Diagnosis codes are in the:
CPT manual
ICD9 manual
HCPCS manual
none of the above
Procedure codes are located in the:
CPT
A diagnosis is converted to a friendly code with the:
A procedure is converted to a computer friendly code with the:
The medical assistant will need to identify the appropriate codes to reflect the correct diagnosis to support the procedure or services performed.
The superbill is not a document generated by the medical office and used as a charge slip, statement, and insurance reporting form.
The superbill provides a comprehensive list of the most frequently used:
patient procedure codes
services
diagnosis
all of the above
Incorrect coding will cause delays or denials in reimbursement.
HIPPA requires electronic submission of the CMS-1500 form for Medicare billing and reimbursement.
In many ambulatory care settings, the process of insurance coding begins with identifying and recording the appropriate:
procedure
service codes
The ICD9 manual codes are determined by:
HIPPA
WHO
AMA
None of the above
The ICD9 and CPT codes are updated yearly.
Diagnoses are given a _____________-digit main code.
2
3
4
5
The primary diagnosis represents the patient's major health problem for that particular visit.
The CPT coding system was developed by:
The most commonly used codes are Evaluation and Management (E\M) services-which include
office visits
consultations
inpatient hospital
All of the above
For coding purposes, all patients are either an established patient, new patient or hospital patient.
An established patient is one who has been seen by the physician in the practice within the last________years.
Procedures and services are listed by:
name of service or procedure
anatomic site
condition or disease
The medicine section of the CPT manual is organized according to body system, not disease
