Question 1

After you decide on the appropriate CPT code(s)  for a procedure, you should ____.

Accepted Answer

A)   consult Appendix C in the CPT to find examples of each code type
B)   consult Appendix D in the CPT to determine which add-ons to use
C)   consult Appendix A in the CPT to check for applicable modifiers
D)   consult Appendix 2 of the HCPCS manual for applicable modifiers
E)   code the procedure; no further action is necessaryF) D) and E)
G) A) and E)

Question 2

The extent of the __________ conducted is one of the key factors that determine the level of service based on guidelines in the E/M section of the CPT.

Accepted Answer

examinationhistory

Question 3

Similar care that is being provided to the same patient by more than one physician is known as ________ care.

Accepted Answer

The answer of Similar care that is being provided to...

Question 4

Medical offices usually have a(n)  ____ to help minimize the risk of fraud by discovering and correcting coding and billing problems.

Accepted Answer

A)   quality assurance program
B)   billing software program
C)   financial management plan
D)   compliance plan
E)   external auditorF) All of the above
G) B) and E)

Question 5

Which of the following is not a potential reason for downcoding?

Accepted Answer

A)   The insurance carrier does not cover the services included on the claim.
B)   The coding system used by the insurer does not match that used by the provider.
C)   A workers' compensation carrier converts a CPT code to the lowest-paying code in the system.
D)   The payer discovers that documentation does not back up the level of code used.
E)   The provider uses a HCPCS code the insurer does not recognize.F) All of the above
G) C) and D)

Question 6

You will locate procedure codes in the __________ manual.

Accepted Answer

CPTCurrent...

Question 7

The Healthcare Common Procedure Coding System (HCPCS)  was developed for use in coding services for ____.

Accepted Answer

A)   Blue Cross
B)   HMOs
C)   Medicare patients
D)   Medicaid patients
E)   managed care patientsF) A) and B)
G) A) and C)

Question 8

Which of the following best describes the CPT code format?

Accepted Answer

A)   3- to 5-character alphanumeric codes
B)   3- to 7-character alphanumeric codes
C)   4-digit numeric codes
D)   5-character alphabetic codes
E)   5-digit numeric codesF) D) and E)
G) B) and D)

Question 9

The use of a(n) ________ with a CPT code shows that some special circumstance applies to the service or procedure the physician performed.

Accepted Answer

The answer of The use of a(n) ________ with a...

Question 10

Insurance company representatives analyze the connection between the diagnostic and procedural information, called code ________, to evaluate the medical necessity of the reported charges.

Accepted Answer

The answer of Insurance company representatives analyze the connection between...

Question 11

The period of time that is covered for follow-up care after surgery is called the ________ period.

Accepted Answer

global

Question 12

Where in the CPT manual can you find a complete listing of all add-on codes?

Accepted Answer

A)   Introduction
B)   Appendix A
C)   Appendix B
D)   Appendix C
E)   Appendix DF) B) and D)
G) None of the above

Question 13

To complete the description for a CPT code that has an indented description, you should ____.

Accepted Answer

A)   refer to the next CPT code for further information
B)   refer to the description for the previous CPT code to complete the description
C)   use the index to find the main CPT code to be combined with this one
D)   try to think of another way to describe the procedure being coded
E)   refer to the previous year's CPT manual for guidanceF) A) and B)
G) None of the above

Question 14

For coding purposes, which of the following is not a level of patient history?

Accepted Answer

A)   Problem-focused
B)   Expanded problem-focused
C)   Detailed
D)   Expanded detailed
E)   ComprehensiveF) B) and D)
G) C) and D)

Question 15

If a code description has changed since the last revision of the CPT manual, what symbol is placed next to the CPT code?

Accepted Answer

A)   Green arrows
B)   Lightning bolt
C)   Red dot
D)   Blue triangle
E)   Pound (#)  signF) None of the above
G) C) and D)

Question 16

The CPT is updated and new codes are provided for use beginning ____.

