Q AND A
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Colombo International Nautical and Engineering College *
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Course
6057
Subject
Biology
Date
Nov 24, 2024
Type
Pages
15
Uploaded by ChiefMongoosePerson721
14/11/2023,
18:45
Laboratory
Coding
@
05:1
A\
Laboratory
Coding
Hi,
Chamodya.
When
you
submit
this
form,
the
owner
will
see
your
name
and
email
address.
*
Required
1.
What
is
the
primary
purpose
of
infectious
disease
testing?
(2
Points)
*
O
To
monitor
blood
sugar
levels
@
To
diagnose
and
identify
infections
caused
by
microorganisms.
O
To
assess
blood
clotting
factors
O
To
analyze
DNA
and
RNA
molecules
2.
The
secondary
documentations
could
be
___
(2
Points)
*
@
Requisitions
& Result
sheets
O
Doctor’'s
Notes
&
Patient
History
O
CPT
&
ICD-10
guides
O
All
the
above
3.
focuses
on
the
body's
capacity
to
requlate
bleeding
and
maintain
blood
clotting.
(2
Points)
*
O
Hematology
@
Coagulation
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1/15
14/11/2023,
18:45
O
Pathology
Laboratory
Coding
O
Pharmacogenomics
4.
Which
type
of
test
is
used
to
detect
the
presence
of
toxic
substances,
drugs,
or
chemicals
in
the
body?
(2
Points)
*
O
Infectious
Diseases
testing
O
Molecular
Pathology
@
Drug
testing
/
Toxicology
O
Chemistry
tests
5.
Which
type
of
test
can
identify
unusual
substance
levels
and
indicate
organ
or
tissue
disease?
(2
Points)
*
@
Chemistry
Tests
O
Drug
Tests
O
Hematology
&
Coagulation
Tests
O
Molecular
Pathology
Tests
6.
When
searching
for
the
local
Blue
Plan
coverage
guidelines,
which
state
should
be
considered?
(2
Points)
*
O
Patient's
state
O
Laboratory's
state
@
Referring
Provider's
state
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2/15
14/11/2023,
18:45
Laboratory
Coding
O
Texas
7.
In
which
ways
can
the
Travel
Allowance
be
paid?
(2
Points)
*
O
Only
through
a
reimbursement
process
O
Per
patient
visit
basis
@
Flat-rate
travel
allowance
or
Per-mile
travel
allowance
O
Hourly
travel
compensation
8.
What
is
the
function
of
LCD
in
Medicare?
(2
Points)
*
O
Determine
the
necessary
medical
treatments
for
patients
O
Decide
the
coverage
extent
for
specific
services
or
procedures
on
a
national
basis
@
Decide
the
coverage
for
specific
services
within
different
regions
O
Manage
administrative
tasks
for
Medicare
claims
9.
What
do
Payer
Policies
primarily
refer
to
in
the
context
of
healthcare
services?
(2
Points)
*
O
Rules
for
patient
admission
procedures
O
Guidelines
for
hospital
staff
management
@
Rules
and
guidelines
set
by
insurance
for
coverage
decisions
and
reimbursement
O
Protocols
for
surgical
interventions
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18:45
Laboratory
Coding
10.
'Vision
and
hearing
services'
fall
under
which
service
type?
(2
Points)
*
@
Non-physician
services
O
Physician
services
11.
Which
of
the
following
is
a
Non
physician
service?
(2
Points)
*
O
Medical
supplies
provided
for
the
patient’'s
own
use
O
Particularly
injectable
drugs
O
Ambulance
services
@
All
the
above
12.
What
does
ICD
stand
for?
(2
Points)
*
O
International
Classification
of
Diagnosis
@
International
Classification
of
Diseases
O
International
Classification
of
Drugs
O
International
Classification
of
Disaster
13.
Which
type
of
testing
involves
analyzing
DNA,
RNA,
and
protein
molecules
to
diagnose
diseases
and
predict
treatment
responses?
(2
Points)
*
O
Blood
testing
O
Infectious
disease
testing
https://forms.office.com/pages/responsepage.aspx?id=StFhR80-VUepZHCsD3XbLjsVIYj--sIGhL_mHHbUSNVUQUVQNOpFUDJXMOZHTjVLUjNPVj...
