Question 1

In CPT coding a "new" patient is distinguished from an "established" patient using specific descriptions.Define both types of patients.

Accepted Answer

A new patient is a person who is new to

Question 2

The HCPCS coding manual contains an index of main terms arranged in alphabetic order similar to the Level I CPT-4 codes.

Accepted Answer

A) True 
 B)False

Question 3

The Affordable Care Act required all state Medicaid programs to incorporate _________________ in their claims processing systems by March 31,2011.

Accepted Answer

A)  HCPCS codes 
B)  Category III Codes 
C)  ICD-10-CM diagnosis codes 
D)  National Correct Coding Initiatives 
A)  HCPCS codes 
B)  Category III Codes 
C)  ICD-10-CM diagnosis codes 
D)  National Correct Coding Initiatives

Question 4

What is the service type that includes those provided to hospital inpatients,as well as those in a "partial hospital" setting?

Accepted Answer

A)  Outpatient service 
B)  Observation service 
C)  Partial inpatient service 
D)  Inpatient service 
A)  Outpatient service 
B)  Observation service 
C)  Partial inpatient service 
D)  Inpatient service

Question 5

The direct delivery of medical care by a physician for a severely ill or seriously injured patient is a definition for:

Accepted Answer

A)  a referral. 
B)  a consultation. 
C)  a critical care service. 
D)  observation service. 
A)  a referral. 
B)  a consultation. 
C)  a critical care service. 
D)  observation service.

Question 6

The AMA publishes an updated version of the CPT manual every 2 years.

Accepted Answer

A) True 
 B)False

Question 7

How many key components must be met or exceeded for established patients?

Accepted Answer

A)  None 
B)  One 
C)  Two 
D)  Three 
A)  None 
B)  One 
C)  Two 
D)  Three

Question 8

Name and briefly explain the three levels of procedural coding.

Accepted Answer

. Level I contains the AMA CPT codes.The

Question 9

How many key components must be met or exceeded for new patients?

Accepted Answer

A)  None 
B)  One 
C)  Two 
D)  Three 
A)  None 
B)  One 
C)  Two 
D)  Three

Question 10

The combination of HCPCS and CPT-4 is the HIPAA-adopted standard for reporting physician services and other healthcare services on standard transactions.

Accepted Answer

A) True 
 B)False

Question 11

Codes used by most physicians for reporting key categories of their services are called _____ codes.

Accepted Answer

A)  A&B 
B)  M&M 
C)  E/M 
D)  A-Z 
A)  A&B 
B)  M&M 
C)  E/M 
D)  A-Z

Question 12

Complete,accurate,and timely documentation is vital for a health record.Discuss this statement.

Accepted Answer

Health record documentation is required

Question 13

The information provided by the patient is referred to as:

Accepted Answer

A)  subjective information. 
B)  voluntary information. 
C)  credible information. 
D)  independent information. 
A)  subjective information. 
B)  voluntary information. 
C)  credible information. 
D)  independent information.

Question 14

It is not acceptable to use the 1995 E/M documentation guidelines;coders must use the updated 1997 version.

Accepted Answer

A) True 
 B)False

Question 15

If Jane was seen the previous year by Dr.Hunter,Dr.Allen's partner,Jane's status on her visit to Dr.Allen would be:

Accepted Answer

A)  new patient. 
B)  traditional patient. 
C)  established patient. 
D)  customary patient. 
A)  new patient. 
B)  traditional patient. 
C)  established patient. 
D)  customary patient.

Question 16

If a patient is transferred to a specialist who then assumes ongoing responsibility for all or a portion of the patient's care,this is considered a/an:

Accepted Answer

A)  referral. 
B)  consultation. 
C)  critical care service. 
D)  observation status. 
A)  referral. 
B)  consultation. 
C)  critical care service. 
D)  observation status.

Question 17

Which E/M codes are used for new patients who have been treated in a physician's office?

Accepted Answer

A)  99221-99223 
B)  99281-99288 
C)  99211-99215 
D)  99201-99205 
A)  99221-99223 
B)  99281-99288 
C)  99211-99215 
D)  99201-99205

Question 18

Following the six sections listed in the main body of the CPT manual are the:

Accepted Answer

A)  level codes. 
B)  category II codes. 
C)  category IV codes. 
D)  appendices A-N. 
A)  level codes. 
B)  category II codes. 
C)  category IV codes. 
D)  appendices A-N.

Question 19

_________ is AMA's ongoing effort to improve the structure and processes of CPT codes to reflect today's coding demands,as well as HIPAA challenges.

Accepted Answer

A)  The CPT-5 project 
B)  HCPCS Level II 
C)  The crosswalk design 
D)  The Patient Affordable Care Act 
A)  The CPT-5 project 
B)  HCPCS Level II 
C)  The crosswalk design 
D)  The Patient Affordable Care Act

Question 20

A CPT code can be displayed one of three ways: as ____________,____________,or ______________.

