Multiple Choices Quizzes/tests/exams

Front 1

Medicare part A covers

Back 1

Institutional providers for inpatient services

Front 2

Medicare part B covers

Back 2

Physician services, outpatient hospital care, and other services not covered by Medicare part a

Front 3

General Medicare eligibility requires an individual or the individual's spouse to

Back 3

Be a minimum of 65 years of age. Be a citizen or permanent resident of the United States. And have worked at least 10 years in Medicare-covered employment.

Front 4

Individuals age 65 or over do not pay a monthly premium for Medicare part A if

Back 4

They or their spouse paid Medicare taxes why they were working.

Front 5

A benefit. Begins with the first day of hospitalization and ends when a patient has been out of the hospital for ______ many days.

Back 5

60 days.

Front 6

The benefit period was formally known as

Back 6

A spell of sickness and a spell of illness.

Front 7

Medicare part _______ helps cover physician services, outpatient hospital care, physical and occupational therapy, and some home health care

Back 7

Part B

Front 8

Medicare reimburses provider services according to.

Back 8

A physician fee schedule and an resource-based relative value scale.

Front 9

The goal of programs of all-inclusive care for the elderly is

Back 9

To help people stay independent and live in their communities as long as possible

Front 10

Special incentives mandated by Congress to increase the number of healthcare providers signing participating

Back 10

Direct payments of all claims, a 5% higher fee schedule, and publication of the PAR directory of all Medicare patients

Front 11

The Medicaid program was implemented in which year

Back 11

1965

Front 12

Medicaid is jointly funded by the _______ and ________ governments to assist states in providing adequate medical care to qualified individuals.

Back 12

Federal, state

Front 13

Which of the following would be covered under Medicaid?

Back 13

Categorically needy, medically needy, special groups

Front 14

What does the acronym TANF stand for?

Back 14

Temporary assistance for needy families

Front 15

Categorically needy Medicare eligibility groups are not necessarily entitled to

Back 15

Nursing facility services for individuals under the age of 21

Front 16

Medicaid operates as a(n) _______ and payment system

Back 16

Vendor, fee-for-service

Front 17

The portion of the Medicaid program paid by the federal government is known as the

Back 17

Federal medical assistance percent

Front 18

Dual eligibles refer to

Back 18

Individuals entitled to Medicare and eligible for some type of Medicaid services

Front 19

Medicaid is always either the

Back 19

Secondary payer and payer of last resort

Front 20

Any provider who excepts a Medicaid patient must accept Medicaid-determined payment as

Back 20

Payment in full

Front 21

TRICARE is a healthcare program for

Back 21

Active-duty members of the military and their qualified family members, CHAMPUS- eligible retirees and their qualified family members, and eligible survivors of members of the uniform services

Front 22

TRICARE Standard was previously known as

Back 22

CHAMPUS

Front 23

Some branches of the military that are covered under TRICARE include

Back 23

Army, Navy, Air Force

Front 24

How many regions are there in TRICARE?

Back 24

Four

Front 25

At what age are retired Reserve Component service members eligible for retirement pay

Back 25

60 years old

Front 26

What is a healthcare finder?

Back 26

One who assists primary care providers with pre-authorizations and referrals

Front 27

A ________ is a formal approval obtained from a healthcare finder before certain specialty procedures and inpatient care services are rendered

Back 27

Preauthorization

Front 28

A ______ is a request for a member to receive treatment from another provider

Back 28

Referral

Front 29

When a CHAMPVA beneficiary also has Medicare coverage, ____________ is always the secondary payer.

Back 29

CHAMPVA

Front 30

Individuals eligible for TRICARE Prime include

Back 30

Active-duty military personnel, family members of active-duty sponsors, retirees and their family members who are under 65 years of age

Front 31

_________ and ________ laws require employees to maintain Worker's Compensation coverage for employees for work-related illnesses and injury

Back 31

Federal, state

Front 32

What was the previous name for Worker's Compensation?

Back 32

Workmen's Compensation

Front 33

The Department of Labor manages programs designed to prevent work-related injuries and illnesses, which include

Back 33

Mine safety and health administration, Occupational Safety and Health Administration, and the Jones act

Front 34

___________ benefit checks are sent to call miners who are totally disabled by pneumoconiosis.

Back 34

Monthly

Front 35

The division of federal employees' compensation act processes

Back 35

Medical expenses and compensation benefits to injured workers and survivors

Front 36

Which program covers workers under contract with the U.S. government for defense projects outside the continental United States?

Back 36

Longshore and Harbor Worker's Compensation program

Front 37

Self-insurance plans are required to

Back 37

Set aside a percentage of funds to cover medical expenses, have sufficient capital to qualify

Front 38

Which of the following is an example of an on-the-job injury

Back 38

Employee is injured while picking up reports for the office at the local hospital, worker trips on the curb while taking a deposit to the bank, and employee attending at work seminar another state falls down the stairs

Front 39

Who is responsible for determining the extent of disability of an employee

Back 39

Employee's healthcare provider

Front 40

How are survivor benefits calculated

Back 40

According to the employee's earning capacity at the time of illness or injury

Front 41

This code indicates elevated blood pressure without diagnosis of hypertension

Back 41

796.2

Front 42

This code indicates tubercular syphilide

Back 42

095.8

Front 43

This code indicates iridoplegia (partial)

Back 43

379.49

Front 44

This code indicates enteritis, viral, specified virus NEC

Back 44

008.69

Front 45

This code indicates bifid, congenital clitoris

Back 45

752.49

Front 46

This code indicates wardrop's disease

Back 46

681.9

Front 47

This code indicates alcoholic wet brain in remission

Back 47

303.93

Front 48

This code indicates knotting of colon.

