coding Ch1. Multiple choice
What type of healthcare practices specializes in providing outpatient surgeries to patients?
Ambulatory surgical center
Why is it important that coders understand the differences between medical specialties?
Because the codes billed depend on the provider specialty type
Why is it important to understand the differences between inpatient facility reporting and outpatient professional reporting?
Because the codes reported differ
What might be one of your job responsibilities if you worked in a billing and coding company?
Coding claims
What medical practices can either be stand alone or attached to a hospital, and provide services on an emergent setting?
Emergency department
What is an inpatient facility?
Hospital
What code set is used to report diagnosis in both the inpatient and outpatient settings?
ICD-10-CM
What code sets is used to bill for inpatient facility procedures?
ICD-10-PCS
What facility would be referred to as an acute-care facility?
Inpatient facility
There is a group practice in which one third of the providers are pediatricians, one third are internal medicine doctors, and one third are cardiologists. what type of practice is this?
Large multi-specialty group practice
What medical specialties performs surgical treatments on the jaw and face?
Maxillofacial Surgery
What provider type is increasing in numbers across many clinical settings?
Mid-level providers (MLPs)
National healthcare group is made up of seven physicians. Three doctors practice internal medicine and the other four practice women's health. How would this practice be classified?
Multispecialty
What medical specialties treats patients suffering from conditions of the kidneys?
Nephrology
What healthcare provider is a med-level provider?
PA
Which of the following is an advantage of outsourcing to a billing or coding company?
The provider's office has access to expert billers and coders
What services would be provided by an outpatient healthcare practice?
Vaccinations
What type of health care specialist would treat the patient's entire body, including providing, including providing health maintenance measures?
a primary care practitioner
What type of medical provider specializes in diagnosing and treating the entire patient, including health maintenance and preventative health screenings?
a primary care provider (PCP)
Which of the following best describes a CEU?
a unit of measurement used in continuing education programs
Which of the following is a type of medical practice in which the provider specializes after completing medical school? a. healthcare specialty b. primary care c. mid-level provider d. solo practitioner
b. primary care
What setting can a medical coder work in?
billing and coding companies, outpatient practices, and inpatient facilities
What type of medical practice would be composed of four physicians, all of whom practice the same specialty?
small group practice
What type of practice only has one provider?
solo practice
Who sends the referral or prior authorization request for patients?
the primary care provider