Certified Coding Associate Exam Reimbursement and Compliance 3

Question 1

Which Medicare part covers inpatient hospital services?

Accepted Answer

Medicare Part A

Answer

Medicare Part B

Answer

Medicare Part C

Answer

Medicare Part D

Question 2

What is the purpose of a modifier in CPT coding?

Accepted Answer

To provide additional information about a service without changing its definition

Answer

To change the code to a higher reimbursement level

Answer

To indicate a diagnosis was not confirmed

Answer

To report a service was not covered

Question 3

Which organization publishes the ICD-10-CM Official Guidelines for Coding and Reporting?

Accepted Answer

CMS and NCHS

Answer

AMA

Answer

AHIMA

Answer

WHO

Question 4

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

Accepted Answer

Explanation of Benefits

Answer

End of Benefits

Answer

Evidence of Billing

Answer

Estimate of Balance

Question 5

What is the significance of the 'discharge status' code in inpatient coding?

Accepted Answer

It indicates where the patient went after being discharged from the hospital

Answer

It identifies the admitting diagnosis

Answer

It captures the patient's primary insurance

Answer

It records the attending physician's specialty

Question 6

Which law established the federal healthcare fraud and abuse statutes known as the 'Anti-Kickback Statute'?

Accepted Answer

The Social Security Act

Answer

HIPAA

Answer

The False Claims Act

Answer

The Affordable Care Act