Back 48

560.2

Front 49

This code indicates a keloid scar

Back 49

701.4

Front 50

This code indicates Potter's lung

Back 50

502

Front 51

Cancer described as metastatic to a site is considered

Back 51

Secondary

Front 52

If the primary side of malignancy is no longer present, assign a code for

Back 52

Personal history of malignant neoplasm

Front 53

Major topic headings in the tabular list of the ICD-10-CM are known as

Back 53

Code blocks

Front 54

The character __________ is used as a placeholder in ICD 10 CM

Back 54

X

Front 55

Uniform hospital discharge data set definition of principal diagnosis applies to

Back 55

Inpatients

Front 56

Amoebic cystitis is represented by which code

Back 56

A06.81

Front 57

Malignant carcinoid tumor of the duodenum is represented by which code

Back 57

C7.a.010

Front 58

Hereditary spherocytosis is represented by which which code

Back 58

D58.0

Front 59

Opioid abuse with intoxication delirium is represented by which code

Back 59

F 11.121

Front 60

Vascular Parkinsonism is represented by which code

Back 60

G 21.4

Front 61

Vitiligo of the right lower eyelid and periocular area is represented by which code

Back 61

H02.732

Front 62

Atherosclerosis of native arteries of extremities with gangrene, bilateral legs is represented by which code

Back 62

I 70.263

Front 63

Obstructive rhinitis is represented by which code

Back 63

J 31.0

Front 64

Tobacco use is represented by which code

Back 64

Z72.0

Front 65

Which code represents IV pole

Back 65

E0776

Front 66

Which code represents ambulance service, outside state per mile, transports (Medicaid only)

Back 66

A 0021

Front 67

Which code represents replacement tubing for breast pump

Back 67

A4281

Front 68

Which code represents Dilaudid

Back 68

J1170

Front 69

Which code represents injection, semorelin acetate, 1 mcg

Back 69

Q0515

Front 70

Which code represents the halo procedure, cervical halo Incorporated into jacket vest

Back 70

L0810

Front 71

Which code represents diagnostic mammography, producing direct digital image, bilateral, All views (female)

Back 71

G0204

Front 72

It's could represents 20 mg injection of humira

Back 72

J0135

Front 73

Which code represents an extra heavy-duty wheelchair

Back 73

K0007

Front 74

Physicians' services rendered in the office, home, or hospital ; consultations; and other medical services are listed in which section of the CPT manual

Back 74

Evaluation and management section

Front 75

Which ,oxidizer is assigned when the E/M service is "above and beyond" what is normally performed?

Back 75

-22

Front 76

Which code represents removal of foreign body, intranasal, by lateral rhinotomy?

Back 76

30320

Front 77

Which code represents meningocele repair, less than 5 cm?

Back 77

63700

Front 78

Which code represents excision of lip, full thickness, reconstruction with cross lip flap (Abbé-Estlander)?

Back 78

40527

Front 79

Which code represents computed tomography, head or brain, without contrast material, followed by contrast material(s) and further sections?

Back 79

70470

Front 80

Which code represents transpedicular approach with decompression of spinal cord, three lumbar segments?

Back 80

63056, 63057x2

Front 81

Which code represents photochemotherapy tar and ultraviolet B (Goeckerman treatment) or petrolatum and ultraviolet B

Back 81

96910

Front 82

Which code represents exploratory supratentorial craniotomy

Back 82

61304

Front 83

Which code represents abdominal approach, ligation of thoracic duct

Back 83

38382

Front 84

What does the acronym ROM stand for?

Back 84

Risk of mortality

Front 85

_______________________ is a data set based on local fee schedules for outpatient clinical diagnostic laboratory services

Back 85

Deficit reduction act

Front 86

Where is the first listed diagnosis reported on the CMS 1500

Back 86

Block 21

Front 87

Patient record ___________________ must justify and support the medical necessity of procedures and services reported to pay years

Back 87

Documentation

Front 88

A ____________________ serves as the business record for a patient encounter and is maintained in a paper or automated format

Back 88

Patient record

Front 89

Health insurance specialists review the patient record when assigning codes to

Back 89

A. Diagnoses
B. Procedures
C. Services
D. All of the above
The correct answer is D. all of the above

Front 90

Narrative clinic notes are written in what format?

Back 90

Paragraph

Front 91

SOAP notes are written in what format?

Back 91

Outline

Front 92

The ________________ part of the SOAP note contains the chief complaint and the patient's description of the presenting problem

Back 92

Subjective

Front 93

Diagnostic test results are documented in how many locations?

Back 93

Two