AHPREP-CBCS · CBCS — Certified Billing and Coding Specialist (NHA)·UnitAHPREP-CBCS · Unit 02Access: Premium
Unit 2: Medical Terminology for Coding
Prepare for Unit 2: Medical Terminology for Coding with practice questions covering 10 topics. Part of CBCS — Certified Billing and Coding Specialist (NHA) — build your knowledge and track your progress with AH Prep.
What’s in it.
10 topics- Topic 01
Body Systems Review — Terminology by System
47 questions - Topic 02
Surgical Terms — Incision, Excision, Repair, and Reconstruction
29 questions - Topic 03
Diagnostic Terminology — Symptoms, Signs, and Abnormal Findings
29 questions - Topic 04
Abbreviations and Acronyms Used in Medical Records
48 questions - Topic 05
Pharmacological Terms Relevant to Coding
28 questions - Topic 06
Accounts Receivable and Collections
30 questions - Topic 07
Claim Form Completion — CMS-1500 and UB-04
29 questions - Topic 08
Insurance Types and Plan Structures
30 questions - Topic 09
Reimbursement Models and Payment Systems
28 questions - Topic 10
Revenue Cycle Management Overview
27 questions
Sample questions
3 of manyA few questions from this unit, with the answer and a full explanation. The complete bank is available when you start practising.
A secondary diagnosis that adds complexity and resource use to an inpatient case is classified as what in the MS-DRG system?
- Outlier qualifier
- Complication or Comorbidity (CC)Correct answer
- Present on Admission (POA) indicator
- Principal diagnosis
ExplanationIn the MS-DRG system, secondary diagnoses are assigned to three tiers: MCC (Major Complication or Comorbidity) — highest impact; CC (Complication or Comorbidity) — moderate impact; and non-CC — no DRG weight impact. The presence of a CC increases the DRG relative weight compared to a non-CC DRG, reflecting increased resource use. MCCs have the largest impact. Key takeaway: CC (Complication/Comorbidity) = secondary diagnosis that increases DRG weight; MCC has the highest impact.
The Resource-Based Relative Value Scale (RBRVS) consists of three RVU components. Which component accounts for the physician's time, technical skill, and mental effort?
- Conversion factor
- Practice expense RVU (peRVU)
- Physician work RVU (wRVU)Correct answer
- Malpractice RVU (mpRVU)
ExplanationThe physician work RVU (wRVU) accounts for the time, technical skill, mental effort, stress, and judgment involved in providing the service. The practice expense RVU (peRVU) covers overhead costs (staff, equipment, supplies), and the malpractice RVU (mpRVU) covers professional liability insurance costs. Key takeaway: wRVU = physician time and effort; peRVU = overhead/practice expense; mpRVU = malpractice cost.
What are the three global period lengths for surgical procedures under the Medicare global surgery policy?
- 0-day, 30-day, and 90-day periods; the 10-day period does not exist in Medicare policy
- 7-day, 14-day, and 90-day periods determined by the CPT code description
- 30-day, 60-day, and 90-day periods based on the complexity of the procedure
- 0-day (minor procedure, day of service only), 10-day (minor procedure with 10-day follow-up), 90-day (major surgery with pre-op day + surgery day + 90-day follow-up)Correct answer
ExplanationMedicare recognizes three global surgery period lengths: 0-day (minor procedures where the global period ends on the day of the procedure); 10-day (minor procedures with a 10-day post-operative period); and 90-day (major surgeries with the pre-operative day, the day of surgery, and 90 post-operative days included). Separate billing of included services during the global period results in claim denial. Key takeaway: Global periods = 0-day, 10-day, and 90-day — set at the CPT code level.