Download NHA 2024-2025 CBCS Practice Questions (Set 2): Medical Billing and Coding and more Exams Medicine in PDF only on Docsity!
NHA 2024-2025 CBCS PRACTICE QUESTIONS (SET 2)
QUESTIONS WITH 100% VERIFIED CORRECT ANSWERS
"Dr. Smith preformed a minor surgical procedure on John Doe at an outpatient surgery center.
Which place of service code should be used for this procedure? - CORRECT ANSWER 24-
procedures performed in an ambulatory surgery center ASC)" "Sarah, a medical billing specialist, is reviewing the account of a patient named John Doe. She notices that the insurance company has a lack of pre-authorization for a specific procedure. What
is the best course of action for Sarah to take to resolve this issue? - CORRECT ANSWER Obtain
the necessary pre-authorization and then resubmit the claim" "Dr. Smith is submitting a CMS-1500 claim form for patient named John Doe, who received outpatient services covered by medicare. Which section of the CMS-1500 form should Dr. Smith complete to indicate the type of insurance plan covering John Doe?
- Box 1a- insured's ID Number
- Box 11- Insured Policy Group or FECA number
- Box 1- Insurance Type
- Box 24- Service Line Information - CORRECT ANSWER Box 1- Insurance Type" "Dr. Smith's office received a request from John Does insurance company for his medical records to process a claim. According to HIPPA regulations, what is the most appropriate action for Dr.
Smith's office to take? - CORRECT ANSWER Provide only the minimum necessary information
required to process the claim" "Sarah, a patient. has recently filled for bankruptcy. As a medical billing specialist, what is the
appropriate action to take regarding her outstanding medical bills? - CORRECT ANSWER
Cease all collection activities and notify the bankruptcy court" "When coding for telemedicine services, which modifier should be appended to indicate the
service was provided via Telehealth? - CORRECT ANSWER Modifier 95"
"When a patient has multiple insurance plans, which insurance plan is typically considered the
primary insurance? - CORRECT ANSWER The insurance plan provided by the patients
employer"
"Sarah, a medical billing specialist, is verifying insurance eligibility for a patient named John who has a commercial insurance plan. Which of the following is a requirement she must fulfill to
ensure that John's insurance eligibility is verified correctly? - CORRECT ANSWER Confirm the
patient's policy number and group number" "Which of the following is the most crucial step in ensuring all applicable charges are captured for
optimal reimbursement? - CORRECT ANSWER Reviewing patient encounter forms and
progress notes"
"What is the first step in the insurance eligibility and benefits verification process? - CORRECT
ANSWER Verifying a patient's insurance coverage"
"Sarah visits her primary care physician for a routine check-up. Her insurance plan has 20% coinsurance rate after meeting a $200 deductible. The total bill for the visit is $500 , and Sarah has already met her deductible for the year.How much is Sarah responsible for paying out-of-pocket for this visit?
- $
- $
- $
- $400 - CORRECT ANSWER $100" "When coding for a total knee arthroplasty in an orthopedic speciality, which of the following CPT
codes is the most appropriate? - CORRECT ANSWER 27447"
"What is the primary purpose of a deductible in a health insurance policy? - CORRECT
ANSWER To ensure the patient shares in the cost of their healthcare services"
"Which of the following government insurance plans primarily covers individuals aged 65 and
older, as well as certain individuals with disabilities? - CORRECT ANSWER Medicare"
"Sarah, a medical billing and coding specialist, is verifying insurance eligibility for a new patient, John Doe, who has recently switched to a new insurance provider. What is the most crucial piece of documentation Sarah needs to ensure John's insurance coverage is valid before proceeding
with the billing process? - CORRECT ANSWER A copy of John's new insurance card"
and a referral to a cardiologist. Which section of the progress notes should be primarily reduced
to accurately code the patient's condition? - CORRECT ANSWER Assessment and Plan"
"Mr. Johnson, a 68-year-old retiree, has recently been diagnosed with diabetes and requires regular medical check-ups, prescription medications, and potential hospital stays. Which part of
Medicare should he primarly rely on for coverage of his prescription medications? - CORRECT
ANSWER Medicare Part D"
"Which of the following anatomical structures is primarily responsible for production of insulin?
