CEHRS Medical Coding in EHR 2

Question 1

Which coding system is primarily used for procedures performed in outpatient hospital settings and physician offices in the US?

Accepted Answer

CPT (Current Procedural Terminology)

Answer

ICD-10-CM

Answer

ICD-10-PCS

Answer

SNOMED CT

Question 2

In EHR systems, what does the term 'superbill' refer to?

Accepted Answer

A comprehensive charge capture form listing diagnoses and procedures for a visit

Answer

A billing invoice sent directly to the patient

Answer

An override billing code for complex cases

Answer

A supplemental insurance claim form

Question 3

What is the purpose of an Advance Beneficiary Notice (ABN) in medical coding?

Accepted Answer

To notify Medicare patients that a service may not be covered so they can accept financial responsibility

Answer

To authorize surgery in advance

Answer

To pre-approve inpatient admissions

Answer

To document a patient's advanced directive

Question 4

Which HCPCS level covers supplies, equipment, and services not classified under CPT codes?

Accepted Answer

HCPCS Level II

Answer

HCPCS Level I

Answer

HCPCS Level III

Answer

HCPCS Level IV

Question 5

What does the term 'upcoding' mean in the context of medical billing?

Accepted Answer

Assigning a higher-level code than the documentation supports to receive greater reimbursement

Answer

Updating codes to the newest edition

Answer

Using an unlisted code when no specific code exists

Answer

Correcting a previously submitted claim

Question 6

When a patient is seen for a follow-up visit for type 2 diabetes with diabetic chronic kidney disease, which ICD-10-CM convention guides code sequencing?

Accepted Answer

Code diabetes first as the underlying cause; use a combination code if available

Answer

Code the CKD first as the more severe condition

Answer

Code alphabetically by condition name

Answer

Code the condition treated most recently first

Question 7

In EHR-based coding, what is the role of a 'code editor' or 'claims scrubber'?

Accepted Answer

Automated software that checks claims for coding errors and payer rule violations before submission

Answer

A person who manually reviews every claim before submission

Answer

A tool that converts SNOMED CT codes to ICD-10

Answer

A compliance officer who audits past claims