Exam 13: Procedural, Evaluation and Management, and HCPCS Coding
Exam 1: The Origins of Health Insurance45 Questions
Exam 2: Tools of the Trade: A Career as a Health (Medical)Insurance Professional40 Questions
Exam 3: The Legal and Ethical Side of Medical Insurance67 Questions
Exam 4: Types and Sources of Health Insurance48 Questions
Exam 5: Claim Submission Methods70 Questions
Exam 6: Traditional Fee For Service/Private Plans74 Questions
Exam 7: Unraveling the Mysteries of Managed Care50 Questions
Exam 8: Understanding Medicaid87 Questions
Exam 9: Conquering Medicare’s Challenges105 Questions
Exam 10: Military Carriers80 Questions
Exam 11: Miscellaneous Carriers: Workers’ Compensation and Disability Insurance55 Questions
Exam 12: Diagnostic Coding132 Questions
Exam 13: Procedural, Evaluation and Management, and HCPCS Coding122 Questions
Exam 14: The Patient74 Questions
Exam 15: Keys to Successful Claims Management60 Questions
Exam 16: The Role of Computers in Health Insurance65 Questions
Exam 17: Reimbursement Procedures: Getting Paid72 Questions
Exam 18: Hospital Billing and the UB-0489 Questions
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When the amount of time spent face to face with the patient exceeds the usual length of service,this extra time is reported using ___________ codes.
(Multiple Choice)
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E/M codes represent the services provided directly to the patient during an encounter that does not involve an actual procedure.
(True/False)
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The category of codes established by the AMA as a set of temporary CPT codes for emerging technologies,services,and procedures is Category _____ codes.
(Multiple Choice)
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The codes in the category for initial hospital care are for reporting services for any physician dealing with the patient.
(True/False)
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The level of _____________ is determined by the complexity involved in the healthcare provider's assessment of and professional judgment regarding the patient's diagnosis and care.
(Multiple Choice)
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Similar to the ICD-9 and ICD-10-CM manuals,CPT-4 is made up of several sections beginning with a/an ___________,identified by lowercase Roman numerals.
(Short Answer)
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At the end of each subsection or subheading,a code is provided under the heading "other procedures," which typically ends in _______.
(Short Answer)
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A patient's medical record must contain sufficient documentation to support the use of ____________________.
(Short Answer)
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The time the healthcare provider spends in direct contact with a patient during an office visit,which includes taking a history,performing an examination,and discussing results,is _____ time.
(Multiple Choice)
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____________ codes deal with what the healthcare provider does during the time spent with the patient rather than merely with the amount of time spent.
(Multiple Choice)
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The most important thing to remember when using modifiers is that the health record must contain ______________ to support the modifier.
(Multiple Choice)
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To be eligible for a Category III code,the procedure or service must be involved in ongoing or planned research.
(True/False)
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The health insurance professional must establish what level of service the patient received,which is based on all but which of the following three key components?
(Multiple Choice)
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What are the four contributing factors that may impact the E&M coding level reported?
(Essay)
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Observation services can be defined as the direct delivery of medical care by a physician for a critically ill or critically injured patient.
(True/False)
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Each main term in the CPT manual can stand alone or be followed by up to three modifying terms.
(True/False)
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The health insurance professional must establish what level of service the patient received,which is based on three key components.
(True/False)
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