CORRECT ANSWER Pancreas"
"Which act primarily governs the privacy and security of patient health information in the United
States? - CORRECT ANSWER Health Insurance Portability and Accountability Act (HIPPA)"
"Dr. Smith is reviewing the latest updates to the ICD-10-CM coding manual and notices changes in the guidelines for reporting certain diseases. He wants to ensure compliance with the new standards. Which organization is primarily responsible for publishing and updating these coding
manuals and guidelines? - CORRECT ANSWER National Center for Health Statistics (NCHS)"
"Maria vists her primary care physician for a routine check-up. Her insurance plan includes a 20% coinsurance for her office visits after meeting her deductible. The total charge for the visit is $200, and Maria has already meet her deductible for the year. How much is Maria responsible for
paying out-of-pocket for this visit? - CORRECT ANSWER $40"
"When coding for a patient's visit, which of the following tasks is essential to ensure accurate
coding and billing? - CORRECT ANSWER Reviewing the patient's medical record for all
pertinent information" "Which modifier should be used to indicate when a procedure was preformed on the left side of the body?
- Modifier -
- Modifier - LT
- Modifier - RT
- Modifier - 59 - CORRECT ANSWER Modifier - LT" "Which type of commercial insurance plan typically requires members to choose a primary care
physician (PCP) and obtain referrals for specialist services? - CORRECT ANSWER Health
Maintenance Organization (HMO)"
"Dr. Smith's office is submitting a paper claim for a patient named John Doe. The office staff needs to ensure that the claim is processed without delays. Which of the following is steps is most
crucial to avoid rejection of the paper claim? - CORRECT ANSWER Confirming that all required
fields on the claim form are completed" "Dr. Smith refers his patient, Mr. Johnson, to an imaging center for an MRI. The imaging center is owned by Dr. Smith's brother. Under the Stark Law, which of the following actions is most
compliant? - CORRECT ANSWER Dr. Smith cannot refer Mr. Johnson to the imaging center due
to the ownership interest of his brother" "Dr. Smith performed a comprehensive evaluation and management (E/M) service for a new patient, John Doe, who presented with multiple chronic conditions requiring extensive diagnostic procedures and coordination of care. Which CPT code should be used to accurately report this
service? - CORRECT ANSWER 99205"
"Jane Doe arrives at the clinic for her scheduled appointment. As a medical billing and coding specialist, you need to verify her insurance eligibility. Which of the following steps is the most
crucial to ensure that you have all pertinent documentation? - CORRECT ANSWER Verify the
patient's insurance information by contacting the insurance company directly" "What critical information should be verified on a patient's insurance card to ensure proper billing
and coding? - CORRECT ANSWER Insurance Policy Number"
"Under the Health Insurance Portability and Accountability Act (HIPPA), which of the following scenarios allows for the release of Protected Health Information (PHI) without patient
authorization? - CORRECT ANSWER When required by law enforcement officials with a court
order" "Sarah, a medical billing specialist, is a reviewing a patient's account to ensure all charges are accurately captured before submitting the claim to the insurance company. She notices that a procedures performed during the patient's visit was not documented in the medical record. What should Sarah do next to comply with regulatory guidelines and ensure the accuracy of the claim?
CORRECT ANSWER Request the healthcare provider to document the procedure and then
submit the claim" "When coding for telemedicine services, which modifier should be used to indicate the service was provided via synchronous telecommunication?
"Sarah, a patient enrolled in a Health Maintenance Organization Plan (HMO), needs to see a specialist for her chronic back pain. What must Sarah do to ensure her visit to the specialist is
covered by her HMO plan? - CORRECT ANSWER Obtain a referral from her primary care
physician" "Dr. Smith Preformed a minor surgical procedure on John Doe at an ambulatory surgical center. Which place of service code should be used for this setting?
- 11: Office visits
- 21: Inpatient hospital visits
- 22: Outpatient hospital services
- 24: Ambulatory surgical center - CORRECT ANSWER 24: Ambulatory surgical center" "Which of the following types of data about a patient's next of kin is considered Protected Health
Information (PHI) under HIPPA regulations? - CORRECT ANSWER The next of kin's name and
relationship to the patient" "What is one of the primary goals of the Health Information Technology for Economic and Clinical
Health (HITECH) Act in the context of healthcare? - CORRECT ANSWER To enhance the privacy
and security of electronic health records (EHRs)" "Sarah, a medical billing specialist, is reviewing a claim fro a patient named John Doe. She notices that the procedure code used does not match the diagnosis code provided. To ensure compliance
with federal laws and regulations, what should Sarah do next? - CORRECT ANSWER Contact
the healthcare provider to verify the correct codes" "Under the False Claims Act, which of the following actions would most likely result in a violation?