4/15
14/11/2023,
18:45
Laboratory
Coding
O
Tox
testing
@
Molecular
pathology
14.
What
are
the
acceptable
methods
for
specimen
collection?
(2
Points)
*
O
Blood
specimen
through
capillary
puncture.
O
Urine
specimen
through
collection
cup.
@
Blood
specimen
through
venipuncture.
O
Saliva
specimen
through
swabbing.
15.
Which
HCPCS
codes
are
associated
with
specimen
collection?
(2
Points)
*
@
36415,
G0471,
P9612,
PI615
()
36415,
G0471,
P9612,
P9613
()
36415,
G0471,
P9614,
P9615
(O
36415,
G0471,
P9603,
P9604
16.
How
can
modifiers
be
useful
in
laboratory
coding?
(2
Points)
*
O
They
indicate
the
color
of
laboratory
equipment.
()
They
highlight
the
lab's
location.
@
They
show
special
circumstances
or
additional
work
during
a
procedure.
O
They
identify
the
laboratory
manager.
https://forms.office.com/pages/responsepage.aspx?id=StFhR80-VUepZHCsD3XbLjsVIYj--sIGhL_mHHbUSNVUQUVQNOpFUDJXMOZHTjVLUjNPVj...
5/15
14/11/2023,
18:45
Laboratory
Coding
17.
What
does
CPT
stand
for?
(2
Points)
*
O
Current
Process
Taxonomy
O
Current
Process
Terminology
O
Current
Procedural
Taxonomy
@
Current
Procedural
Terminology
18.
What
is
the
term
used
to
describe
HCPCS
Level
1
Codes?
(2
Points)
*
@
CPT
Codes
O
Temporary
Codes
O
National
Codes
()
HCPCS
Codes
19.
What
are
Modifiers?
(2
Points)
*
O
A
universal
code
for
describing
the
causes
of
injury,
illness,
and
death.
@
Used
to
report
specific
circumstances
or
alterations
to
a
procedure,
service,
or
medical
equipment
without
changing
the
definition
of
the
code
O
Describe
tests,
surgeries,
evaluations,
&
any
other
medical
procedure.
O
None
of
the
above
20.
What
is
the
primary
purpose
of
ICD
codes?
(2
Points)
*
https://forms.office.com/pages/responsepage.aspx?id=StFhR80-VUepZHCsD3XbLjsVIYj--sIGhL_mHHbUSNVUQUVQNOpFUDJXMOZHTjVLUjNPVj...
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18:45
Laboratory
Coding
O
Identifying
medical
professionals
O
Documenting
medical
procedures
@
Classifying
diseases
&
conditions
O
Calculating
insurance
premiums
21.
If
a
hospital
needs
to
order
a
batch
of
medical
gloves,
which
coding
system
is
likely
to
provide
the
relevant
code?
(2
Points)
*
(O
cpT
(O
zIP
Code
(O
IsBN
@
Hcrcs
22.
What
is
the
primary
purpose
of
Laboratory
coding?
(2
Points)
*
O
To
provide
medical
treatment
to
patients
@
To
ensure
accurate
billing
and
reimbursement
for
laboratory
services
O
To
educate
healthcare
providers
about
laboratory
tests
O
To
monitor
the
quality
of
laboratory
equipment
23.
What
is
the
main
purpose
of
the
NCCl
edits?
(2
Points)
*
@
To
ensure
accurate
coding
and
billing
O
To
provide
guidelines
for
patient
care
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14/11/2023,
18:45
Laboratory
Coding
O
To
determine
the
coverage
of
medical
services
O
To
establish
reimbursement
rates
for
healthcare
services
24.
What
does
NCD
stand
for?
(2
Points)
*
@
National
Coverage
Determinations
O
National
Coverage
Demands
O
National
Coverage
Distribution
O
National
Coverage
Development
25.
Which
of
the
following
is
an
example
of
Level
2
HCPCS
code?
(2
Points)
*
(O
P9604
26.
Select
the
correct
statements.
(Select
all
that
apply)
(10
Points)
*
Please
select
at
most
5
options.
Level
|
HCPCS
Codes
are
known
as
Current
Procedural
Terminology
(CPT)
codes.
.
HCPCS
codes
consist
of
6
characters,
with
the
first
two
being
letters
followed
by
4
v/
numbers.