Accepted Answer

(Any one of the following combinations)

In CPT coding a "new" patient is distinguished from an "established" patient using specific descriptions.Define both types of patients.

The HCPCS coding manual contains an index of main terms arranged in alphabetic order similar to the Level I CPT-4 codes.

The Affordable Care Act required all state Medicaid programs to incorporate _________________ in their claims processing systems by March 31,2011.

What is the service type that includes those provided to hospital inpatients,as well as those in a "partial hospital" setting?

The direct delivery of medical care by a physician for a severely ill or seriously injured patient is a definition for:

The AMA publishes an updated version of the CPT manual every 2 years.

How many key components must be met or exceeded for established patients?

Name and briefly explain the three levels of procedural coding.

How many key components must be met or exceeded for new patients?

The combination of HCPCS and CPT-4 is the HIPAA-adopted standard for reporting physician services and other healthcare services on standard transactions.

Codes used by most physicians for reporting key categories of their services are called _____ codes.

Complete,accurate,and timely documentation is vital for a health record.Discuss this statement.

The information provided by the patient is referred to as:

It is not acceptable to use the 1995 E/M documentation guidelines;coders must use the updated 1997 version.

If Jane was seen the previous year by Dr.Hunter,Dr.Allen's partner,Jane's status on her visit to Dr.Allen would be:

If a patient is transferred to a specialist who then assumes ongoing responsibility for all or a portion of the patient's care,this is considered a/an:

Which E/M codes are used for new patients who have been treated in a physician's office?

Following the six sections listed in the main body of the CPT manual are the:

_________ is AMA's ongoing effort to improve the structure and processes of CPT codes to reflect today's coding demands,as well as HIPAA challenges.

A CPT code can be displayed one of three ways: as ,,or __.

The Origins of Health Insurance

Tools of the Trade: A Career as a Health (Medical)Insurance Professional

The Legal and Ethical Side of Medical Insurance

Types and Sources of Health Insurance

Claim Submission Methods

Traditional Fee For Service/Private Plans

Unraveling the Mysteries of Managed Care

Understanding Medicaid

Conquering Medicare’s Challenges

Military Carriers

Miscellaneous Carriers: Workers’ Compensation and Disability Insurance

Diagnostic Coding

The Patient

Keys to Successful Claims Management

The Role of Computers in Health Insurance

Reimbursement Procedures: Getting Paid

Hospital Billing and the UB-04

Filters

Exam 13: Procedural, Evaluation and Management, and HCPCS Coding

In CPT coding a "new" patient is distinguished from an "established" patient using specific descriptions.Define both types of patients.

The HCPCS coding manual contains an index of main terms arranged in alphabetic order similar to the Level I CPT-4 codes.

The Affordable Care Act required all state Medicaid programs to incorporate _________________ in their claims processing systems by March 31,2011.

What is the service type that includes those provided to hospital inpatients,as well as those in a "partial hospital" setting?

The direct delivery of medical care by a physician for a severely ill or seriously injured patient is a definition for:

The AMA publishes an updated version of the CPT manual every 2 years.

How many key components must be met or exceeded for established patients?

Name and briefly explain the three levels of procedural coding.

How many key components must be met or exceeded for new patients?

The combination of HCPCS and CPT-4 is the HIPAA-adopted standard for reporting physician services and other healthcare services on standard transactions.

Codes used by most physicians for reporting key categories of their services are called _____ codes.

Complete,accurate,and timely documentation is vital for a health record.Discuss this statement.

The information provided by the patient is referred to as:

It is not acceptable to use the 1995 E/M documentation guidelines;coders must use the updated 1997 version.

If Jane was seen the previous year by Dr.Hunter,Dr.Allen's partner,Jane's status on her visit to Dr.Allen would be:

If a patient is transferred to a specialist who then assumes ongoing responsibility for all or a portion of the patient's care,this is considered a/an:

Which E/M codes are used for new patients who have been treated in a physician's office?

Following the six sections listed in the main body of the CPT manual are the:

_________ is AMA's ongoing effort to improve the structure and processes of CPT codes to reflect today's coding demands,as well as HIPAA challenges.

A CPT code can be displayed one of three ways: as ____________,____________,or ______________.

The Origins of Health Insurance

Tools of the Trade: A Career as a Health (Medical)Insurance Professional

The Legal and Ethical Side of Medical Insurance

Types and Sources of Health Insurance

Claim Submission Methods

Traditional Fee For Service/Private Plans

Unraveling the Mysteries of Managed Care

Understanding Medicaid

Conquering Medicare’s Challenges

Military Carriers

Miscellaneous Carriers: Workers’ Compensation and Disability Insurance

Diagnostic Coding

The Patient

Keys to Successful Claims Management

The Role of Computers in Health Insurance

Reimbursement Procedures: Getting Paid

Hospital Billing and the UB-04

Filters

A CPT code can be displayed one of three ways: as ,,or __.