Question 1

HIPAA was created to:

Accepted Answer

A) Protect patient privacy 
B) Enact ways to uncover fraud and abuse 
C) Create standards of electronic transactions 
D) All of the above 
E) Only options A and B 
A) Protect patient privacy 
B) Enact ways to uncover fraud and abuse 
C) Create standards of electronic transactions 
D) All of the above 
E) Only options A and B D

Question 2

A physician can base the level of an evaluation and management service on the time spent counseling the patient and nothing else. Is this statement true or false?

Accepted Answer

A) True 
 B)False  True

Question 3

The anterior segment of the eyeball, directly behind the cornea, is filled with a clear, salty fluid called:

Accepted Answer

A) Aqueous humor 
B) Scleral fluid 
C) Viscous jelly 
D) Vitreous humor 
A) Aqueous humor 
B) Scleral fluid 
C) Viscous jelly 
D) Vitreous humor A

Question 4

When you append the HCPCS modifier -TC to a service, what are you indicating?

Accepted Answer

A) That the provider performed the professional component of the service 
B) That the provider performed the technical component of the service 
C) That the provider performed the entire service 
D) That the service was performed by an anesthesiologist 
A) That the provider performed the professional component of the service 
B) That the provider performed the technical component of the service 
C) That the provider performed the entire service 
D) That the service was performed by an anesthesiologist

Question 5

The patient with severe strabismus visited the ophthalmologist clinic for a strabismus correction surgery. The ophthalmologist performed the surgery by correcting two horizontal muscles and one vertical muscle in the patient's right eye. The physician then used a transposition procedure on the superior oblique muscle in order to further correct the misalignment. What is the correct way to code for the procedure?

Accepted Answer

A) 67311 (X2), 67320 
B) 67312, 67314, 67320 
C) 67312, 67314, 67318 
D) 67312, 67314, 67320-51 
A) 67311 (X2), 67320 
B) 67312, 67314, 67320 
C) 67312, 67314, 67318 
D) 67312, 67314, 67320-51

Question 6

The HCPCS Level II modifier -E1 stands for:

Accepted Answer

A) Lower Right, Eyelid 
B) Upper Right, Eyelid 
C) Upper Left, Eyelid 
D) Right Hand, Thumb 
A) Lower Right, Eyelid 
B) Upper Right, Eyelid 
C) Upper Left, Eyelid 
D) Right Hand, Thumb

Question 7

What is the purpose of an internal audit?

Accepted Answer

A) It allows an outside agency to see your records to make sure that the patients were billed correctly 
B) It allows the coders and billers in your office to make sure your claims were billed correctly 
C) It allows Medicare to go through your charges to make sure that they are reasonable 
D) It allows patients to make sure they were not overcharged for their office visit co pays 
A) It allows an outside agency to see your records to make sure that the patients were billed correctly 
B) It allows the coders and billers in your office to make sure your claims were billed correctly 
C) It allows Medicare to go through your charges to make sure that they are reasonable 
D) It allows patients to make sure they were not overcharged for their office visit co pays

Question 8

The system that produces tears is called the:

Accepted Answer

A) Tear Duct System 
B) Lacrimal System 
C) Lacrimal Punta 
D) Tear Glands 
A) Tear Duct System 
B) Lacrimal System 
C) Lacrimal Punta 
D) Tear Glands

Question 9

Unbundling a code is:

Accepted Answer

A) Unwrapping a code to open a new code 
B) Listing multiple procedures, services and supplies with their own separate, distinct codes 
C) Using one code to report a variety of services 
D) Using a new code to report previous services 
A) Unwrapping a code to open a new code 
B) Listing multiple procedures, services and supplies with their own separate, distinct codes 
C) Using one code to report a variety of services 
D) Using a new code to report previous services

Question 10

Which of the following is always the payer of last resort?

Accepted Answer

A) Medicare 
B) Medicaid 
C) Worker's Compensation Insurance 
D) Commercial Insurance 
A) Medicare 
B) Medicaid 
C) Worker's Compensation Insurance 
D) Commercial Insurance

Question 11

Longoria, a patient with an established cataract, was displeased with his current ophthalmologist so today he was seen by a new physician. The ophthalmologist performed an ophthalmoscopy and tonometry on Mr. Longoria, as well as an external examination of both eyes and a review of the patient's interval history. What is the correct code for Mr. Longoria's ophthalmology service today?

Accepted Answer

A) 92002 
B) 92004 
C) 92012 
D) 92014 
A) 92002 
B) 92004 
C) 92012 
D) 92014

Question 12

When using the table of drugs in the HCPCS Level II manual, you must know the drug's administration route. The abbreviation "VAR" stands for which of the following?

Accepted Answer

A) Various Routes 
B) Variable Routes 
C) A Variety of Routes 
D) None of the Above 
A) Various Routes 
B) Variable Routes 
C) A Variety of Routes 
D) None of the Above

Question 13

When you include an unlisted service procedure code on a claim, what else must you also include on the claim?

Accepted Answer

A) A Category III code 
B) A Category II code 
C) A special report 
D) All diagnostic studies 
A) A Category III code 
B) A Category II code 
C) A special report 
D) All diagnostic studies

Question 14

When listing both CPT and HCPCS modifiers on a claim, you:

Accepted Answer

A) List the HCPCS modifier first 
B) Do not list the HCPCS modifier at all 
C) Only list the CPT modifier 
D) List the CPT modifier first 
A) List the HCPCS modifier first 
B) Do not list the HCPCS modifier at all 
C) Only list the CPT modifier 
D) List the CPT modifier first

Question 15

What is the purpose of provider credentialing?

