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 A covers inpatient hospital, skilled nursing facility, hospice, and some home health services.

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

Modifiers provide additional information about a service or procedure without altering its basic definition or changing the code itself.

Question 3

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

Accepted Answer

CMS and NCHS

Answer

The ICD-10-CM Official Guidelines are published jointly by CMS (Centers for Medicare and Medicaid Services) and NCHS (National Center for Health Statistics).

Question 4

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

Accepted Answer

Explanation of Benefits

Answer

EOB stands for Explanation of Benefits, a document sent to patients explaining what the insurance paid and what the patient owes.

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

The discharge status code indicates the patient's disposition upon leaving the hospital, such as home, skilled nursing facility, or expired.

Certified Coding Associate Exam Practice Test

Certified Coding Associate Exam Practice Test

Certified Coding Associate Exam Reimbursement and Compliance 3