The subsection of HIPAA that regulates electronic billing is known as the:
Electronic Data Interchange.
Administrative Simplification.
Privacy and Security Standard.
False Claims Section.
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Q. 2) Codes that identify special circumstances, events, or room accommodations that may affect the payer's processing of the bill are called:
condition codes.
occurrence codes.
value codes.
revenue codes.
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Q. 3) If a patient presents with one self-limited or minor problem, the level of risk involved with the medical decision making would be considered:
minimal.
low.
moderate.
high.
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Q. 4) In documenting a medical examination, all of the following are recognized organ systems EXCEPT the:
eyes.
ears, nose, mouth, and throat.
head, including face.
skin.
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Q. 5) On form locator 67 of the UB-04 form, the principal diagnosis code is:
optional.
required.
not applicable.
not required.
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Q. 6) Explain the difference between upcoding and downcoding.
What will be an ideal response?
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Q. 7) The majority of income received by a medical facility comes from patients.
Indicate whether this statement is true or false.
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Q. 8) In what ways are medical necessity for evaluation and management services expressed?
What will be an ideal response?
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Q. 9) What is the Diagnosis Related Group (DRG) system?
What will be an ideal response?
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Q. 10) The most widely used CPT codes are:
evaluation and management (E/M).
surgery.
radiology.
medicine.
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