- CORRECT ANSWER Submitting a claim for services that were not provided" "When coding for a patient visit, which of the following tasks is essential to ensure accurate and
compliant coding? - CORRECT ANSWER Using the most recent version of the ICD and CPT
codes" "Which section of the medical record typically contains the patient's chief complaint and history
of present illness? - CORRECT ANSWER History and Physical Examination"
"Maria, a 45-year-old patient, has health insurance coverage through her employer. During her recent visit to the clinic, the medical billing specialist needed to verify her eligibility for services
covered by a third party payer. Which of the following steps should the specialist take first to
ensure proper verification of Maria's insurance eligibility? - CORRECT ANSWER contact the
third-party payer directly to verify coverage"
"Which of the following is a mandatory elegiblty requirement for Medicaid? - CORRECT
ANSWER Being a U.S. citizen or lawful permanent resident"
"Sarah, a billing specialist, receives a denial for a claim submitted for a patient named John Doe. The denial states that the procedure was not medically necessary. Sarah believes the procedure was indeed necessary and supported by documentation. What should Sarah do next according to
proper procedures? - CORRECT ANSWER Submit a reconsideration request with additional
supporting documentation" "When coding for a patient diagnosed with both Type 2 Diabetes Mellitus with Diabetic nephropathy and hypertension, with of the following sequences of IDC-10-CM codes is most accurate based on coding guidelines?
- E11.22, I
- I10, E11.
- E11.22, N18.9, I
- E11.9, I10, N18.9 - CORRECT ANSWER E11.22, I10" "Which of the following steps is essential to ensure that the appropriate payment has been made
for a medical claim? - CORRECT ANSWER Reviewing the Exploration of Benefits (EOB) from
the insurance company for accuracy"
"What is the primary limitation of Medicare Part A coverage for inpatient hospital stays? -
CORRECT ANSWER Coverage is limited to 90 days per benefit period"
"Maria, a medical billing specialist, is reviewing a patient's account to ensure compliance with regulatory standards. She notices that the insurance claim for a recent procedure was denied due to incorrect coding. What should Maria do first to correct this issue and ensure proper
reimbursement? - CORRECT ANSWER Review the medical documentation and correct the
coding errors" "Which modifier should be used to indicate a distinct procedural service that is not normally
reported together with the primary procedure but is appropriate under the circumstances? -
CORRECT ANSWER Modifier 59"
"Dr. Smith's office receives a request from a health insurance company fro patient Jane Doe's medical records to process a claim. Which of the following actions is compliant with the Health Insurance Portability and Accountability Act (HIPPA) regulations regarding the permitted use and
disclosure of patient information? - CORRECT ANSWER Dr. Smith's office sends only the
relevant portions of the medical record nescessary to process the claim." "Dr. Smith has referred his patient, John Doe, to a specialist for further evaluation of a chronic condition. Before the specialist can see John, the insurance company requires certain steps to be completed. Which of the following actions should be taken ensure that the specialist visit is
covered by the insurance? - CORRECT ANSWER Dr. Smith should obtain a referral and ensure
precertification is completed" "Dr. Smith has referred his patient, John Doe to a specialist for a complex diagnostic procedure. Before scheduling the appointment, the specialist office needs to confirm insurance coverage. What is the first step the specialist office should take to ensure that the procedure will be covered
by John's insurance? - CORRECT ANSWER Request precerification/preauthorization from the
insurance company"
"What is the first step in verifying a patient's insurance eligibility? - CORRECT ANSWER
Contacting the insurance company directly" "Dr. Smith is reviewing the medical records of a patient named John Doe, who has been diagnosed with "hypertensive heart disease with heart failure". Which ICD-10-CM code should be used to accurately represent this diagnosis?
- I11.0: Hypertensive heart disease with heart failure
- I10: Essential primary hypertension
- I50.9: Heart failure unspecified
- I11.9: Hypertensive heart disease without heart failure - CORRECT ANSWER I10: Hypertensive heart disease with heart failure" "Dr. Smit's office is submitting a CMS-1500 claim for for a patient named John Doe who received a procedure that required prior authorization. Which field on the CMS-1500 form should the authorization code be placed?
- Field 24: Procedures, services, or supplies
- Field 23: Prior authorization number
- Field 19: Additional claim information
- Field 21: Diagnosis codes - CORRECT ANSWER Field 23: Prior authorization number" "Which provision in a commercial insurance plan specifies that the insurer will cover a percentage of the cost of covered services after the deductible has been met?
