Wiil Montoya
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Wiil Montoya
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CHAPTER 20 proceduring codes

CHAPTER 20 proceduring codes

Question 1 of 20

1

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

Select one of the following:

  • Upcoding

  • Down-coding

  • Unbundling

  • overcoding

Explanation

Question 2 of 20

1

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

Select one or more of the following:

  • Down-coding

  • Unbundling

  • Upcoding

  • overcoding

Explanation

Question 3 of 20

1

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

Select one of the following:

  • Down-coding

  • Unbundling

  • Upcoding

  • overbiling

Explanation

Question 4 of 20

1

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

Select one or more of the following:

  • Fraudulent

  • Correct

  • Aceptable

  • N/A

Explanation

Question 5 of 20

1

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

Select one of the following:

  • New patient

  • Established patient

  • Old patient

Explanation

Question 6 of 20

1

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

Select one of the following:

  • Old patient

  • New patient

  • Established patient

Explanation

Question 7 of 20

1

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

Select one of the following:

  • physical exam

  • constitutional exam

  • family history

Explanation

Question 8 of 20

1

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

Select one of the following:

  • True
  • False

Explanation

Question 9 of 20

1

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?

Select one of the following:

  • True
  • False

Explanation

Question 10 of 20

1

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

Select one of the following:

  • True
  • False

Explanation

Question 11 of 20

1

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

Select one of the following:

  • Red cube

  • Blue triangle

  • Ret- Dot

  • Line- yellow

Explanation

Question 12 of 20

1

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

Select one of the following:

  • Blue triangle

  • Red-circle

  • Line- Yellow

  • Red cube

Explanation

Question 13 of 20

1

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?

Select one of the following:

  • True
  • False

Explanation

Question 14 of 20

1

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

Select one of the following:

  • Cardiovascular

  • Hemic/lymphatic

  • Digestive

  • Renal

Explanation

Question 15 of 20

1

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

Select one of the following:

  • Cardiovascular

  • Hemic/lymphatic

  • Digestive

  • Renal

Explanation

Question 16 of 20

1

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

Select one of the following:

  • Cardiovascular

  • Digestive

  • Renal

  • Respiratory

Explanation

Question 17 of 20

1

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

Select one of the following:

  • Endocrine

  • Respiratory

  • Cardiovascular

  • Renal

Explanation

Question 18 of 20

1

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

Select one of the following:

  • Female Genital System

  • Male Genital System

Explanation

Question 19 of 20

1

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

Select one of the following:

  • Cardiovascular System

  • Respiratory System

  • NervIous system

  • Renal System

Explanation

Question 20 of 20

1

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

Select one of the following:

  • HIPPA

  • SOAP

  • CPT

  • CPP

Explanation

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