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

CPT codes are used to report medical, surgical, and diagnostic procedures in outpatient and physician office settings.

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 superbill is a charge capture document that lists the diagnoses (ICD codes) and procedures (CPT codes) performed during a patient encounter.

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

An ABN informs Medicare beneficiaries that a service may be denied as not medically necessary, giving them the choice to proceed and accept responsibility for payment.

Question 4

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

Accepted Answer

HCPCS Level II

Answer

HCPCS Level II codes (alphanumeric, beginning with letters A-V) cover supplies, durable medical equipment, ambulance services, and other non-physician services.

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

Upcoding is a form of fraud in which a provider bills a higher-level or more complex code than the services actually rendered.

(CEHRS) Certified Electronic Health Records Specialist Practice Test

(CEHRS) Certified Electronic Health Records Specialist Practice Test

CEHRS Medical Coding in EHR 2