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| 1 | A condition code is reported with a date. |
 | A) | True |
| B) | False |
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| 2 | A condition code can be numeric or alphanumeric, but always has two digits. |
| A) | True |
| B) | False |
|
| 3 | A condition code is used to report a special condition or unique circumstances about a claim. |
| A) | True |
| B) | False |
|
| 4 | FMR is the abbreviation for focused medical review. |
| A) | True |
| B) | False |
|
| 5 | Focused medical review is a CMS process in which selected types of claims are closely examined. |
| A) | True |
| B) | False |
|
| 6 | Condition code 39 (Private Room Medically Necessary) is an example of which group of condition codes? |
| A) | insurance codes |
| B) | patient condition codes |
| C) | room codes |
| D) | claim change reason codes |
|
| 7 | Condition code 31 (Patient is a student – full-time day) is an example of which group of condition codes? |
| A) | insurance codes |
| B) | patient condition codes |
| C) | room codes |
| D) | claim change reason codes |
|
| 8 | When either condition code 20 (Beneficiary Requested Billing) or 21 (Billing for Denial Notice) is reported, the services are known by the provider to be noncovered or excluded by Medicare and the patient should have been issued a(n): |
| A) | MSP (Medicare Secondary Payer) statement |
| B) | ABN (Advance Beneficiary Notice) |
| C) | outlier message |
| D) | RA (Remittance Advice) |
|
| 9 | The condition code section on the UB-04 has room for how many condition codes? |
| A) | 6 |
| B) | 9 |
| C) | 11 |
| D) | 12 |
|
| 10 | Which of the following is the correct sequence for listing condition codes: |
| A) | 22, 39, A9, AN |
| B) | 22, 39, AN, A9 |
| C) | A9, AN, 39, 22 |
| D) | AN, A9, 39, 22 |