Accepted Answer

A) To make sure that your provider is performing the correct procedures 
B) To make sure that your provider is correctly licensed to perform procedures 
C) To make sure your provider pays all the necessary fees to practice medicine 
D) To allow your doctor to check the credentials of private insurance companies 
A) To make sure that your provider is performing the correct procedures 
B) To make sure that your provider is correctly licensed to perform procedures 
C) To make sure your provider pays all the necessary fees to practice medicine 
D) To allow your doctor to check the credentials of private insurance companies

Question 16

Which of the following steps is NOT needed before an unlisted services procedure code can be included on a claim?

Accepted Answer

A) Review the CPT manual to make sure a more appropriate code does not exist 
B) Review Category II codes to make sure an appropriate code does not exist 
C) Review Category III codes to make sure an appropriate code does not exist 
D) Check to see if a modifier is appropriate to include with your code 
A) Review the CPT manual to make sure a more appropriate code does not exist 
B) Review Category II codes to make sure an appropriate code does not exist 
C) Review Category III codes to make sure an appropriate code does not exist 
D) Check to see if a modifier is appropriate to include with your code

Question 17

Appendix 1 in the HCPCS Level II manual contains:

Accepted Answer

A) An alphabetized list of HCPCS modifiers 
B) A table of drugs 
C) A list of changes, additions, and deletions 
D) A short list of CPT codes to use with HCPCS codes 
A) An alphabetized list of HCPCS modifiers 
B) A table of drugs 
C) A list of changes, additions, and deletions 
D) A short list of CPT codes to use with HCPCS codes

Question 18

The HCPCS manual includes codes for:

Accepted Answer

A) Procedures that are also found in the CPT coding manual 
B) Supplies, services, and procedures that are not found in the CPT manual 
C) Only supplies that you cannot find in the CPT manual 
D) All services performed in the office, except for procedures 
A) Procedures that are also found in the CPT coding manual 
B) Supplies, services, and procedures that are not found in the CPT manual 
C) Only supplies that you cannot find in the CPT manual 
D) All services performed in the office, except for procedures

Question 19

When a CPT code has the words "separate procedure" in parenthesis after the code description, you:

Accepted Answer

A) Do not use this code if it is listed as a separate procedure 
B) Code for all other elements of the procedure except this one 
C) Only code for this procedure if it was the only thing performed 
D) Code for this procedure, even if it was not performed 
A) Do not use this code if it is listed as a separate procedure 
B) Code for all other elements of the procedure except this one 
C) Only code for this procedure if it was the only thing performed 
D) Code for this procedure, even if it was not performed

Question 20

HCPCS Level II codes are updated every quarter by:

Accepted Answer

A) CMS 
B) Medicaid 
C) Tricare 
D) Commercial payers 
A) CMS 
B) Medicaid 
C) Tricare 
D) Commercial payers

HIPAA was created to:

A physician can base the level of an evaluation and management service on the time spent counseling the patient and nothing else. Is this statement true or false?

The anterior segment of the eyeball, directly behind the cornea, is filled with a clear, salty fluid called:

When you append the HCPCS modifier -TC to a service, what are you indicating?

The HCPCS Level II modifier -E1 stands for:

What is the purpose of an internal audit?

The system that produces tears is called the:

Unbundling a code is:

Which of the following is always the payer of last resort?

When using the table of drugs in the HCPCS Level II manual, you must know the drug's administration route. The abbreviation "VAR" stands for which of the following?

When you include an unlisted service procedure code on a claim, what else must you also include on the claim?

When listing both CPT and HCPCS modifiers on a claim, you:

What is the purpose of provider credentialing?

Which of the following steps is NOT needed before an unlisted services procedure code can be included on a claim?

Appendix 1 in the HCPCS Level II manual contains:

The HCPCS manual includes codes for:

When a CPT code has the words "separate procedure" in parenthesis after the code description, you:

HCPCS Level II codes are updated every quarter by:

Assisting in Surgery

Contact Lenses

Ethical and Legal Issues

History Taking

Keratometry Tonometry and Refractometry

Lensometry and Spectacle Skills

Medical Equipment

Ocular Motility and Visual Fields

Ophthalmic Imaging

Patient Services and Education

Pharmacology

Pupillary Assessment

Safety Precautions

Supplemental Skills

Visual Assessment

Filters

Exam 16: Opthalmological Coding Certification

HIPAA was created to:

A physician can base the level of an evaluation and management service on the time spent counseling the patient and nothing else. Is this statement true or false?

The anterior segment of the eyeball, directly behind the cornea, is filled with a clear, salty fluid called:

When you append the HCPCS modifier -TC to a service, what are you indicating?

The HCPCS Level II modifier -E1 stands for:

What is the purpose of an internal audit?

The system that produces tears is called the:

Unbundling a code is:

Which of the following is always the payer of last resort?

When using the table of drugs in the HCPCS Level II manual, you must know the drug's administration route. The abbreviation "VAR" stands for which of the following?

When you include an unlisted service procedure code on a claim, what else must you also include on the claim?

When listing both CPT and HCPCS modifiers on a claim, you:

What is the purpose of provider credentialing?

Which of the following steps is NOT needed before an unlisted services procedure code can be included on a claim?

Appendix 1 in the HCPCS Level II manual contains:

The HCPCS manual includes codes for:

When a CPT code has the words "separate procedure" in parenthesis after the code description, you:

HCPCS Level II codes are updated every quarter by:

Assisting in Surgery

Contact Lenses

Ethical and Legal Issues

History Taking

Keratometry Tonometry and Refractometry

Lensometry and Spectacle Skills

Medical Equipment

Ocular Motility and Visual Fields

Ophthalmic Imaging

Patient Services and Education

Pharmacology

Pupillary Assessment

Safety Precautions

Supplemental Skills

Visual Assessment

Filters