Question 1

In the RBRVS calculation, the GPCI takes into account:

Accepted Answer

A) The geographic location of a practice or provider 
B) The type of provider specialty 
C) The malpractice risk of a procedure 
D) The overhead cost of the practice 
A) The geographic location of a practice or provider 
B) The type of provider specialty 
C) The malpractice risk of a procedure 
D) The overhead cost of the practice

Question 2

Tricare Prime patients typically must see physicians:

Accepted Answer

A) Whenever they feel like it 
B) At their military treatment facility 
C) Whenever their commander asks them to 
D) At their typical private practice doctor's office 
A) Whenever they feel like it 
B) At their military treatment facility 
C) Whenever their commander asks them to 
D) At their typical private practice doctor's office

Question 3

When selecting an evaluation and management code, what is the first thing that the coder needs to determine?

Accepted Answer

A) The time the provider spent with the patient 
B) The appropriate category of E&M service 
C) Whether the patient was new or established 
D) How long the discharge took 
A) The time the provider spent with the patient 
B) The appropriate category of E&M service 
C) Whether the patient was new or established 
D) How long the discharge took

Question 4

A 38-year-old female patient presented to the office for an extended ophthalmoscopy with retinal drawing. The physician also performed interpretation and report of the findings. The physician performing the procedure also performed the anesthesia service for the patient, due to the fact that the anesthesiologist was not available. What are the correct codes for the procedure?

Accepted Answer

A) 00148-47 
B) 92225-47 
C) 92225, 00148-47 
D) 92225-47, 00148 
A) 00148-47 
B) 92225-47 
C) 92225, 00148-47 
D) 92225-47, 00148

Question 5

When you are searching for a diagnosis code in the ICD-9 manual:

Accepted Answer

A) You must first locate the diagnosis code description in the index and then verify the correct code selection in the tabular list 
B) You must locate the diagnosis code in the index and then assign the appropriate code 
C) You must determine which procedure you will bill for first, and then find out which diagnosis codes match the procedure 
D) You must first locate the diagnosis code description in the index and then verify the code in Volume III 
A) You must first locate the diagnosis code description in the index and then verify the correct code selection in the tabular list 
B) You must locate the diagnosis code in the index and then assign the appropriate code 
C) You must determine which procedure you will bill for first, and then find out which diagnosis codes match the procedure 
D) You must first locate the diagnosis code description in the index and then verify the code in Volume III

Question 6

Which of the following is NOT typically included in a global package?

Accepted Answer

A) The surgical procedure 
B) Follow-up appointments related to the procedure, within the global period 
C) Appointments for problems that are not related to the procedure 
D) Appointments for problems that are related to the procedure 
A) The surgical procedure 
B) Follow-up appointments related to the procedure, within the global period 
C) Appointments for problems that are not related to the procedure 
D) Appointments for problems that are related to the procedure

Question 7

In order for a physician to appropriately code for a consultation service, three things must be documented. What are those three things?

Accepted Answer

A) The referral or request from the PCP, the rendering of the opinion by the specialist or consultant, and the written report or findings sent from the specialist to the PCP 
B) The rendering of the specialty service to the patient, the referral of the patient from the specialist to an additional specialist, and the written report of the findings provided to the specialist 
C) The specialist request of a second opinion regarding the patient, the PCP's advice regarding which second specialist the patient should see, and the second specialist's report or findings 
D) The referral from the PCP to the specialist, an additional referral from the specialist to another specialist, and the written report or findings sent from the specialist to the PCP 
A) The referral or request from the PCP, the rendering of the opinion by the specialist or consultant, and the written report or findings sent from the specialist to the PCP 
B) The rendering of the specialty service to the patient, the referral of the patient from the specialist to an additional specialist, and the written report of the findings provided to the specialist 
C) The specialist request of a second opinion regarding the patient, the PCP's advice regarding which second specialist the patient should see, and the second specialist's report or findings 
D) The referral from the PCP to the specialist, an additional referral from the specialist to another specialist, and the written report or findings sent from the specialist to the PCP

Question 8

What is the purpose of temporary national codes in the HCPCS Level II manual?

