FREE AAMA Medical Coding and Billing Questions and Answers

Question 1

What is the primary purpose of the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) code set?

Accepted Answer

To report patient diagnoses and conditions

Answer

To report medical procedures and services

Answer

To identify medical supplies and equipment

Answer

To bill for preventative medicine services

Question 2

A patient is seen for a standard office visit where the provider performs a minor surgical procedure. Which code set would be used to report the services and procedures performed?

Accepted Answer

CPT

Answer

ICD-10-CM

Answer

HCPCS Level II

Answer

DSM-5

Question 3

Intentionally billing for a more complex and expensive service than what was actually performed is an example of which fraudulent practice?

Accepted Answer

Upcoding

Answer

Unbundling

Answer

Bundling

Answer

Downcoding

Question 4

An Advance Beneficiary Notice of Noncoverage (ABN) should be obtained from a patient covered by which type of insurance?

Accepted Answer

Medicare

Answer

Medicaid

Answer

TRICARE

Answer

A private PPO plan

Question 5

A patient receives a document from their insurance company that details the services billed, the amount paid by the insurer, and the patient's financial responsibility. What is this document called?

Accepted Answer

Explanation of Benefits (EOB)

Answer

Encounter Form

Answer

Remittance Advice (RA)

Answer

Preauthorization Form

Question 6

HCPCS Level II codes are used to report which of the following?

Accepted Answer

Durable medical equipment and supplies

Answer

Physician services and procedures

Answer

Inpatient hospital diagnoses

Answer

Mental health disorders