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