BILLING & CODING
This coding system tells the insurance company WHY the patient received care.
What is ICD-10-CM?
This is the single most important action healthcare workers can take to help prevent the spread of infection.
What is hand hygiene?
This chamber receives oxygenated blood returning from the lungs.
What is the left atrium?
Normal adult body temperature is approximately this in Fahrenheit.
What is 98.6°F?
A patient arrives with a fever and cough. Before rooming the patient, the MA should consider precautions based on this important infection-control concept.
What is transmission-based precautions/source control?
This coding system is primarily used to report physician services and procedures.
What is CPT?
Gloves, gowns, masks, and protective eyewear are collectively known by these three letters.
What is PPE?
This is the largest artery in the human body.
What is the aorta?
This pulse site is commonly used when manually measuring an adult patient's heart rate.
What is the radial pulse?
Documentation says right ankle injury, but the ICD-10-CM code selected identifies the left ankle. This coding detail was entered incorrectly.
What is laterality?
A walker, certain medications, and durable medical equipment are commonly reported using this coding system.
What is HCPCS Level II?
Used needles should immediately be placed into this type of container.
What is a sharps container?
These functional units of the kidneys filter blood and help form urine.
What are nephrons?
During a manual BP, the first Korotkoff sound represents this pressure.
What is systolic pressure?
A claim has perfect CPT and ICD-10-CM codes but the patient's insurance member ID is incorrect. Will correct codes alone prevent the claim from being rejected?
What is no?
A patient receives ketorolac 60 mg IM. J1885 represents 15 mg. How many units should be reported?
What are 4 units?
An MA removes gloves after contact with blood but does not wash or sanitize their hands because the gloves did not tear. What infection-control step was missed?
What is hand hygiene after glove removal?
This structure normally acts as the heart's natural pacemaker.
What is the SA node?
A patient becomes pale, sweaty, and dizzy immediately before a blood draw. What should the MA be concerned may happen?
What is syncope/fainting?
A patient is alert but suddenly develops crushing chest pressure, sweating, and shortness of breath in the clinic. What should the MA prioritize rather than continuing routine intake?
What is activating the office emergency response/EMS according to protocol?
A provider performs a minor procedure and a significant, separately identifiable E/M service on the same day. This modifier may be appropriate on the E/M code when documentation supports it.
What is Modifier 25?
An instrument enters sterile tissue during a procedure. Under the Spaulding classification, it falls into this category and generally requires sterilization.
What is a critical item?
Blood leaving the right ventricle passes through this valve before entering the pulmonary artery.
What is the pulmonary semilunar valve?
An EKG shows a heart rate of 48 bpm with a regular rhythm originating from the SA node. Name the rhythm.
What is sinus bradycardia?
The provider documents only “back pain.” The biller selects a code for right-sided acute low-back pain. Name the fundamental coding problem.
What is coding beyond the specificity of the documentation?