Accepted Answer

A) They are for procedures that are considered temporary 
B) There are no temporary codes, only permanent codes 
C) They allow the establishment of codes prior to the January 1st annual update 
D) They allow the deletion of codes prior to the January 1st annual update 
A) They are for procedures that are considered temporary 
B) There are no temporary codes, only permanent codes 
C) They allow the establishment of codes prior to the January 1st annual update 
D) They allow the deletion of codes prior to the January 1st annual update

Question 9

What is the purpose of a compliance plan?

Accepted Answer

A) It makes sure you are properly credentialed 
B) It allows your office to defend itself in case of an audit 
C) It helps your employees claim worker's compensation 
D) It helps your office follow the correct coding and billing protocols 
A) It makes sure you are properly credentialed 
B) It allows your office to defend itself in case of an audit 
C) It helps your employees claim worker's compensation 
D) It helps your office follow the correct coding and billing protocols

Question 10

Medical billing fraud is:

Accepted Answer

A) Billing for services at a reduced level 
B) Billing correctly for services performed 
C) Billing for services that are not medically necessary 
D) Billing for services that were not performed 
A) Billing for services at a reduced level 
B) Billing correctly for services performed 
C) Billing for services that are not medically necessary 
D) Billing for services that were not performed

Question 11

HCPCS J-Codes are used to represent:

Accepted Answer

A) Drugs administered by methods other than the oral method 
B) Durable medical equipment 
C) Dental procedures not found in the CPT manual 
D) Temporary national codes for Medicare 
A) Drugs administered by methods other than the oral method 
B) Durable medical equipment 
C) Dental procedures not found in the CPT manual 
D) Temporary national codes for Medicare

Question 12

The physician removed the lens of a patient with severe cataracts via the pars plana approach, without a vitrectomy. During the operative session, the physician used viscoelastic agents and enzymatic zonulysis to aid in the procedure. How should the physician code for the procedure?

Accepted Answer

A) 66852 
B) 66840 
C) 66983 
D) 66852, 66982 
A) 66852 
B) 66840 
C) 66983 
D) 66852, 66982

Question 13

In the CPT manual, Appendix C lists clinical examples of:

Accepted Answer

A) Surgical procedures 
B) Radiological procedures 
C) Dermatology procedures 
D) Evaluation and management procedures 
A) Surgical procedures 
B) Radiological procedures 
C) Dermatology procedures 
D) Evaluation and management procedures

Question 14

Fill in the blanks: HCPCS modifiers can be used for _________________________ but CPT modifiers cannot be used for ________________________.

Accepted Answer

A) CPT codes, CPT codes 
B) CPT codes, HCPS codes 
C) HCPCS Codes, procedure codes 
D) HCPCS Codes, CPT Codes 
A) CPT codes, CPT codes 
B) CPT codes, HCPS codes 
C) HCPCS Codes, procedure codes 
D) HCPCS Codes, CPT Codes

Question 15

HCPCS Level II ambulance service modifiers represent:

Accepted Answer

A) The type of ambulance transport vehicle 
B) The type of emergency service 
C) Whether or not the patient received life support during transport 
D) Where the patient was picked up and where the patient was dropped off 
A) The type of ambulance transport vehicle 
B) The type of emergency service 
C) Whether or not the patient received life support during transport 
D) Where the patient was picked up and where the patient was dropped off

Question 16

Which of the following is the best, most effective way to locate the correct code for a service or supply in the HCPCS manual?

Accepted Answer

A) Look in the Index for the name of the service or supply, and it will direct you to the correct code or range of codes 
B) Go directly to Appendix 1 to check the name of the supply, and then find out the route of administration 
C) Flip through the sections of the book until you find the correct service or supply and then assign the best code 
D) Go directly to the code in the book, and assign the code that looks right 
A) Look in the Index for the name of the service or supply, and it will direct you to the correct code or range of codes 
B) Go directly to Appendix 1 to check the name of the supply, and then find out the route of administration 
C) Flip through the sections of the book until you find the correct service or supply and then assign the best code 
D) Go directly to the code in the book, and assign the code that looks right

Question 17

When you see the symbol # in front of a CPT code, what does it mean?

