CMAA Billing, Coding, and Claims 2

Question 1

Which CPT code range is designated for Evaluation and Management (E/M) services?

Accepted Answer

99201-99499

Answer

CPT codes 99201-99499 cover Evaluation and Management services, the most commonly used codes for office visits.

Question 2

What does 'EOB' stand for in medical billing?

Accepted Answer

Explanation of Benefits

Answer

EOB stands for Explanation of Benefits, a document from insurance companies detailing how a claim was processed.

Question 3

A claim is denied due to a missing modifier. What should the medical administrative assistant do first?

Accepted Answer

Review the claim for the correct modifier and resubmit

Answer

When denied for a missing modifier, review the original claim, add the appropriate modifier, and resubmit the corrected claim.

Question 4

Which ICD-10-CM code format uses an alphabetic character in the first position?

Accepted Answer

ICD-10-CM

Answer

ICD-10-CM diagnosis codes always begin with an alphabetic character followed by numeric and alphanumeric characters, ranging from 3 to 7 characters.

Question 5

What is the purpose of a superbill in a medical office?

Accepted Answer

To document diagnoses and procedures for billing

Answer

A superbill lists diagnoses, procedures, and services from a patient visit, serving as the basis for claim submission.

CMAA - Certified Medical Administrative Assistant Practice Test