MCCG150 CCS-P Practice exam questions
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Bryant & Stratton College *
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150
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Health Science
Date
Apr 3, 2024
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MCCG150 CCS-P Practice questions 83. Dr. Duval is an orthopedic surgeon and a member of a large physician practice in Northeast New York. He has privileges at the Wharton General Hospital. He admits approximately 10 patients per month for hip replacement surgery. For these inpatients, his office staff will utilize what code set to bill for the hip replacement surgery?
a.
CPT
b.
HCPCS Level II
c.
ICD-10-PCS
d.
ICD-10-CM
84. Most facilities use to identify claim errors prior to claims submission.
a.
Manual review
b.
Coding professionals
c.
Compliance auditors
d.
Editing software
85. Which of the following adjudication outcomes results in a partial claim and error lines may be corrected and resubmitted?
a.
Deny
b.
Reject
c.
Suspend
d.
Hold
86. Which of the following compliance documents outlines the day-to-day operation rules for administering the CMS programs?
a.
Medicare Claims Processing Manual
b.
CMS Program transmittals
c.
National Correct Coding Initiative
d.
National Coverage Determination
87. Medicare’s allowed fee for an in-office procedure is $200. Dr. Smith is a PAR physician, and Dr. Jones
is a nonPAR physician who does not accept assignment. How much will Dr. Smith and Dr. Jones receive, respectively, receive from CMS?
a.
$160, $152
b.
$200, $152
c.
$160, $0
d.
$200, $0
88. Medicare’s allowed fee for an in-office procedure is $200. Dr. Smith is a PAR physician, and Dr. Jones
is a nonPAR physician who does not accept assignment. How much will Dr. Smith and Dr. Jones receive, respectively, in total for this procedure?
a.
$200, $200
b.
$200, $152
c.
$200, $218.50
d.
$200, $230
89. In the healthcare industry, what is the term for the written report that insurers use to notify the policyholder about the extent of payments made on a claim?
a.
Explanation of Benefits
b.
Summary of Benefits and Coverage
c.
Remittance Advice
d.
Medicare Explanation of Benefits
90. Which of the following is a statement sent to the provider that explains the payments made by the third-party payers?
a.
Remittance Advice
b.
Advance Beneficiary Notice
c.
Attestation Statement
d.
Explanation of Benefits
91. In RBRVS, this is an across-the-board national multiplier that is determined by CMS each year. It is the dollar amount that converts the relative value units into a payment amount:
a.
Geographic practice cost indices
b.
Pass-through payment
c.
Payment indicator
d.
Conversion factor
92. Which of the relative value units considers the cost of delivering healthcare services such as overhead, salaries of workers, and equipment?
a.
Work value
b.
Professional liability insurance
c.
Malpractice value
d.
Practice expense
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