Accepted Answer

A) That the code is listed out of numerical order 
B) That the code is listed in numerical order 
C) That the code used to be listed with a different number 
D) That the code description has changed 
A) That the code is listed out of numerical order 
B) That the code is listed in numerical order 
C) That the code used to be listed with a different number 
D) That the code description has changed

Question 18

The procedure known as blepharoplasty is performed to:

Accepted Answer

A) Correct the muscle misalignment caused by strabismus 
B) Correct vision loss due to glaucoma 
C) Plastic repair a droopy eyelid 
D) Repair the lens of the eye caused by cataracts 
A) Correct the muscle misalignment caused by strabismus 
B) Correct vision loss due to glaucoma 
C) Plastic repair a droopy eyelid 
D) Repair the lens of the eye caused by cataracts

Question 19

In an outpatient setting, what is the primary diagnosis?

Accepted Answer

A) The reason the patient came in for the visit 
B) The diagnosis code that the doctor lists first 
C) The problem that causes the patient the most pain 
D) The diagnosis that will result in the most reimbursement 
A) The reason the patient came in for the visit 
B) The diagnosis code that the doctor lists first 
C) The problem that causes the patient the most pain 
D) The diagnosis that will result in the most reimbursement

Question 20

What types of codes are located in the V0000 through V5999 section of the HCPCS manual?

Accepted Answer

A) Pathology and Laboratory Services 
B) Vision and Hearing Services 
C) Dental Procedures 
D) Transportation Services 
A) Pathology and Laboratory Services 
B) Vision and Hearing Services 
C) Dental Procedures 
D) Transportation Services

In the RBRVS calculation, the GPCI takes into account:

Tricare Prime patients typically must see physicians:

When selecting an evaluation and management code, what is the first thing that the coder needs to determine?

When you are searching for a diagnosis code in the ICD-9 manual:

Which of the following is NOT typically included in a global package?

In order for a physician to appropriately code for a consultation service, three things must be documented. What are those three things?

What is the purpose of temporary national codes in the HCPCS Level II manual?

What is the purpose of a compliance plan?

Medical billing fraud is:

HCPCS J-Codes are used to represent:

The physician removed the lens of a patient with severe cataracts via the pars plana approach, without a vitrectomy. During the operative session, the physician used viscoelastic agents and enzymatic zonulysis to aid in the procedure. How should the physician code for the procedure?

In the CPT manual, Appendix C lists clinical examples of:

Fill in the blanks: HCPCS modifiers can be used for _ but CPT modifiers cannot be used for .

HCPCS Level II ambulance service modifiers represent:

Which of the following is the best, most effective way to locate the correct code for a service or supply in the HCPCS manual?

When you see the symbol # in front of a CPT code, what does it mean?

The procedure known as blepharoplasty is performed to:

In an outpatient setting, what is the primary diagnosis?

What types of codes are located in the V0000 through V5999 section of the HCPCS manual?

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

In the RBRVS calculation, the GPCI takes into account:

Tricare Prime patients typically must see physicians:

When selecting an evaluation and management code, what is the first thing that the coder needs to determine?

When you are searching for a diagnosis code in the ICD-9 manual:

Which of the following is NOT typically included in a global package?

In order for a physician to appropriately code for a consultation service, three things must be documented. What are those three things?

What is the purpose of temporary national codes in the HCPCS Level II manual?

What is the purpose of a compliance plan?

Medical billing fraud is:

HCPCS J-Codes are used to represent:

The physician removed the lens of a patient with severe cataracts via the pars plana approach, without a vitrectomy. During the operative session, the physician used viscoelastic agents and enzymatic zonulysis to aid in the procedure. How should the physician code for the procedure?

In the CPT manual, Appendix C lists clinical examples of:

Fill in the blanks: HCPCS modifiers can be used for _________________________ but CPT modifiers cannot be used for ________________________.

HCPCS Level II ambulance service modifiers represent:

Which of the following is the best, most effective way to locate the correct code for a service or supply in the HCPCS manual?

When you see the symbol # in front of a CPT code, what does it mean?

The procedure known as blepharoplasty is performed to:

In an outpatient setting, what is the primary diagnosis?

What types of codes are located in the V0000 through V5999 section of the HCPCS manual?

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

Fill in the blanks: HCPCS modifiers can be used for _ but CPT modifiers cannot be used for .