35817919
Descripción
Test por Wiil Montoya, actualizado hace más de 1 año
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Creado por Wiil Montoya
hace más de 2 años
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Pregunta 1
Pregunta
Is the concept used once the insurance company bases the yield on a lower code rating than that submitted by the provider.
Respuesta
-
Upcoding
-
Down-coding
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Unbundling
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overcoding
Pregunta 2
Pregunta
As stated in the bundling definition, is defined as breaking a bundled code into its component parts for higher reimbursement and is not allowed.
Respuesta
-
Down-coding
-
Unbundling
-
Upcoding
-
overcoding
Pregunta 3
Pregunta
Refers to coding a procedure or service at a higher level than that provided to receive a higher level of reimbursement.
Respuesta
-
Down-coding
-
Unbundling
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Upcoding
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overbiling
Pregunta 4
Pregunta
When unbundling is done intentionally to receive more payment than is allowed, the claim is likely to be considered
Respuesta
-
Fraudulent
-
Correct
-
Aceptable
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N/A
Pregunta 5
Pregunta
Patient who has seen the physician within the past 3 years.
Respuesta
-
New patient
-
Established patient
-
Old patient
Pregunta 6
Pregunta
Patient who, for CPT reporting purposes, has not received professional services from the physician within the past 3 years.
Respuesta
-
Old patient
-
New patient
-
Established patient
Pregunta 7
Pregunta
Which part of a physical exam includes vital signs and general appearance of the patient?
Respuesta
-
physical exam
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constitutional exam
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family history
Pregunta 8
Pregunta
Breaking a bundle code into its component parts for higher reimbursement is allowed.
Respuesta
- True
- False
Pregunta 9
Pregunta
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?
Respuesta
- True
- False
Pregunta 10
Pregunta
Code linkage of the CPT and ICD code is not necessary.
Respuesta
- True
- False
Pregunta 11
Pregunta
This symbol tells the user that the code description has been revised in some way from last year.
Respuesta
-
Red cube
-
Blue triangle
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Ret- Dot
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Line- yellow
Pregunta 12
Pregunta
Which symbol in the CPT marks a new code since the last revision?
Respuesta
-
Blue triangle
-
Red-circle
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Line- Yellow
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Red cube
Pregunta 13
Pregunta
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?
Respuesta
- True
- False
Pregunta 14
Pregunta
Embolectomy and thromboectomy are found in which section of the CPT manual?
Respuesta
-
Cardiovascular
-
Hemic/lymphatic
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Digestive
-
Renal
Pregunta 15
Pregunta
The spleen, bone marrow, and lymph nodes are included in which section of CPT?
Respuesta
-
Cardiovascular
-
Hemic/lymphatic
-
Digestive
-
Renal
Pregunta 16
Pregunta
Codes related to the liver, pancreas, and abdomen are found in the section of the CPT.
Respuesta
-
Cardiovascular
-
Digestive
-
Renal
-
Respiratory
Pregunta 17
Pregunta
The most commonly coded section of the urinary system is related to the
Respuesta
-
Endocrine
-
Respiratory
-
Cardiovascular
-
Renal
Pregunta 18
Pregunta
Coding related to labor and delivery is located in which section of the CPT?
Respuesta
-
Female Genital System
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Male Genital System
Pregunta 19
Pregunta
In what section of the CPT manual contains codes related to the brain, spinal cord, and the peripheral nerves?
Respuesta
-
Cardiovascular System
-
Respiratory System
-
NervIous system
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Renal System
Pregunta 20
Pregunta
The use of 5-digit codes for provider healthcare-related procedures is required by
Respuesta
-
HIPPA
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SOAP
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CPT
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CPP
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