choice questions, but I'm swamped and am not sure if I will be able to help with the written parts. It might be a good idea to post parts A and B as a separate question in our Writing category.

By the way, how did you like the Diabetes paper?

Regards,
Cher
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Customer reply replied 6 years ago
It was great I got a 97 on that paper and on all the other test you did for me 100 WOW! I wish I would have met you when I first started using JustAnswer. If you would like a copy of any of the graded Exams I would be glad to send them to you. I am so sorry I wasnt able to tip more usually I tip $10+ I am waiting for payday! THANK YOU
Hi again, Kasey, and thanks for your reply with such excellent information!

I'm so glad you got a 97 on that Diabetes paper, and it's always a pleasure for me to help you! If possible, can you send me the professor's comments on the paper? You forgot to click 'Accept' on the paper, and that would be greatly appreciated! Here is the link, in case you can't find it: http://www.justanswer.com/homework/4kn7w-lessons-1-2-anatomy-physiology-midterm-exam-xxxxx-questio.html (scroll all the way down to my answer where I sent the link to the paper) I think it was a little confusing, because it was together with some exams answers I had sent to you on an earlier question, and then the question was 'closed'. You can still click 'Accept' even though the question is closed.

Yes, thanks for your offer; I would love a copy of the graded exams, if you can send them to me, just so I have them for my records. Only the ones where you didn't get 100 are necessary, so I can see the corrected answers, but also, if/when you have the time, if you can include the exam numbers only, of the ones where you did get 100, I will know for sure they were all correct.

I appreciate any and all bonuses, and you can always add one to an already accepted answer, if you want to. That's really very kind of you! You are a pleasure to work with!

I'm going to see if I can help with the most recent exam you sent, later today, as I need to sign offline now, for a while.

I'll be in touch with you later.

Best regards,
Cher

Edited by Cher on 2/17/2011 at 8:58 PM EST
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Customer reply replied 6 years ago

Print this page


Exam Results
MEDICAL CODING 1, EXAM 2, LESSONS 4-6

Please print a copy of this evaluation if you wish to retain it for your records. This exam will be available for you to view and print for 30 days only.
Kasey Wilson
Student Number

Date Graded
02/17/11
Examination
38189800
Grade
91
Document ID
XXXXXXXXX
Question Number Your Answer Answer Reference
1. D Correct
2. B Correct
3. D Correct
4. C Correct
5. A Correct
6. D Correct
7. D Correct
8. D Correct
9. B Correct
10. B Correct
11. C Correct
12. C Correct
13. A Correct
14. A B BOOK 2 PAGE 378
15. A Correct
16. D A BOOK 1 PAGE 273
17. D Correct
18. D Correct
19. D Correct
20. B Correct
21. A Correct
22. A Correct
23. B Correct
24. A Correct
25. D Correct
26. D Correct
27. A Correct
28. C Correct
29. A Correct
30. C Correct
31. D Correct
32. A Correct
33. C Correct
34. D Correct
35. B D BOOK 2 PAGE 375

Customer reply replied 6 years ago

Print this page


Exam Results
MEDICAL CODING 1, EXAM 2, LESSONS 4-6

Please print a copy of this evaluation if you wish to retain it for your records. This exam will be available for you to view and print for 30 days only.
Kasey Wilson
Student Number

Date Graded
02/17/11
Examination
38189800
Grade
91
Document ID
XXXXXXXXX
Question Number Your Answer Answer Reference
1. D Correct
2. B Correct
3. D Correct
4. C Correct
5. A Correct
6. D Correct
7. D Correct
8. D Correct
9. B Correct
10. B Correct
11. C Correct
12. C Correct
13. A Correct
14. A B BOOK 2 PAGE 378
15. A Correct
16. D A BOOK 1 PAGE 273
17. D Correct
18. D Correct
19. D Correct
20. B Correct
21. A Correct
22. A Correct
23. B Correct
24. A Correct
25. D Correct
26. D Correct
27. A Correct
28. C Correct
29. A Correct
30. C Correct
31. D Correct
32. A Correct
33. C Correct
34. D Correct
35. B D BOOK 2 PAGE 375


MEDICAL CODING 1, EXAM 1, LESSONS 1-3

Please print a copy of this evaluation if you wish to retain it for your records. This exam will be available for you to view and print for 30 days only.
Kasey Wilson
Student Number
21340038
Date Graded
02/17/11
Examination
38189700
Grade
100
Document ID
XXXXXXXXX
Question Number Your Answer Answer Reference
1. B Correct
2. D Correct
3. B Correct
4. C Correct
5. A Correct
6. A Correct
7. B Correct
8. D Correct
9. C Correct
10. A Correct
11. B Correct
12. A Correct
13. A Correct
14. B Correct
15. D Correct
16. D Correct
17. D Correct
18. C Correct
19. D Correct
20. B Correct
21. B Correct
22. D Correct
23. D Correct
24. B Correct
25. D Correct
26. A Correct
27. D Correct
28. C Correct
29. B Correct
30. B Correct
31. A Correct
32. B Correct
33. A Correct
34. A Correct
35. A Correct
36. D Correct
37. C Correct
38. A Correct
39. A Correct
40. B Correct
41. B Correct
42. D Correct
43. C Correct
44. A Correct
45. A Correct
46. D Correct
47. A Correct
48. D Correct
49. A Correct
50. D Correct


Congratulations! Your score indicates that you have mastered the important points in the lesson. We wish you continued success with your studies.

