CHAPTER 20 proceduring codes

Question 1

Question

Is the concept used once the insurance company bases the yield on a lower code rating than that submitted by the provider.

Answer

Upcoding
Down-coding
Unbundling
overcoding

Question 2

Question

As stated in the bundling definition, is defined as breaking a bundled code into its component parts for higher reimbursement and is not allowed.

Answer

Down-coding
Unbundling
Upcoding
overcoding

Question 3

Question

Refers to coding a procedure or service at a higher level than that provided to receive a higher level of reimbursement.

Answer

Down-coding
Unbundling
Upcoding
overbiling

Question 4

Question

When unbundling is done intentionally to receive more payment than is allowed, the claim is likely to be considered

Answer

Fraudulent
Correct
Aceptable
N/A

Question 5

Question

Patient who has seen the physician within the past 3 years.

Answer

New patient
Established patient
Old patient

Question 6

Question

Patient who, for CPT reporting purposes, has not received professional services from the physician within the past 3 years.

Answer

Old patient
New patient
Established patient

Question 7

Question

Which part of a physical exam includes vital signs and general appearance of the patient?

Answer

physical exam
constitutional exam
family history

Question 8

Question

Breaking a bundle code into its component parts for higher reimbursement is allowed.

Answer

True
False

Question 9

Question

True or false: Evaluation and management (E/M) codes are often considered the most important of all CPT codes because they can be used by all physicians in any medical speciality?

Answer

True
False

Question 10

Question

Code linkage of the CPT and ICD code is not necessary.

Answer

True
False

Question 11

Question

This symbol tells the user that the code description has been revised in some way from last year.

Answer

Red cube
Blue triangle
Ret- Dot
Line- yellow

Question 12

Question

Which symbol in the CPT marks a new code since the last revision?

Answer

Blue triangle
Red-circle
Line- Yellow
Red cube

Question 13

Question

In clean claims, each reported service is connected to a diagnosis that supports the procedure as necessary to investigate or treat the patient's condition?

Answer

True
False

Question 14

Question

Embolectomy and thromboectomy are found in which section of the CPT manual?

Answer

Cardiovascular
Hemic/lymphatic
Digestive
Renal

Question 15

Question

The spleen, bone marrow, and lymph nodes are included in which section of CPT?

Answer

Cardiovascular
Hemic/lymphatic
Digestive
Renal

Question 16

Question

Codes related to the liver, pancreas, and abdomen are found in the section of the CPT.

Answer

Cardiovascular
Digestive
Renal
Respiratory

Question 17

Question

The most commonly coded section of the urinary system is related to the

Answer

Endocrine
Respiratory
Cardiovascular
Renal

Question 18

Question

Coding related to labor and delivery is located in which section of the CPT?

Answer

Female Genital System
Male Genital System

Question 19

Question

In what section of the CPT manual contains codes related to the brain, spinal cord, and the peripheral nerves?

Answer

Cardiovascular System
Respiratory System
NervIous system
Renal System

Question 20

Question

The use of 5-digit codes for provider healthcare-related procedures is required by

Answer

HIPPA
SOAP
CPT
CPP

Next up

CHAPTER 20 proceduring codes

Description

Resource summary

Question 1

Question 2

Question 3

Question 4

Question 5

Question 6

Question 7

Question 8

Question 9

Question 10

Question 11

Question 12

Question 13

Question 14

Question 15

Question 16

Question 17

Question 18

Question 19

Question 20

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	Created by Wiil Montoya over 2 years ago