- Premium
- Copayment
- Coinsurance
- Out-of-pocket maximum - CORRECT ANSWER Coinsurance" "Dr. Smith is reviewing the the latest updates to the CPT manual to ensure accurate billing for his medical practice. Which organization is responsible for publishing and updating the CPT coding manual?
- Centers for Medicare and Medicaid Services (CMS)
- American Medical Association (AMA)
- World Health Organization (WHO)
- National Center for Health Statistics (NCHS) - CORRECT ANSWER American Medical Association (AMA)"
"What is the purpose of an aging report in medical billing? - CORRECT ANSWER To track the
status of outstanding claims and unpaid patient balances" "Dr. Smith conducted a remote visit with a patient named John Doe for a follow-up on his chronic hypertension. During the visit, Dr. Smith reviewed John's medication, discussed lifestyle changes, and adjusted his prescription. Which CPT code should be used to accurately bill for this remote visit.
- 99212: Established patient office visit, 10-19 minutes
- 99213: Established patient office visit, 20-29 minutes
- 99441: Telephone E/M service, 5-10 minutes of medical discussion
- 99443: Telephone E/M service, 21-30 minutes of medical discussion - CORRECT ANSWER 99443: Telephone E/M service, 21-30 minutes of medical discussion" "Which section of the CPT manual contains codes for Evaluation and Management (E/M) services?
- Surgery
- Radiology
- Pathology and Laboratory
- Evaluation and Management - CORRECT ANSWER Evaluation and Management" "John Smith arrives at the clinic for his appointment. During the insurance verification process, the medical billing specialist notices a discrepancy in John's demographic information. Which
piece of information is most critical to verify to ensure proper insurance billing? - CORRECT
ANSWER Patient's date of birth"
"When a patient passes away with outstanding medical bills, which entity is responsible for settling these debts?
- The patients immediate family members
- The patients estate
- The patients health insurance provider
- The patients employer - CORRECT ANSWER The patients estate"
"Which statement best describes a deductible in the context of health insurance? - CORRECT
ANSWER A deductible is the amount a patient must pay out-of-pocket before the insurance
company begins to pay its share" "Which of the following types of data is considered Protected Health Information (PHI) under the Health Insurance Portability and Accountability Act (HIPPA)?
- Patients email adress
- Patients favorite color
- Patients pet's name
- Patients preferred grocery store - CORRECT ANSWER Patient's email address" "Sarah, a billing specialist, is reviewing a patient's claim for a recent outpatient procedure. She notices that the procedure code used does not match the documentation provided by the
healthcare provider. What should Sarah do to ensure accurate billing and reimbursement? -
CORRECT ANSWER Correct the procedure code to match the documentation"
"Which of the following is considered a critical aspect to consider when adhering to payer-specific
guidelines in medical billing and coding? - CORRECT ANSWER Understanding the specific
documentation requirements for each payer" "Sarah is a medical coder at a hospital. She notices that a patient's insurance information was incorrectly entered during the patient registration phase, leading to a claim denial. Which phase of the revenue cycle should Sarah focus on to correct the error and resubmit the claim?
- Charge capture
- Claims processing
- Payment registration
- Payment posting - CORRECT ANSWER Payment Registration"
"What is the primary purpose of the ICD-10-CM code set in medical billing and coding? -
CORRECT ANSWER To offer a detailed classification of diseases and health conditions"
"Sarah, a medical billing specialist, is verifying insurance eligibility for a new patient, John Doe, who has recently switched to a new insurance provider. What is the most critical document Sarah
should obtain to ensure that John's medical services will be covered by his new insurance? -
CORRECT ANSWER A copy of John's new insurance card"
"Sarah, a 65-year-old patient, is visiting your clinic for a routine check-up. She has Medicare Part A and Part B. During her visit, she mentions that she needs a prescription for her chronic condition. Which part of Medicare should be checked to ensure that her prescription is covered?
