Question 1

The symbol • used with a CPT code indicates:

Accepted Answer

A) revised code. 
B) new code. 
C) new or revised text. 
D) add-on code. 
A) revised code. 
B) new code. 
C) new or revised text. 
D) add-on code. B

Question 2

Match between columns
                        Premises: Description of actions taken to make pain or a symptom change
Description of when a symptom or pain occurs
Age-appropriate review of past and current activities
Description used for the specific character of a symptom or pain = quality
Description of other things that happen when the symptom or pain occurs
The situation that is associated with the pain or symptom
A review of the patient's past experiences with illnesses, injuries, and treatments
Description of how long a symptom or pain lasts when it occurs
Description of the body area in which the chief complaint (CC) is occurring

Accepted Answer

The Answer of location and duration and past history and is...

Question 3

What is the difference between a new and an established patient?

Accepted Answer

A new patient is one who has NOT received any professional services from the physician, or another physician of the same specialty who belongs to the same group practice, within the past 3 years. An established patient has received services under these conditions.

Question 4

Details about a patient's current employment or school history would be part of a:

Accepted Answer

A) history of present illness. 
B) past history. 
C) family history. 
D) social history. 
A) history of present illness. 
B) past history. 
C) family history. 
D) social history.

Question 5

The Centers for Medicare and Medicaid Services (CMS) suggests, but does NOT mandate, that all physicians use CPT codes to bill Medicare Part B.

Accepted Answer

A) True 
 B)False

Question 6

Factors for determining the code for an emergency department service include:

Accepted Answer

A) whether the patient is new or established. 
B) the time spent with the patient. 
C) whether the patient has a true emergency condition. 
D) none of the above. 
A) whether the patient is new or established. 
B) the time spent with the patient. 
C) whether the patient has a true emergency condition. 
D) none of the above.

Question 7

Services that include a physical examination according to age, and appropriate immunizations and laboratory procedures, are called critical care.

Accepted Answer

A) True 
 B)False

Question 8

If a physician began an initial gynecological exam on a patient but discontinued it due to the patient's extreme discomfort, the modifier would be:

Accepted Answer

A) -25. 
B) -32. 
C) -52. 
D) -57. 
A) -25. 
B) -32. 
C) -52. 
D) -57.

Question 9

A review of the patient's prior experience with illnesses, injuries, and treatments is the __________ .

Accepted Answer

The answer of A review of the patient's prior experience...

Question 10

To report that the description of a service or procedure has been altered in some way, the coder should use a:

Accepted Answer

A) Category II CPT code. 
B) Category III CPT code. 
C) modifier. 
D) written explanation. 
A) Category II CPT code. 
B) Category III CPT code. 
C) modifier. 
D) written explanation.

Question 11

For evaluation and management (E/M) services, the place of service is important in determining the correct code.

Accepted Answer

A) True 
 B)False

Question 12

To code an evaluation and management (E/M) service properly for a new patient, which of the following elements must be documented?

Accepted Answer

A) History and examination 
B) History and medical decision making 
C) Examination only 
D) History, examination, and medical decision making 
A) History and examination 
B) History and medical decision making 
C) Examination only 
D) History, examination, and medical decision making

Question 13

The modifier -57 is used to indicate:

Accepted Answer

A) repeat procedure by the same physician. 
B) unrelated evaluation and management (E/M) service by the same physician during a postoperative period. 
C) significant, separately identifiable E/M service by the same physician on the same day of the procedure or other service. 
D) a decision for surgery. 
A) repeat procedure by the same physician. 
B) unrelated evaluation and management (E/M) service by the same physician during a postoperative period. 
C) significant, separately identifiable E/M service by the same physician on the same day of the procedure or other service. 
D) a decision for surgery.

Question 14

All of the following are sections of Category I CPT codes EXCEPT:

Accepted Answer

A) Evaluation and Management. 
B) Surgery. 
C) Medicine. 
D) Emergency Room Services. 
A) Evaluation and Management. 
B) Surgery. 
C) Medicine. 
D) Emergency Room Services.

Question 15

The risk of significant complications, morbidity, and/or mortality is a factor in determining the level of medical decision making (MDM).

Accepted Answer

A) True 
 B)False

Question 16

Which of the following dimensions of a history of present illness (HPI) refers to actions taken to make the pain or symptom change?

Accepted Answer

A) Associated signs and symptoms 
B) Context 
C) Modifying factors 
D) Quality 
A) Associated signs and symptoms 
B) Context 
C) Modifying factors 
D) Quality

Question 17

If a patient presented with a condition that resulted in minimal management options, the medical decision making (MDM) would be considered:

Accepted Answer

A) straightforward. 
B) low complexity. 
C) moderate complexity. 
D) high complexity. 
A) straightforward. 
B) low complexity. 
C) moderate complexity. 
D) high complexity.

Question 18

A comprehensive exam would include a general multisystem exam or a complete exam of a single organ system.

