Saved Can you please help me out? Thank you! The
Saved Can you please help me out? Thank you! The Medicare program was established in: Question 1 options: A) 1955 B) 1960 C) 1965 D) 1970 Question 2 (1 point) Saved Medicare Part A pays for: Question 2 options: A) professional services and durable medical equipment B) Hospital/facility care C) Physician services and durable medical equipment D) Hospital/facility care and durable medical equipment Question 3 (1 point) Saved Medicare Part B pays for Question 3 options: A) durable medical equipment B) Hospital/facility care C) Physician services and durable medical equipment D) Hospital/facility care and durable medical equipment Question 4 (1 point) Saved How many sections does CPT Category I have? Question 4 options: A) 2 B) 8 C) 6 D) 3 Question 5 (1 point) Saved What code sets are used by physician offices to report diagnoses and procedures? Question 5 options: A) ICD-10-PCS B) ICD-10-CM, CPT, HCPCS C) ICD-10-CM, ICD-10-PCS D) ICD-10-CM, CPT Question 6 (1 point) Saved Medicare Part A pays for the cost of: Question 6 options: A) medical equipment B) Ambulance services C) Prescription drugs D) Hospital and facility care Question 7 (1 point) CMS establishes contractual arrangements with __________ and they process Medicare claims for local geographic regions. Question 7 options: A) Medicare Administrative Contractors B) Medical Adjustment Contractors C) Medicare Administrative Corporations D) Medical Adjustment Companies Question 8 (1 point) Saved Who is responsible for the annual revisions and modification of the CPT code book? Question 8 options: A) The American Hospital Association (AHA) B) AMA CPT Editorial Panel C) The Centers for Medicare and Medicaid Services (CMS) D) National Center for Health Statistics Question 9 (1 point) Saved A code that has all of the words that describe the code that follows is what type of code? Question 9 options: A) developed B) isolated C) stand alone D) complete Question 10 (1 point) Procedures that are experimental, newly approved, or seldom used are reported with what type of code? Question 10 options: A) unlisted/Category III B) technical C) modified D) variable Question 11 (1 point) Saved In which CPT appendix would all modifiers be found? Question 11 options: A) Appendix A B) Appendix B C) Appendix C D) Appendix D Question 12 (1 point) Saved CPT stands for: Question 12 options: A) Current Physician’s Terminology B) Current Procedure Terminology C) Current Procedural Terminology D) Current Procedural Terms Question 13 (1 point) Saved This act mandated the adoption of national uniform standards for electronic transmission of financial and administrative health information. Question 13 options: A) HPIAA B) HAPIA C) HIAPA D) HIPAA Question 14 (1 point) Saved What year was CPT first developed and published? Question 14 options: A) 1966 B) 1970 C) 1983 D) None of the above Question 15 (1 point) Saved Who publishes CPT? Question 15 options: A) WHO B) AMA C) CMS D) HHS Question 16 (1 point) Saved Category I CPT codes have ____ digits. Question 16 options: A) 5 B) 6 C) 4 D) 7 Question 17 (1 point) Saved The universal health insurance paper form for submission of outpatient services is the: Question 17 options: A) HCFA-1500 B) CMS-1400 C) CMS-1500 D) UB-04 Question 18 (1 point) Saved Which statement is true regarding an add-on code? Question 18 options: A) It can be a first listed code B) Identifies services that are done with moderate sedation C) Identifies a code that is never used alone D) Serves as a primary code under certain conditions Question 19 (1 point) Saved A modifier: Question 19 options: A) subtracts from the definition of the code B) Adds to the CPT code number C) provides additional information to the thirdparty payer D) Increases third party payer reimbursement Question 20 (1 point) Saved Which code is an example of an add-on code? Question 20 options: A) 11301 B) 11000 C) 15100 D) 15201 Question 21 (1 point) The range of codes 10021 – 69990 would be found in this section of the CPT manual. Question 21 options: A) Radiology B) Medicine C) Pathology D) Surgery Question 22 (1 point) Level II (HCPCS) codes are not used in which setting? Question 22 options: A) outpatient B) inpatient C) same-day surgery D) Assisted Living Question 23 (1 point) The two digit modifier for a return to the operating room for an unplanned related procedure during a postoperative period is ______________. Question 23 options: Question 24 (1 point) When two surgeons work together as primary surgeons performing distinct parts of a procedure, each surgeon would report modifier ____________________ with his/her procedure code. Question 24 options: Question 25 (1 point) True or False: These are the basic location methods to locate main terms in the index of CPT – procedure/service/examinations, organs/anatomic sites, conditions/diagnoses, synonym/eponym/abbreviations Question 25 options: True False Question 26 (1 point) HCPCS Level II codes are used to report all the following except: Question 26 options: A) Drugs B) Dental procedures C) Durable medical equipment D) Major surgeries Question 27 (1 point) Saved Modifiers are used to indicate what type of information? Question 27 options: A) bilateral procedure B) Multiple procedures C) Service greater than usually required D) All of the above Question 28 (1 point) Saved Modifier 57, decision for surgery, is used on what type of service? Question 28 options: A) E/M B) Surgery C) Anesthesia D) All of the above Question 29 (1 point) Modifier -79, unrelated procedure or service by the same physician or other qualified health care professional during the postoperative period, can be used with surgical codes. Question 29 options: True False Question 30 (1 point) Saved Modifier 51, Multiple Procedures, is used with what type of CPT codes? Question 30 options: A) E/M B) Surgery C) Anesthesia D) All of the above Question 31 (1 point) Saved Modifier 80, Assistant Surgeon, is used when: Question 31 options: A) two surgeons perform a distinct part of the surgery B) The surgery is complex and requires several physicians C) a second surgeon provides assistance to the primary surgeon D) All of the above Question 32 (1 point) Which of the following is NOT true about the use of Modifier 59? Question 32 options: A) different day and different physician B) different site or organ system C) different session or patient encounter D) different procedure or surgery Question 33 (1 point) Saved Modifier 52, reduced services, is used to indicate: Question 33 options: A) a service was discontinued B) Changes the description of the code C) a service was reduced without changing the definition of the code D) The procedure was terminated at the request of the patient Question 34 (1 point) Saved The modifier that indicates only the professional component of the service was provided is: Question 34 options: A) -50 B) -51 C) -22 D) -26 Question 35 (1 point) Saved Mr. Coslett has multiple procedures performed during the same operative session that need to listed in order by the fee. Which modifier would you use? Question 35 options: Question 36 (1 point) Saved What modifier would you use if you were coding only for the professional component of a diagnostic procedure? ____________________ Question 36 options: Question 37 (1 point) Saved What are the main sections in the CPT code book divided into first? Question 37 options: Procedures Headings Subsections Subcategories Question 38 (1 point) Saved What does the plus symbol (+) indicate? Question 38 options: New code description New code Add-on code Resequenced code Question 39 (1 point) What does the triangle symbol mean? Question 39 options: New code description New code Add-on code Resequenced code Question 40 (1 point) Saved What letter is the final character of a CPT Category II code? Question 40 options: A Q D F Question 41 (1 point) Saved What is the listing of specific codes organized by main entries/terms called? Question 41 options: The Tabular The Guide The Key The Alphabetic Index Question 42 (1 point) If you cannot locate an Alphabetic Index entry for a service/procedure, it means there is no correct CPT code. Question 42 options: True False Question 43 (1 point) What is something a coder should never do? Question 43 options: Use the Alphabetic Index to locate the main term Review and select the possible subterms indented below the main term Choose the final code only using the Alphabetic Index Follow any cross-references in the Alphabetic Index Question 44 (1 point) What is the purpose of the National Correct Coding Initiative (NCCI)? Question 44 options: To help providers increase their reimbursement To promote correct coding To make coding harder for everyone To get more people to visit the CMS website Submit Quiz30 of 44 quest
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