Test 3 Mod 2

Created by Markwaynemark 

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Signature on file maybe indicated on the CMS-1500 claim form when signed assignment of benefits form is retained in the patient,s health record

True

Medicaid and workerrs compensation have adopted the use of the CMS-1500 in all states

False

List all services on the insurance claim form, including "no charge" services

False

A common abbrevation for a transurethral electrosugery of the prosstate is TURP

False

The most common condition of the prostate is BPH

True

What is the name of the book that contains a coded listing of proceducers with unit values that indicate the realative value of various services
A. ICD-9-CM
B. CPT
C. RVS
D. HCPCS

C. RVS

The resource-based relative value scale (RBRVS) was developed for
a. the Centers for Medicare and Medicaid Services.
b. Blue Cross and Blue Shield.
C. managed care organizations.
D. workers' compensation insurance plan.

a. the Centers for Medicare and Medicaid Services.

The two-digit modifier - 5 7 means
a. prolonged E/M services
b. Reduced services.
c. decision for surgery.
D. mandated services.

c. decision for surgery.

What does bundling mean?
a. When the code system used ona claim submitted to an insurance carrier does not
match the code system used by the company receiving the claim.
b. Reduced services. decision for surgery. mandated services.
c. Coding and billing numerous CPT codes to identify procedures that are usually described by a single code.
d. Grouping codes that are related to a procedure

d. Grouping codes that are related to a procedure

What code is used for an intramuscular injection of prochlorperazine (Compazine)
a. 96365
b. 96372-
c. 90749
d. 90702

b. 96372-

The health insurance claim form (CMS-1500) is known as the
A. Standard form
B. COMB-1
C. universal claim form
D. Attending physician statement

C. universal claim form

n insurance claim from that contains no staples or highlight areas and on which the bar code areea has not been deformed is called
A. A clean form
B. A paper claim
C. A physically clean claim
D. an error-free claim

C. A physically clean claim

An insurance claim submitted with errors is refered to as
A. A dingy claim
B. A dirty claim
C. A rejected claim
D. An incomplete claim

B. A dirty claim

If you receive a request. accomplished with the correct autorization, asking to abstract medical information frfom a patient's medical record
A. Send the patient entire medical record
B. Send only information required
C. Send the patients medical record and finanical record
D. None of the above

B. Send only information required

OCR is the acronym for
A. Open code resource
B. Optical character recognition
C. optical code recognition

B. Optical character recognition

A gland below the bladder and the surrounding the urethra
A. Vas deferens
B. Bulbourethral
C. Bartholin
D. Seminal vesicle
E. Prostate

E. Prostate

Inflammation of the glans penis
A. Orchitis
B. Hydrocele
C. Varicocele
D. Balanitis
E. Epididymitis

D. Balanitis

An Androgen
A. Luteinzing hormone
B. hCG
C. Testosterone
D. Estrogen
E. Progesterone

C. Testosterone

Testicular carcinoma
A. BPH
B. Seminoma
C. Hypernephroma
D. PID
E. Chlamydia

B. Seminoma

Sterilization procedure
A. Vasectomy
B. Circumcision
C. Orchiotomy

A. Vasectomy

The sac containing the male donad
A. Perineum
B. Peritoneum
C. Epididymis
D. Scrotum

D. Scrotum

Whichof the following is not an STD
A. HSV
B. Gonorrhea
C. BPH
D. Syphilis

C. BPH

Absence of a testicle
A. Anorhism
B. Anorchism
C. Anorkism

B. Anorchism

Carcinoma of tests
A. Embrional
B. Embryonal
C. Enbryomal

B. Embryonal

Scanty sperm production
A. Olagospermia
B. Oliosspermia
C. Oligospermia

C. Oligospermia

An instillation procedure of the bladder is performed for treatment of
A. Obstruction
B. BPH
C. Bladder cancer
D. Pain

C. Bladder cancer

When lithotripsy is performed, the patient may be surrounded by
A.People
B. Liquid
C. Stones
D. Gel

B. Liquid

The term that describes the study of the motion of the flow of urnine is
A.Urology
B. Urinology
C. Urodynamics
D. Urofunction

C. Urodynamics

Missing place of service code

E. Verify that the place of service is correct for the submitted procuder codes and fill in correct service code

The Insurance claim was submitted to the secondary instaed of the primary insurer

I. Obtain data from patient during the first office visit on which company is the primary insurer

Patients name and insured number is incorect

B. Check for Sr., Jr., correct birth date, and verify the insured

The patient's insurance number is incorrect

A. Proofread numbers carefully from source documents

Incorrect modififier

G.Verify and submit valid modifiers with the correct procedure codes for which they are valid

Operative report is missing from the insurance claim

J. Submit all attachments with the patient's name and insurance identification number

Produre code is missing

F. Refer to the current procedure codebooks and verify the coding system used by the insurance company

Diagnostic code is missing

C.Refer to an updated diagnostic codebook and review the patient record

Total amounts do not equal itemized charged

H. Total of all charges on each claim, recheck the math, and verify amounts with patient account

Duplicates dates of service listed

D. Verify with the patient's medical record that all dates of service are listed and accurate

One of a pair of long tightly colied tubes on top of each testi

D. Epididymis

Sensitive tip of the penis

H. Glans penis

Two infants resulting from division of one fertilized egg into two distinct embryos

I. Identical twins

Pair of exocrine glans near the male urethra; sccrete fluid into the uretra

A. Bulbourethral glands

Tube through which semen enters the male urethra

C. Ejaculatory duct

External region between the anus and scrotum

K. Perineum

Two infants born of the same pregnancy from two seperate egg cells fertilized by two different sperm cells

G. Fraternal twins

The essential, distinctive cells of an organ

J. Parenchyma

Hair-like projection on a sperm cell

F. Flagellum

Inability of an adult male to acheive an errection; impotence

E. Erectile dysfunction

Foreskin of the penis

L. Prepuce

Ejection of sperm and fluid from the male urethra

B. Ejaculation

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