- Medicare Part A
- Medicare Part B
- Medicare Part C
- Medicare Part D - CORRECT ANSWER Medicare Part D" "Which of the following is the most effective method for identifying areas for improvement in
billing and reimbursement processes? - CORRECT ANSWER Analyzing denial rates and
reasons" "Sarah, a medical billing specialist is managing the accounts receivable for a clinic. She notices that a patient's bill has been outstanding for 90 days. To initiate the dunning process, which
action should Sarah take first to comply with standard collection processes and laws? -
CORRECT ANSWER Make a polite phone call to remind the patient of the overdue bill"
"Sarah, a 65-year-old patient, is admitted to the hospital with severe chest pain. After a thorough examination, she is diagnosed with acute myocardial infarction (AMI) with hypertension. During her stay, she develops pneumonia. Which of the following is the correct sequence of coding for Sarah's conditions?
- Pneumonia, Acute Myocardial Infarction, Hypertension
- Acute Myocardial Infarction, Hypertension, and Pneumonia
- Hypertension, Acute Myocardial Infarction, Pneumonia
- Acute Myocardial Infarction, Pneumonia, Hypertension - CORRECT ANSWER Acute Myocardial Infarction, Hypertension, and pneumonia" "Which piece of identification is typically required to verify a patient's insurance eligibility?
- Social Security Card
- Driver's License
- Passport
- Insurance Card - CORRECT ANSWER Insurance card"
"A patient named John Smith is admitted to the hospital with acute respiratory failure due to chronic obstructive pulmonary disease (COPD) exacerbation. During his stay, he also develops a urinary tract infection (UTI). When coding for optimal reimbursement, which condition should be
sequenced as the principal diagnosis? - CORRECT ANSWER Acute respiratory failure"
"Emily Johnson, a patient, arrives at your clinic for her first appointment. As the medical billing and coding specialist, you need to verify her insurance eligibility. Which piece of demographic
information is crucial to ensure her insurance information is accurately verified? - CORRECT
ANSWER Patient's date of birth"
"Which if the following is the primary purpose of the Explanation of Benefits (EOB) in the medical
billing process? - CORRECT ANSWER To inform the patient about the amount billed and the
amount covered by insurance" "During a routine audit, it was discovered that a billing clerk, Jane, inadvertently sent a patient's billing information to the wrong address. What is the most appropriate action Jane should take to
maintain confidentiality and security of protected health information (PHI)? - CORRECT
ANSWER Immediately notify the patient and the privacy officer"
"Mr. Johnson, a 68-year-old Medicare beneficiary, is considering purchasing a Medigap policy to cover some of the healthcare costs that medicare does not cover. Which of the following costs is typically covered by a Medigap policy?
- Long-term care
- Prescription drugs
- Coinsurance and copayments
- Dental care - CORRECT ANSWER Coinsurance and copayments" "Sarah, an uninsured patient, visits the clinic for a routine check-up. The clinic has a policy for uninsured or self-pay patients that includes offering a discount is payment is made in full at the time of service. Which of the following steps should the nilling department take to ensure
compliance with this policy? - CORRECT ANSWER Inform Sarah about the discount and
document her decision in her file" "When reviewing a claim rejection due to an invalid diagnosis code, what is the first step a
medical billing specialist should take to resolve the issue? - CORRECT ANSWER Verify the
diagnosis code against the ICD-10-CM coding manual" "When coding for oncology services, which of the following codes is used to report the administration of chemotherapy drugs?
- 99213: Established patient office visit
- 96372: Therapeutic, prophlaytic, or diagnostic injection
- 96413: Administration of chemotherapy drugs
- 99201: New patient office visit - CORRECT ANSWER - 96431: Administration of chemotherapy drugs" "Dr. Smith is treating a patient named John Doe who is covered under Medicare. John requires a procedure that falls under Medicare's National Coverage Determination (NCD). Which of the following steps should the medical coder take to ensure compliance with Medicare doing
requirements? - CORRECT ANSWER Ensure the procedure code aligns with the NCD and
include any necessary modifiers"
"What is the primary purpose of the ICD-10-PCS code set in medical billing and coding? -
CORRECT ANSWER To provide a system for coding procedures performed in inpatient hospital
settings" "Which of the following statements accurately describes the use of G-codes in Medicare billing?
CORRECT ANSWER G-codes are used to identify specific outpatient therapy services"
"Sarah, a 45-year-old patient, was treated for a chronic condition and her insurance claim was denied due to lack of necessity. As a medical billing specialist, which step should you take first to
address this denial? - CORRECT ANSWER Review the patient's medical records and obtain
additional documentation to support the claim" "A 45-year-old patient named John Doe presents to the clinic with symptoms of chest pain and shortness of breath. After a thorough examination, the physician diagnosis him with acute myocardial infarction (AMI). Which ICD-10-CM code should be used to accurately reflect this diagnosis?
