If a person has both Medicare and Medicaid coverage, Medicaid is considered primary.
True or False ....
What is FALSE
100
includes an alphabetic list of terms and corresponding codes
includes a tabular list of codes divided into chapters based on body system/condition
uses a placeholder "x" for certain codes to allow for future expansion
What is ICD-10-CM
100
Which type of insurance coverage may be provided for patients injured on the job?
What is worker's comp INS
100
When a patient has coverage from more than one insurance company, the primary insurance is the:
What is the one who is billed first
100
Select the correctly spelled word:
indemnify
indemnity
emdemnitty
endeminity
What is indemnity
200
When children of divorced parents are listed on both parents' health insurance plans, the "birthday rule" determines that the older parent's health plan is the primary plan.
What is FALSE
200
first character is a letter
What is ICD-10-CM
200
When coding, if multiple modifiers are used, the first modifier used is:
-99, 0, 100, 120
What is -99
200
Which part of Medicare pays for physician fees, diagnostic tests, and some screening tests?
What is medicare part b
200
One key difference between participating (PAR) providers and nonparticipating (nonPAR) providers is:
What is PAR providers receive payments directly from the insurer while nonPAR providers typically do not
300
When children of divorced parents are listed on both parents' health insurance plans, the "birthday rule" determines that the older parent's health plan is the primary plan.
FALSE
300
Im a CPT code .....which one am I?
E905.2
V50.3
401.9
99213
What is 99213
300
example of a cafeteria plan?
What is FSA
300
Betsy Kennedy must pay a percentage of her medical expenses according to the managed care program in which she is enrolled. This is known as:
What is co-INS
300
B20 is an example of which code set?
What is ICD-10-CM
400
One advantage of employer group health care plans is that everyone is usually eligible for coverage regardless of health status.
What is TRUE
400
usually do not pay premiums for this coverage
What is Medicare part A
400
When preparing OCR scannable claims, it is important to use:
dd/mm/yyyy
full social security #
pt. demographics
What is dd/mm/yyyy
400
"tonsillitis" itis means ....
What is inflammation of the ....
400
While looking in the ICD-10-CM index to diseased and injuries, Sara Bright, CMA, recognizes that the root "nephr" in the term "nephritis" refers to the:
What is kidney
500
The ICD-10-CM does not include the same codes as the CPT
What is TRUE
500
that third-party payers will pay for a particular procedure or service
What is The allowable charge is the maximum:
500
Advantages of managed care plans are so popular because...
What is best OOP savings possible
500
In using ICD-10-CM, the medical assistant/medical administrative assistant should:
What is.. locate the term in the Alphabetic index, then verify in the Tabular Index
500
Of the following, which is an example of an evaluation and management (E/M) code?
64182
981.02
74129
99213