Level
Il
HCPCS
codes
consist
of
5
characters:
1
letter
followed
by
4
numbers.
https://forms.office.com/pages/responsepage.aspx?id=StFhR80-VUepZHCsD3XbLjsVIYj--sIGhL_mHHbUSNVUQUVQNOpFUDJXMOZHTjVLUjNPVj...
8/15
14/11/2023,
18:45
Laboratory
Coding
Level
Il
HCPCS
is
primarily
used
to
describe
medical
procedures
performed
by
a
healthcare
provider.
Level
|
of
HCPCS
is
exclusively
used
for
reporting
non-physician
services.
-
1CD-10-CM
coding
system
primarily
aims
to
provide
a
universal
code
for
describing
the
'~
causes
of
injury,
iliness,
and
death.
Modifiers
are
appended
to
CPT
and
HCPCS
Level
Il
codes.
Modifiers
that
provide
additional
information
&
alter
the
definition
of
the
primary
code
and
consist
of
3
characters.
Non-physician
services
include
durable
medical
equipment,
ambulance
services,
pharma-
ceuticals
administered
by
a
healthcare
professional,
dental
services,
and
orthotic
and
pros-
thetic
procedures.
27.
Identify
the
correct
test
type
based
on
the
given
definitions
in
Q28
-
Q32
28.
Diagnosing
&
identifying
infections
caused
by
microorganisms
such
as
bacteria,
viruses,
fungi,
or
parasites:
(2
Points)
*
|
NFECTIOUS
DISEASE
TESTING
29.
Provides
crucial
information
about
blood
sugar
levels,
cholesterol,
liver
function,
kidney
function
etc.:
(2
Points)
*
CHEMISTRY
TESTS
30.
Aid
in
diagnosing
various
blood
disorders
&
monitoring
treatment
effectiveness:
(2
Points)
*
https://forms.office.com/pages/responsepage.aspx?id=StFhR80-VUepZHCsD3XbLjsV9Yj--sIGhL_mHHbUSNVUQUVQNOpFUDJXMOZHTjVLUjNPV;...
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Laboratory
Coding
31.
32.
33.
34.
35.
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BLOOD
(HEMATOLOGY
&
COAGULATION
TESTS)
Analysis
of
a
blood
sample
to
detect
the
presence
of
toxic
substances,
drugs,
or
chemicals
in
the
body
for
diagnostic,
medical,
or
forensic
purposes:
(2
Points)
*
DRUG
TESTISNG
/
TOXICOLOG
Examines
DNA,
RNA,
and
protein
molecules
to
diagnose
diseases
&
predict
patient
responses
to
treatments:
(2
Points)
*
MOLECULAR
PATHOLOGY
Choose
the
option
that
best
suits
the
given
statements
in
Q34
-
Q43:
[
Per-mile
travel
allowance
/
Infectious
Disease
Testing
/
Coding
Compliance
/
Screening
test /
Primary
documentation
/
Toxicology
/
Medicare
Advantage
Plan
/
Patient
History
/
Level
2
Codes
/
Cancer
Genomics
Testing
(CGX)
/
Modifier
XU
/
Chemistry
Tests
/
Specimen
Collection
/
Secondary
documentation
/
Validity
test
/
Medical
Necessity
/
Coagulation
Tests
/
MAC
Guidelines
/
Pharmacogenomics
(PGX)
/
Flat-rate
travel
allowance]
Requisition,
Result
sheet
and
the
technology
used
to
perform
the
test:
(1
Point)
*
Chemistry
Tests
A
comprehensive
record
of
a
patient's
medical
background,
including
conditions,
treatments,
and
insurance
details:
(1
Point)
*
Patient
History
10/15
14/11/2023,
18:45
Laboratory
Coding
36.
37.
38.
39.
40.
41.
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Support
&
justify
the
service,
and
coincide
with
patient's
treatment:
(1
Point)
*
Medical
Necessity
Staying
up
to
date
with
coding
changes
&
regulations:
(1
Point)
*
Coding
Compliance
Examines
how
genetic
variations
in
individuals
can
affect
their
response
to
medications:
(1
Point)
*
Pharmacogenomics
(PGX)
Analyzes
Full
gene
sequencing:
(1
Point)
*
Cancer
Genomics
Testing
(CGX)
When
the
trained
technician
travels
20
eligible
miles
or
less
to
and
from
1
location
for
specimen
collection
from
1
or
more
Medicare
patients:
(1
Point)
*
Flat-rate
travel
allowance
When
the
round-trip
travel
to
1
location
is
greater
than
20
eligible
miles
for
specimen
collection
from
1
or
more
patients:
(1
Point)
*
Per-mile
travel
allowance
11/15
14/11/2023,
18:45
Laboratory
Coding
42.