- I20.0: Unstable angina
- I21.9: Acute myocardial infarction, unspecified
- I25.10: Atherosclerotic heart disease of native coronary artery without angina pectoris
- I50.9: Heart failure, Unspecified - CORRECT ANSWER I21.9: Acute myocardial infarction, unspecified" “Which of the following is considered Protected Health Information (PHI) under the Health
Insurance Portability and Accountability Act (HIPPA)? - CORRECT ANSWER Patient's email
address"
"Which of the following is the most accurate step to ensure that a claim is transmitted correctly to
a payer? - CORRECT ANSWER Ensure that all required fields are completed and the claim is
error-free." "Dr. Smith is evaluating a new patient, John Doe, who presents with multiple chronic conditions, including diabetes and hypertension. The visit involves a comprehensive history, comprehensive examination, and high complexity medical decision making. Based on the key components and
coding guidelines, which E/M code is most appropriate for this visit? - CORRECT ANSWER
99205: New patient visit involving a comprehensive history, comprehensive examination, and high complexity" "Sarah, a medical billing specialist, is reviewing an EDI 835 transaction for a recent claim submitted to an insurance company. She notices that the payment has been denied due to a "CO-
45" adjustment code. What does this adjustment code indicate? - CORRECT ANSWER The
claim was denied due to exceeding the maximum allowable amount" "Which of the following acronyms is correctly matched with its medical term?
- COPD: Chronic Obstructive Pulmonary Disease
- CAD: Chronic Arterial Disease
- CHF: Chronic Heart Failure
- DM: Diabettes Mellitus Type 2 - CORRECT ANSWER COPD: Chronic Obstructive Pulmonary Disease"
"When a patient has multiple insurance plans, which insurance plan should be billed first? -
CORRECT ANSWER The primary insurance plan"
"Sarah, a medical billing specialist, is processing a payment for a patient named John Doe. She needs to verify the remittance advice RA, and post any necessary contractural adjustments, write-offs, take-backs, and withholds. Upon reviewing the RA, Sarah notices a discrepancy in the
payment amount due to a contractural adjustment. What should be her next step? - CORRECT
ANSWER Adjust the patient's account to reflect the contractural adjustment"
"Which of the following is a key criterion for determining medical necessity in medical billing and
coding? - CORRECT ANSWER The procedure is appropriate and consistent with the diagnosis"
"Which organization is responsible for publishing and updating the international classification of diseases (ICD) coding manuals?
- American Medical Association (AMA)
- Centers for Medicare and Medicaid Services (CMS)
- World Health Organization (WHO)
- National Center for Health Statistics (NCHS) - CORRECT ANSWER World Health Organization (WHO)" "Dr. Smith's office is submitting a CMS-1500 claim form for a patient named John Doe, who received a series of diagnostic tests. Which section of the CMS-1500 form should be used to indicate the referring physician's name and NPI number?
- Box 24: Rendering providers NPI number
- Box 17: Referring physicians name and NPI number
- Box 21: Diagnosis codes
- Box 33: Billing providers information - CORRECT ANSWER Box 17: Referring physicians name and NPI number" "Dr. Smith's office receives a request from an insurance company fro detailed medical records of a patient, John Doe, to process a claim. The request includes sensitive information such as John's mental health history. Under HIPPA regulations, what should Dr. Smith's office do to ensure
compliance? - CORRECT ANSWER Send only the minimum necessary information required to
process the claim"
"What is the primary purpose of the CMS-1450/B-04 claim form in medical billing? - CORRECT
ANSWER To report inpatient and outpatient hospital services to payers"
"Which of the following is NOT a TRICARE plan option available to eligible beneficiaries?
- TRICARE Prime
- TRICARE Select
- TRICARE Standard
- TRICARE for Life - CORRECT ANSWER TRICARE Standard" "Jane Doe was admitted to the hospital with severe abdominal pain. After a series of tests, she was diagnosed with acute appendicitis and underwent an appendectomy. When coding for this procedure, which of the following codes should be used according to the ICD-10-CM guidelines?
CORRECT ANSWER K35.20: Acute appendicitis with generalized peritonitis, without abscess"
"Dr. Smith is coding a patient's medical record and needs to ensure that the coding is compliant with the latest guidelines. Which organization is primarily responsible for publishing and updating
the ICD-10-CM coding manual that Dr. Smith should refer to? - CORRECT ANSWER World
Health Organization (WHO)"
