Is the concept used once the insurance company bases the yield on a lower code rating than that submitted by the provider.
Upcoding
Down-coding
Unbundling
overcoding
As stated in the bundling definition, is defined as breaking a bundled code into its component parts for higher reimbursement and is not allowed.
Refers to coding a procedure or service at a higher level than that provided to receive a higher level of reimbursement.
overbiling
When unbundling is done intentionally to receive more payment than is allowed, the claim is likely to be considered
Fraudulent
Correct
Aceptable
N/A
Patient who has seen the physician within the past 3 years.
New patient
Established patient
Old patient
Patient who, for CPT reporting purposes, has not received professional services from the physician within the past 3 years.
Which part of a physical exam includes vital signs and general appearance of the patient?
physical exam
constitutional exam
family history
Breaking a bundle code into its component parts for higher reimbursement is allowed.
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?
Code linkage of the CPT and ICD code is not necessary.
This symbol tells the user that the code description has been revised in some way from last year.
Red cube
Blue triangle
Ret- Dot
Line- yellow
Which symbol in the CPT marks a new code since the last revision?
Red-circle
Line- Yellow
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?
Embolectomy and thromboectomy are found in which section of the CPT manual?
Cardiovascular
Hemic/lymphatic
Digestive
Renal
The spleen, bone marrow, and lymph nodes are included in which section of CPT?
Codes related to the liver, pancreas, and abdomen are found in the section of the CPT.
Respiratory
The most commonly coded section of the urinary system is related to the
Endocrine
Coding related to labor and delivery is located in which section of the CPT?
Female Genital System
Male Genital System
In what section of the CPT manual contains codes related to the brain, spinal cord, and the peripheral nerves?
Cardiovascular System
Respiratory System
NervIous system
Renal System
The use of 5-digit codes for provider healthcare-related procedures is required by
HIPPA
SOAP
CPT
CPP