Billing, Coding, and Claims Flashcards
6 cards from real CMAA practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 Billing, Coding, and Claims flashcards as text
Which CPT code range is designated for Evaluation and Management (E/M) services?
Answer: 99201-99499
CPT codes 99201-99499 cover Evaluation and Management services, the most commonly used codes for office visits.
What does 'EOB' stand for in medical billing?
Answer: Explanation of Benefits
EOB stands for Explanation of Benefits, a document from insurance companies detailing how a claim was processed.
A claim is denied due to a missing modifier. What should the medical administrative assistant do first?
Answer: Review the claim for the correct modifier and resubmit
When denied for a missing modifier, review the original claim, add the appropriate modifier, and resubmit the corrected claim.
Which ICD-10-CM code format uses an alphabetic character in the first position?
Answer: ICD-10-CM
ICD-10-CM diagnosis codes always begin with an alphabetic character followed by numeric and alphanumeric characters, ranging from 3 to 7 characters.
What is the purpose of a superbill in a medical office?
Answer: To document diagnoses and procedures for billing
A superbill lists diagnoses, procedures, and services from a patient visit, serving as the basis for claim submission.
Which of the following is considered a clean claim?
Answer: A claim with all required data and no errors
A clean claim has all required information filled in correctly with no errors, allowing processing without additional investigation.