Travel
allowance
is
not
eligible
for
patients:
(1
Point)
*
Medicare
Advantage
Plan
43.
Not
considered
when
billing
TOX
claims:
(1
Point)
*
Validity
test
44.
Read
the
given
scenarios
and
identify
the
correct
statements.
(Q45
-
Q49)
45.
A
trained
technician
travels
15
miles
from
the
laboratory
to
a
homebound
Medicare
patient's
house
to
collect
a
blood
specimen
through
venipuncture:
(2
Points)
*
Please
select
at
most
2
options.
Billable
for
specimen
collection
fee
Billable
flat-rate
travel
allowance
Billable
for
per-mile
travel
allowance
Not
billable
for
specimen
collection
fee
Not
billable
for
travel
allowance
46.
A
trained
technician
collects
a
routine
capillary
puncture
blood
sample
from
a
non-
Medicare
patient
at
a
healthcare
facility:
(2
Points)
*
Please
select
at
most
2
options.
https://forms.office.com/pages/responsepage.aspx?id=StFhR80-VUepZHCsD3XbLjsV9Yj--sIGhL_mHHbUSNVUQUVQNOpFUDJXMOZHTjVLUjNPV...
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Laboratory
Coding
Billable
for
specimen
collection
fee
~
Billable
flat-rate
travel
allowance
~
Billable
for
per-mile
travel
allowance
Not
billable
for
specimen
collection
fee
Not
billable
for
travel
allowance
47.
A
trained
technician
travels
25
miles
from
the
laboratory
to
a
nonhospital
inpatient's
location
to
collect
a
urine
sample
through
catheterization:
(2
Points)
*
Please
select
at
most
2
options.
Billable
for
specimen
collection
fee
-
Billable
flat-rate
travel
allowance
Billable
for
per-mile
travel
allowance
Not
billable
for
specimen
collection
fee
Not
billable
for
travel
allowance
48.
A
trained
staff
member
at
a
healthcare
facility
collects
a
throat
culture
sample
from
a
Medicare
patient:
(2
Points)
*
Please
select
at
most
2
options.
~
Billable
for
specimen
collection
fee
'
Billable
flat-rate
travel
allowance
~
Billable
for
per-mile
travel
allowance
Not
billable
for
specimen
collection
fee
https://forms.office.com/pages/responsepage.aspx?id=StFhR80-VUepZHCsD3XbLjsVIYj--sIGhL_mHHbUSNVUQUVQNOpFUDJXMOZHTjVLUjNPV...
13/15
14/11/2023,
18:45
Laboratory
Coding
Not
billable
for
travel
allowance
49.
A
trained
technician
travels
18
miles
to
a
nonhospital
inpatient's
location
to
collect
a
blood
specimen
through
venipuncture:
(2
Points)
*
Please
select
at
most
2
options.
Billable
for
specimen
collection
fee
Billable
flat-rate
travel
allowance
Billable
for
per-mile
travel
allowance
Not
billable
for
specimen
collection
fee
Not
billable
for
travel
allowance
50.
Select
the
INCORRECT
statements.
(Select
all
that
apply)
(10
Points)
*
Please
select
at
most
5
options.
I:]
Payer
Policies
outline
the
specific
criteria
for
reimbursement
of
healthcare
services.
Medicare
uses
LCDs
to
determine
coverage
on
a
national
basis.
Medicare
uses
LCDs
to
determine
coverage
for
specific
services
within
different
regions.
MolDX
provides
uniform
policies
for
all
states
across
the
United
States.
B
DEX
Z-Code
Identifier
is
a
six-character
alpha-numeric
code.
NCCI
edits
prevent
inappropriate
payment
of
Part
B
claims
by
identifying
code
pairs
that
.
should
not
be
billed
together
for
the
same
patient
on
the
same
day.
4
Aetna
develops
NCDs
to
determine
coverage
for
specific
services
within
different
regions.
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