Understanding Health Insurance Final Exam

MT Support Services, Inc.

Answer the questions below and then click "submit" to send your answers.

The code numbers 99221 through 99238 come from which of the following sections of the CPT book:

Your answer:
Emergency Department Services
Neonatal Intensive Care
Hospital Inpatient Services
Nursing Facility Services
Home Services

Select the corresponding description for the following CPT code: 30220

Your answer:
Rhinoplasty, primary; lateral and alar cartilages and/or elevation of nasal tip
Displacement therapy (Proetz type)
Rhinectomy: partial
Excision turbinate, partial or complete, any method
Insertion, nasal septal prosthesis (button)

Select the corresponding description for the following CPT code: 44640

Your answer:
Closure of enterostomy, large or small intestine;
Closure of intestinal cutaneous fistula
Closure of enteroenteric or enterocolic fistula
multiple perforations
with bowel and/or bladder resection

Select the corresponding description for the following CPT code: 84255

Your answer:
Sodium; serum
urine
Somatostatin
Selenium
Somatomedin

Select the appropriate CPT Code for the following description: Evisceration of ocular contents; without implant

Your answer:
82525
65091
99211
99288
99429

Select the appropriate CPT Code for the following description: Biopsy of lip

Your answer:
97010
40490
82525
99429
78000

Select the appropriate CPT Code for the following description: Application of a modality to one or more areas; hot or cold packs

Your answer:
97010
65091
82525
78000
99288

Select the appropriate description for the following CPT modifier: -76

Your answer:
Unusual Services
icrosurgery
Reduced Services
ultiple Procedures
Repeat Procedure/Same M.D.

Select the appropriate description for the following CPT modifier: -58

Your answer:
Unusual Services
Reduced Services
ultiple Procedures
Staged or Related Service by Same M.D. During Post-Op Period
Repeat Procedure/Same M.D.

Select the appropriate description for the following CPT modifier: -79

Your answer:
Staged or Related Service by Same M.D. During Post-Op Period
Unrelated Procedure/Service/Same MD during post-op
ultiple Procedures
Repeat Procedure/Same M.D.
Unusual Services

Select the appropriate ICD-9 Code for the following description: Cervical polyps

Your answer:
618.9
614.9
622.7
625.9
610.2

Select the appropriate ICD-9 Code for the following description: Fibroadenosis Breast Chronic (cystic)

Your answer:
610.1
610.2
611.0
611.9
611.8

Select the appropriate ICD-9 Code for the following description: Ectopic Pregnancy, Unspecified

Your answer:
642.30
642.29
650.00
641.10
633.9

Select the appropriate ICD-9 Code for the following description: Ingrown nail w/infection

Your answer:
704.00
706.1
602.0
703.0
705

Select the appropriate ICD-9 Code for the following description: Sunburn - Acute

Your answer:
706.2
706.3
708.9
695.3
692.79

In what block of the claim form should the patient medicare number be entered?

Your answer:
Block 1
Block 1A
Block 2
Block 4
None of the above

How would you indicate that a patient's signature is on file?

Your answer:
Type or write SOF in block 12
Type or write Signature on File in block 12
Have patient sign block 12
All of the above
None of the above

If a patient fell in a store and dislocated his or her hip, in what block would you indicate this potential liability situation?

Your answer:
Block 10a
Block 10B
Block 10c
Block 9
None of the above

If the physician is in a solo practice and his provider number is 12345, in what block would you enter his provider name, number and address?

Your answer:
Block 17A
Block 24K
Block 33
Block 24J
None of the above

Which of the following is not a valid Place of Service (POS) code for commercial and HMO fee-for-service claims? (Block 24B)

Your answer:
1
6
7
A
Y

Which of the following is not a valid Type of Service (TOS) code for commercial and HMO fee-for-service claims? (Block 24C)

Your answer:
1
6
8
9
A

Which of the following is not a valid Place of Service (POS) code for Blue Cross and Blue Shield Plans? (Block 24B)

Your answer:
11
26
31
32
1

Classification for on-the-job injuries for Worker's Compensation Cases include all of the following execpt which one?

Your answer:
Permanent disability
Death of a worker
Vocational rehabilitation
Temporary disability
Dislocated worker

Which of the following is a type of Workers' Compensation program that has been created by state governments to meet the mandate of the federal law?

