AAMA Medical Coding and Billing 2

Question 1

Which modifier is appended to a CPT code to indicate a procedure was performed bilaterally?

Accepted Answer

-50

Answer

-51

Answer

-59

Answer

-76

Question 2

What does the abbreviation 'EOB' stand for in medical billing?

Accepted Answer

Explanation of Benefits

Answer

Evidence of Billing

Answer

Estimate of Balance

Answer

Explanation of Balances

Question 3

In ICD-10-CM coding, which character position indicates the encounter type (initial, subsequent, sequela)?

Accepted Answer

7th character

Answer

1st character

Answer

4th character

Answer

5th character

Question 4

A superbill is best described as which of the following?

Accepted Answer

An itemized form listing services rendered and diagnosis codes for billing

Answer

A statement sent directly to the patient for payment

Answer

A summary of all claims submitted to insurance in a month

Answer

An authorization form required before elective procedures

Question 5

Which of the following best describes 'coordination of benefits' (COB)?

Accepted Answer

A process determining which insurer pays first when a patient has multiple coverages

Answer

The transfer of billing responsibility from provider to patient

Answer

A method of splitting claims between Medicare and Medicaid

Answer

An agreement between providers to share reimbursement

Question 6

What is the purpose of a remittance advice (RA) in medical billing?

Accepted Answer

To notify the provider of claim payment details and adjustments

Answer

To request additional documentation from the physician

Answer

To inform the patient of their outstanding balance

Answer

To authorize a referral to a specialist

Question 7

When coding an office visit, the level of Evaluation and Management (E/M) service is primarily determined by:

Accepted Answer

Medical decision making and/or total time on the date of encounter

Answer

The number of diagnoses listed on the superbill

Answer

The patient's insurance plan type

Answer

Whether the visit is for a new or established patient only