CMA Medical Billing and Coding 4

Question 1

What is the global surgical package in CPT billing?

Accepted Answer

Pre-operative, intra-operative, and routine post-operative care included in a single surgical fee

Answer

The global surgical package bundles pre-op evaluation, the procedure itself, and standard post-op follow-up into one surgical fee.

Question 2

Which ICD-10-CM code category (Z codes) is used to indicate a patient's history of cancer when the cancer is no longer present?

Accepted Answer

Z codes for personal history of malignancy

Answer

Personal history Z codes (such as Z85) are used when a patient had a malignancy in the past that has been excised or resolved and is no longer under treatment.

Question 3

A provider writes off the difference between their billed charge and the insurer's allowed amount. This write-off is called:

Accepted Answer

Contractual adjustment

Answer

A contractual adjustment is the amount a provider agrees to write off as part of their contract with the payer, reducing the billed charge to the allowed amount.

Question 4

Which HCPCS Level II code range is used for durable medical equipment (DME)?

Accepted Answer

E codes (E0100-E9999)

Answer

HCPCS Level II E codes cover durable medical equipment such as wheelchairs, walkers, and hospital beds.

Question 5

What is the purpose of a charge master (chargemaster) in a hospital setting?

Accepted Answer

It is a comprehensive list of all services, procedures, and supplies with their standard prices

Answer

The chargemaster is a hospital's master price list linking services and supplies to their standard charges and corresponding billing codes.

Certified Medical Assistant Exam Practice Test

Certified Medical Assistant Exam Practice Test

CMA Medical Billing and Coding 4