Your answer:
State Compensation Fund
Employer Self-Insured Program
Private, Commercial Worker Compensation Program
Combination of the above
All of the above

Which of the following groups of workers is covered solely by the federal Workers' Compensation program?

Your answer:
Federal employees
Coal miners
Longshoremen
Harbor workers
All of the above

Disability income protection is available to workers in the following forms:

Your answer:
Private insurance policies obtained and paid for solely by the worker
Employment benefits where the employer pays all or part of the polciy premium
One of several public programs sponsored by federal or state governments
All of the above
None of the above

Select the correct diagnosis code for a patient who suffers from benign hypertension due to a renal embolism.

Your answer:
405.11
405.1
405
405.01
None of the above

Where would you find codes for diagnosis.

Your answer:
None of the above
ICD-9
Terminology Book
CPT
All of the above

Where would you find codes for procedures.

Your answer:
ICD-9
CPT
Terminology Book
All of the above
None of the above

Medicare is secondary when the patient is eligible for Medicare and also covered by one or more of the following plans:

Your answer:
An employer-sponsored group health plan that has more than twenty covered employees.
Disability coverage through an employer-sponsored group health plan that has more than 100 covered employees.
An ERSD case covered by an employer-sponsored group plan of any size during the first 18 months of the patient's elibibility for Medicare.
All of the above
None of the above

Medicare-eligible beneficiaries may contract with HCFA-approved HMOs for health care if they are:

Your answer:
Enrolled in Part B
Live in the HMO service area
Are not receiving ERSD or hospice care
All of the above
None of the above

The federal portion of Medicaid/MediCal covers the following services:

Your answer:
Hospitalization
Outpatient hospital care
Diagnostic testing
Family planning
All of the above

Which of the following medical services are provided for individuals classified as "medically needy" according to Medicaid/MediCal literature.

Your answer:
ental health coverage
Prescriptions
Emergency room care
Prescription drugs
All of the above

Which of the following is NOT a typical Medicaid rejection code.

Your answer:
K
L

N
O

Which of the following is not a diagnosis acceptable as a true emergency when an individual is covered by Champus/Champva/Tricare

Your answer:
Grand mal seizures
Acute pericarditis
Renal calculi
Placenta previa
Bypass graft, with other than vein; carotid

Which of the following are public disability programs?

Your answer:
Social Security Disability Insurance (SSDI)
Federal Civil Service Disability
Federal Employee Disability
All of the above
None of the above

Where must a copy of the Physician's First Report of Injury be filed (Workers' Compensation)

Your answer:
Compensation Board/Commission
Employer
Employer's compensation carrier
Patient's compensation file
All of the above

All providers must obtain a UPIN or NPI. Which of the following surrogate UPINs can be used until an NPI is assigned, for a resident or intern.

Your answer:
PHS00000
NPP00000
RES00000
RET00000
OTO00000

All providers must obtain a UPIN or NPI. Which of the following surrogate UPINs can be used until an NPI is assigned, for a state licensed non-physician practitioner in a non-metropolitian statistical area.

Your answer:
PHS00000
OTO00000
RET00000
NPP00000
RES00000

E-codes provide supplementary information concerning the external cause of an injury. (ICD-9)

Your answer:
True False

When coding, it is best to code to ulimate specificity.

Your answer:
True False

M-codes indicate the histological origin and the behavior of neoplasms.

Your answer:
True False

The Evaluation and Management code that is used for a New Patient, office or other outpatient visit that has a problem focused history is 99202.

Your answer:
True False

The Evaluation and Management code that is used for a New Patient, office or other outpatient visit that has an expanded problem focused history is 99202.

Your answer:
True False

CPT Codes 90700 - 90749 are for immunizations.

Your answer:
True False

CPT Codes 99000-99002 are used for specimens that are procured to be sent to an outside laboratory.

Your answer:
True False

CPT Code 99080 is used for special reports such as insurance forms, lawyer and insurance reports, etc.

Your answer:
True False

Codes will be rejected if diagnosis codes and procedure codes do not match up.

Your answer:
True False

Codes will not be rejected if diagnosis codes and procedure codes do not match up.

Your answer:
True False

If you are not sure of a code, it is acceptable to guess.

Your answer:
True False

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