MTBC Part 1 Questions and Answers
Already Passed
How can improper coding impact a healthcare provider?
It can lead to financial loss, compliance issues, and possible legal repercussions.
What is the purpose of a patient’s consent form in medical billing?
To ensure that the patient is...
MTBC Part 1 Questions and Answers
Already Passed
How can improper coding impact a healthcare provider?
✔✔ It can lead to financial loss, compliance issues, and possible legal repercussions.
What is the purpose of a patient’s consent form in medical billing?
✔✔ To ensure that the patient is aware of their insurance coverage and agrees to the billing
process.
What is the importance of verifying a patient’s insurance before services are rendered?
✔✔ It ensures that services are covered and prevents billing issues later.
What is the function of the claim scrubber in the billing process?
✔✔ It checks claims for errors or missing information before submission.
How does a coder know if a claim requires special handling or adjustments?
✔✔ By reviewing the claim’s history, payer requirements, and patient information.
1
,What is the role of HIPAA in medical billing and coding?
✔✔ To protect patient privacy and ensure that healthcare information is handled securely.
What is an audit trail in the medical billing process?
✔✔ A record of all actions taken on a claim, from submission to resolution, to ensure
transparency.
What is the main responsibility of a medical coder in the revenue cycle?
✔✔ To assign accurate codes for diagnoses and procedures to ensure proper reimbursement.
What information is essential to include when coding a medical claim?
✔✔ The diagnosis, procedure codes, and patient details.
How can medical coders ensure that they are compliant with HIPAA regulations?
✔✔ By safeguarding patient information and using secure systems.
What is the ICD-10 coding system used for?
✔✔ To classify and code diagnoses and health conditions.
2
, Why is it important to understand medical terminology in medical billing and coding?
✔✔ To accurately interpret and assign the correct codes.
What is the difference between ICD-10-CM and ICD-10-PCS?
✔✔ ICD-10-CM is used for diagnosis codes, while ICD-10-PCS is used for inpatient procedure
codes.
What are CPT codes used for?
✔✔ To describe medical procedures and services provided to patients.
Why must medical coders be familiar with Medicare regulations?
✔✔ To ensure claims are processed correctly and meet reimbursement standards.
What is the role of an insurance verification process in medical billing?
✔✔ To confirm a patient's insurance coverage and eligibility for services.
What is the function of a UB-04 form in the medical billing process?
3
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