Accepted Answer

A)   on the first day of each month
B)   semiannually on January 1 and July 1
C)   quarterly on the first day of January, April, July, and September
D)   annually on January 1
E)   annually on July 1F) C) and E)
G) All of the above

Question 17

National codes issued by CMS that cover many supplies and durable medical equipment are ____.

Accepted Answer

A)   CPT modifiers
B)   HCPCS Level I codes
C)   HCPCS Level II codes
D)   ICD-9-CM codes
E)   ICD-10-CM codesF) None of the above
G) B) and C) C

Question 18

One of the elements of a physical exam is the ________ exam, which can include any of the following: BP sitting or lying, pulse, respirations, temperature, height, weight, and general appearance.

Accepted Answer

The answer of One of the elements of a physical...

Question 19

Each procedure or service performed on or for a patient during a patient encounter is reported on healthcare claims using a(n) ________ code.

Accepted Answer

The answer of Each procedure or service performed on or...

Question 20

A modifier indicates that ____.

Accepted Answer

A)   special circumstances apply to the procedure
B)   surgical or other supplies were used during the procedure
C)   other procedures were done in addition to the main procedure
D)   medications were used during the procedure
E)   an anesthetic was used during the procedureF) B) and E)
G) A) and B)

Exam 19: Procedure Coding

After you decide on the appropriate CPT code(s) for a procedure, you should ____.

Correct AnswerverifiedShow Answer

The extent of the __________ conducted is one of the key factors that determine the level of service based on guidelines in the E/M section of the CPT.

Correct Answerverifiedexaminationhistory

Similar care that is being provided to the same patient by more than one physician is known as ________ care.

Correct AnswerverifiedShow Answer

Medical offices usually have a(n) ____ to help minimize the risk of fraud by discovering and correcting coding and billing problems.

Correct AnswerverifiedShow Answer

Which of the following is not a potential reason for downcoding?

Correct AnswerverifiedShow Answer

You will locate procedure codes in the __________ manual.

Correct AnswerverifiedCPTCurrent...View AnswerShow Answer

The Healthcare Common Procedure Coding System (HCPCS) was developed for use in coding services for ____.

Correct AnswerverifiedShow Answer

Which of the following best describes the CPT code format?

Correct AnswerverifiedShow Answer

The use of a(n) ________ with a CPT code shows that some special circumstance applies to the service or procedure the physician performed.

Correct AnswerverifiedShow Answer

Insurance company representatives analyze the connection between the diagnostic and procedural information, called code ________, to evaluate the medical necessity of the reported charges.

Correct AnswerverifiedShow Answer

The period of time that is covered for follow-up care after surgery is called the ________ period.

Correct Answerverifiedglobal

Where in the CPT manual can you find a complete listing of all add-on codes?

Correct AnswerverifiedShow Answer

To complete the description for a CPT code that has an indented description, you should ____.

Correct AnswerverifiedShow Answer

For coding purposes, which of the following is not a level of patient history?

Correct AnswerverifiedShow Answer

If a code description has changed since the last revision of the CPT manual, what symbol is placed next to the CPT code?

Correct AnswerverifiedShow Answer

The CPT is updated and new codes are provided for use beginning ____.

Correct AnswerverifiedShow Answer

National codes issued by CMS that cover many supplies and durable medical equipment are ____.

Correct AnswerverifiedC

One of the elements of a physical exam is the ________ exam, which can include any of the following: BP sitting or lying, pulse, respirations, temperature, height, weight, and general appearance.

Correct AnswerverifiedShow Answer

Each procedure or service performed on or for a patient during a patient encounter is reported on healthcare claims using a(n) ________ code.

Correct AnswerverifiedShow Answer

A modifier indicates that ____.

Correct AnswerverifiedShow Answer

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examinationhistory

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CPTCurrent...
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global

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C

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