Accepted Answer

A) True 
 B)False

Question 19

When an evaluation and management (E/M) code is assigned, the patient's medical record must contain the clinical data to support it.

Accepted Answer

A) True 
 B)False

Question 20

An inventory of the body obtained when the physician asks the patient a series of questions to identify signs of illness and/or symptoms the patient may be experiencing is called a(n) __________ .

Accepted Answer

The answer of An inventory of the body obtained when...

The symbol • used with a CPT code indicates:

What is the difference between a new and an established patient?

Details about a patient's current employment or school history would be part of a:

The Centers for Medicare and Medicaid Services (CMS) suggests, but does NOT mandate, that all physicians use CPT codes to bill Medicare Part B.

Factors for determining the code for an emergency department service include:

Services that include a physical examination according to age, and appropriate immunizations and laboratory procedures, are called critical care.

If a physician began an initial gynecological exam on a patient but discontinued it due to the patient's extreme discomfort, the modifier would be:

A review of the patient's prior experience with illnesses, injuries, and treatments is the __________ .

To report that the description of a service or procedure has been altered in some way, the coder should use a:

For evaluation and management (E/M) services, the place of service is important in determining the correct code.

To code an evaluation and management (E/M) service properly for a new patient, which of the following elements must be documented?

The modifier -57 is used to indicate:

All of the following are sections of Category I CPT codes EXCEPT:

The risk of significant complications, morbidity, and/or mortality is a factor in determining the level of medical decision making (MDM).

Which of the following dimensions of a history of present illness (HPI) refers to actions taken to make the pain or symptom change?

If a patient presented with a condition that resulted in minimal management options, the medical decision making (MDM) would be considered:

A comprehensive exam would include a general multisystem exam or a complete exam of a single organ system.

When an evaluation and management (E/M) code is assigned, the patient's medical record must contain the clinical data to support it.

An inventory of the body obtained when the physician asks the patient a series of questions to identify signs of illness and/or symptoms the patient may be experiencing is called a(n) __________ .

Introduction to Professional Billing and Coding Careers

Understanding Managed Care: Insurance Plans

Understanding Managed Care: Medical Contracts and Ethics

Hipaa: Health Insurance Portability and Accountability Act of 1996

ICD-9-CM Medical Coding

ICD-10-CM Medical Coding

Coding Procedures and Services

Hcpcs and Coding Compliance

Auditing

Physician Medical Billing

Hospital Medical Billing

Medicare Medical Billing

Medicaid Medical Billing

Tricare Medical Billing

Explanation of Benefits and Payment Adjudication

Refunds and Appeals

Workers Compensation

Electronic Medical Claims Processing

Filters

Exam 7: Introduction to Cpt and Place of Service Coding

The symbol • used with a CPT code indicates:

What is the difference between a new and an established patient?

Details about a patient's current employment or school history would be part of a:

The Centers for Medicare and Medicaid Services (CMS) suggests, but does NOT mandate, that all physicians use CPT codes to bill Medicare Part B.

Factors for determining the code for an emergency department service include:

Services that include a physical examination according to age, and appropriate immunizations and laboratory procedures, are called critical care.

If a physician began an initial gynecological exam on a patient but discontinued it due to the patient's extreme discomfort, the modifier would be:

A review of the patient's prior experience with illnesses, injuries, and treatments is the __________ .

To report that the description of a service or procedure has been altered in some way, the coder should use a:

For evaluation and management (E/M) services, the place of service is important in determining the correct code.

To code an evaluation and management (E/M) service properly for a new patient, which of the following elements must be documented?

The modifier -57 is used to indicate:

All of the following are sections of Category I CPT codes EXCEPT:

The risk of significant complications, morbidity, and/or mortality is a factor in determining the level of medical decision making (MDM).

Which of the following dimensions of a history of present illness (HPI) refers to actions taken to make the pain or symptom change?

If a patient presented with a condition that resulted in minimal management options, the medical decision making (MDM) would be considered:

A comprehensive exam would include a general multisystem exam or a complete exam of a single organ system.

When an evaluation and management (E/M) code is assigned, the patient's medical record must contain the clinical data to support it.

An inventory of the body obtained when the physician asks the patient a series of questions to identify signs of illness and/or symptoms the patient may be experiencing is called a(n) __________ .

Introduction to Professional Billing and Coding Careers

Understanding Managed Care: Insurance Plans

Understanding Managed Care: Medical Contracts and Ethics

Hipaa: Health Insurance Portability and Accountability Act of 1996

ICD-9-CM Medical Coding

ICD-10-CM Medical Coding

Coding Procedures and Services

Hcpcs and Coding Compliance

Auditing

Physician Medical Billing

Hospital Medical Billing

Medicare Medical Billing

Medicaid Medical Billing

Tricare Medical Billing

Explanation of Benefits and Payment Adjudication

Refunds and Appeals

Workers Compensation

Electronic Medical Claims Processing

Filters