Thank you so much, Kasey! Now I can make the corrections to my records!

It was very kind of you to take the time to send these to me! YOU'RE the best!! Smile

Regards,
Cher
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Hi again, Kasey.

I'm so sorry, but I don't have the answer set for the multiple choice questions for the final, so I won't be able to help you with that.

Try reposting with the full exam in a separate question, and hopefully, another expert may have it.

Please let me know how you do in your course!

Regards,
Cher
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Customer reply replied 6 years ago

Medical Coding and Billing - Lessons 2 and 3
Insurance Form Preparation -EXAM #38181803
Questions 1-45: Select the one best answer to each question.

1. The information for Blocks 1-9 on the CMS-1500 can be
obtained from the
A. ledger card. B. medical treatment record. C. confidential patient information record. D. fee schedule.
2. If a patient is covered by Medicaid, what should you put in Block #9a?
A. Nothing B. The 12-digit Medicaid number
C. The policy number of other coverage, if any D. The patient's social security number

3. If both nondivorced parents of a dependent child have insurance that will cover the child, which policy is considered to be the primary carrier for the child?
A. The mother's insurance B. The father's insurance
C. The coverage that has been in effect longer D. The coverage of the parent whose birthday falls earlier in the year
4. As an employee at Medical & Dental Associates, how much should you charge for comprehensive service for an established patient?
A. $48 C. $72 B. $55 D. $90
5. A type of insurance that was designed to meet the needs of senior citizens is
A. Medicare. C. CHAMPUS. B. Medicaid. D. SSI.
6. CHAMPVA would be considered a primary payer for a patient who has _______ coverage.
A. Medicaid C. Medicare B. fee-for-service D. SSI
7. You should record payments that are received from insurance companies on the
A. confidential patient information record. B. medical treatment record.
C. routing slip. D. ledger card.
8. When filling out a CMS-1500 form, where would you place the address of the agency to which you're submitting the form?
A. At the very top right of the form C. In Block #5 B. On the EOB D. In Block #9d
9. Suppose that your office has submitted a claim for $800 to Medicare. The amount
approved by Medicare for this claim is $625. How much will your office actually receive from Medicare?
A. $175 C. $625 B. $500 D. $800
10. When should you submit a claim to a secondary insurance company?
A. When a primary insurance company returns a claim for correction B. When the patient authorizes you to do so C. At the same time you submit the claim to the primary carrier D. After you receive payment from the primary insurance company

11. If the patient in Question 9 has only Medicare coverage, your office will have to bill the patient for the amount of
A. $125. C. $300. B. $175. D. $625.
12. When you're completing a CMS-1500 form for a fee-for-service insurance company, you should omit the patient's telephone number because
A. a patient's phone number is confidential information. B. the insurance company will already have the patient's number.
C. the insurance company shouldn't contact the patient directly by phone. D. the phone number creates problems for scanners.
13. Most of the laws that govern Medicaid coverage are set by
A. the CMS. C. state governments. B. WHO. D. the federal government.
14. The purpose of Coordination of Benefits clauses is to
A. avoid overpayments of insurance claims. B. make the completion of the CMS-1500 easier.
C. outline the order in which insurance companies are to be billed. D. make sure that physicians receive 100 percent of what they charge.
15. One of the physicians in your office is treating Karen Roberts for a work-related injury. Karen will be receiving workers' compensation for her injury. Who should receive the claim for any treatment Karen receives that's not related to the work injury?
A. Karen's employer B. Workers' compensation
C. Medicare D. Karen's primary insurance company
16. CHAMPUS was created to provide insurance coverage primarily for
A. men and women on active duty in the armed forces. B. spouses and children of men and women on active duty.
C. disabled veterans. D. retired veterans.
17. In Block #8 of the CMS-1500 form, the box labeled "full-time student" and "part-time
student" is used for
A. patients who are dependent children of the subscriber. B. patients under the age of 18. C. patients who are at the age of majority but are still covered by their parents' insurance. D. patients who are dependent children with their own insurance coverage

18. What form should be attached to a CMS-1500 form submitted to a secondary insurance company?
A. A copy of the CMS-1500 sent to the primary insurance company B. An Explanation of Benefits C. A copy of the patient's medical treatment record D. A copy of the patient's ledger card
19. The type of insurance that's most often prone to abuse is
A. auto liability. C. Medicare. B. workers' compensation. D. fee-for-service.
20. What is a type of insurance policy outlining the benefits to be paid for each type of service normally based on the usual and customary rates (UCR) for each community?
A. Disability insurance C. Fee-for-service B. SSDI D. SSI
21. Which of the following blocks on the CMS-1500 must be completed for indemnity insurance?
A. Block #19 C. Block #21B. Block #20 D. Block #23
CAN U GO THROUGH #45

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Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

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