Introduction to Medical Billing and Coding - Exam 2 - Foundation Billing & Medical Coding, LLC

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Question 2 of 20
2. Question
How is the drug EVZIO administered?
a. IM, IV, SC
b. IM, SC
c. IV, IM
d. IM, IV, SC, INH
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Question 3 of 20
3. Question
What are the three types of HCPCS coding revisions that can be requested?
a. New code, request a Medicare BETOS analyze cost, change of verbiage
b. New code, request for code to be added to CPT, discontinuation of code
c. New code, change CCI edit, add as a provider for DME
d. New code, language change of code, discontinuation of code
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Question 4 of 20
4. Question
This Medicare patient needs foot arch supports for a flat foot. Is this covered by Medicare? TIP: It is permitted to Goggle this information.
a. No flat foot is not covered unless it is documented that it is a routine procedure by a podiatrist
b. No flat foot is not covered for correction of this condition
c. Yes if the medical record indicates the patient has diabetes
d. Yes if performed by a podiatrist or other qualified heathcare individual
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Question 5 of 20
5. Question
Physician applied a short arm fiberglass cast to this 8 year-old patient. How would it be billed?
a. Q4009
b. Q4010
c. Q4011
d. Q4012
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Question 6 of 20
6. Question
This CRNA (certified registered nurse anesthetist) is the only person under the medical direction of an anesthesiologist. Which modifier is used to identify this service to the insurance company?
a. QY
b. QX
c. QZ
d. QK
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Question 7 of 20
7. Question
The physician gave this OB patient in labor an injection of 3 mg of Stadol. How is this billed?
a. J0595
b. J0592 x 3
c. J0595 x 3
d. QK
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Question 8 of 20
8. Question
1. Per HCPCS guidelines, Level II of the HCPCS is a standardized coding system used primarily for what?
a. Used to primarily to identify products, supplies, and services not included in the CPT codes, such as ambulance services and durable medical equipment, prosthetics, orthotics and supplies when used outside of a physicians office.
b. Used to primarily to identify services not included in the CPT codes, such as laparoscopy, endoscopy, open or closed treatment and the operating microscope
c. Used to primarily to identify products, supplies, and services not included in the ICD-10 codes, such as ambulance services and durable medical equipment, prosthetics, orthotics and supplies when used outside of a physicians office.
d. Used to primarily to identify products, supplies, and services not included in the HCPCS codes, such as debridement, destruction, biopsy, repair, insertion, and removal of foreign bodies when used outside of a physicians office
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Question 9 of 20
9. Question
What is the range of codes that would be used respiratory therapy by a home care service?
a. S9097, S9098, S9110-S9131
b. S5150, S5151, T1005
c. S5180, S5181
d. S5135, S5136
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Question 10 of 20
10. Question
Why are modifiers added to HCPCS or CPT codes?
a. Indicate the procedure or service has been altered increase payment and reimbursement for more mone
b. Indicate the procedure or service has been altered but does not change the description of the code
c. Indicate the procedure or service has been change because there is not another HCPCS or CPT code to identify the service
d. Indicate the procedure or service has been deleted and physician is asking for reimbursement of a deleted code
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Question 11 of 20
11. Question
Which section of codes are required to be used by Medicare for some administration of vaccine, screening tests and other services when performed on a Medicare patient?
a. B codes
b. V codes
c. A codes
d. G codes
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Question 12 of 20
12. Question
In what area of the HCPCS book will you find Orthosis codes for the elbow?
a. L codes
b. E and L codes
c. E codes
d. E, L and K codes
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Question 13 of 20
13. Question
What is the status of HCPCS code J1456?
a. Deleted code
b. Revised code
c. New code
d. None of the above
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Question 14 of 20
14. Question
Which modifier would be used if the orthopedic surgeon performed surgery on the thumb of the left hand?
a. F4
b. F5
c. F9
d. FA
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Question 15 of 20
15. Question
The doctor orders a CTLSO for the patient. What does this acronym stand for?
a. Completed treatment for long term skilled nursing outpatient
b. Computed tomography for lumbar sacral orthopedics
c. Cervical-thoracic-lumbar-sacral orthosis
d. Continuous treatment and loss of sensation for osteopathic condition
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Question 16 of 20
16. Question
What are the four vaccines that Medicare Part B will always cover and pay for? (Google is permitted)
a. COVID-19, Pneumococcal, Hepatitis B, Influenza
b. Influenza, Shingles, COVID-19, Pneumococcal
c. Influenza, COVID-19, Tetanus, Shingles
d. COVID-19, Influenza, Pneumococcal, Hepatitis A
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Question 17 of 20
17. Question
What is the correct code for this 68-year-old male patient that received an external pouch urinary collection device?
a. A4326
b. A4349
c. A4327
d. A4328
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Question 18 of 20
18. Question
Per Mayo Clinic, chemotherapy drugs J9000 – J999 are used for people with cancer. Which answer is FALSE? (Google permitted)
a. Chemotherapy drugs are used to shrink the tumor so other treatments such as radiation or surgery can be performed
b. Used after other treatments are done to kill any cancer cells in the body
c. Used for patients with Stage 5 cancer to be taken intravenously and not used patients planning surgery or radiation therapy
d. Chemotherapy can be used for patients with Bone Marrow disease and Immune systems disorders
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Question 19 of 20
19. Question
What is required by Medicare for a supplier to enroll in the Medicare program for reimbursement as a DMEPOS supplier? (Google is permitted)
a. Obtain DMEPOS accreditation from a CMS-approved organization
b. Enroll in Medicare program as DME supplier, post a surety bond to the National Supplier Clearinghouse
c. Enroll as a Medicare Provider under PECOS, obtain NPI number and apply for EHR incentive program if eligible
d. Answers a and b
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Question 20 of 20
20. Question
Which answer is TRUE for use of HCPCS Modifier PC?
a. Append this modifier to a code for services related to an emergency or disaster related condition
b. Append this modifier so the insurer including Medicare knows not to reimburse provider due to an event of wrong surgery or other invasive procedure performed on a patient.
c. Append this modifier for recording and storage of the voice data by digital recorder in solid state memory
d. Append this modifier when the supplier delivers the same DMEPOS item in multiple competitive bidding product categories for standard product category
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Introduction to Medical Billing and Coding – Exam 2

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