Exam 1

docx

School

Anoka Technical College *

*We aren’t endorsed by this school

Course

1230

Subject

Mechanical Engineering

Date

Oct 30, 2023

Type

docx

Pages

Uploaded by kollar2010

44 points 1. The Medicare program was established in: a. 1955 c. 1965 b. 1960 d. 1970 2. Medicare Part A pays for: a. professional services and durable medical equipment b. Hospital/facility care c. Physician services and durable medical equipment d. Hospital/facility care and durable medical equipment 3. Medicare Part B pays for: a. durable medical equipment b. Hospital/facility care c. Physician services and durable medical equipment d. Hospital/facility care and durable medical equipment 4. How many sections does CPT Category I have? a. 2 b. 8 c. 6 d. 3 5. Who developed the Healthcare Common Procedure Coding System (HCPCS)? a. The Centers for Medicare and Medicaid Services (CMS) b. US Department of Health and Human Services c. American Medical Association d. The American Health Information Management Association 6. Medicare Part A pays for the cost of: a. medical equipment b. Ambulance services c. Prescription drugs d. Hospital and facility care pg. 1 EXAM 1 – CHAPTERS 1, 2, 3 AND 11

7. CMS establishes contractual arrangements with ____________ and they process Medicare claims for local geographic regions. a. Medicare Administrative Contractors b. Medical Adjustment Contractors c. Medicare Administrative Corporations d. Medical Adjustment Companies 8. Who is responsible for the annual revisions and modification of the CPT code book? a. The American Hospital Association (AHA) b. AMA CPT Editorial Panel c. The Centers for Medicare and Medicaid Services (CMS) d. National Center for Health Statistics e. 9 . A code that has all of the words that describe the code that follows is what type of code a. developed c . Stand alone b. Isolated d. Complete 10. Procedures that are experimental, newly approved, or seldom used are reported with what type of code? a. unlisted/Category III c. Modified b. Technical d. Variable 11. In which CPT appendix would all modifiers be found? a . Appendix A c. Appendix C b. Appendix B d. Appendix D 12. CPT stands for: a. Current Physician’s Terminology c. Current Procedural Terminology b. Current Procedure Terminology d. Current Procedural Terms 13. This act mandated the adoption of national uniform standards for electronic transmission of financial and administrative health information. a. HPIAA c. HIAPA b. HAPIA d . HIPAA 14. What year was CPT first developed and published? a. 1966 c. 1983 b. 1970 d. None of the above 15. Who publishes CPT? a. WHO c. CMS pg. 2 EXAM 1 – CHAPTERS 1, 2, 3 AND 11

b. AMA d. HHS 16. Category I CPT codes have ____ digits. a. 5 c. 4 b. 6 d. 7 17. The universal health insurance paper form for submission of outpatient services is the: a. HCFA-1500 c. CMS 1500 b. CMS1400 d. UB04 18. Which statement is true regarding an add-on code? a. It can be a first listed code b. Identifies services that are done with moderate sedation c. Identifies a code that is never used alone d. Serves as a primary code under certain conditions 19. A modifier: a. Subtracts from the definition of the code b. Adds to the CPT code number c. Provides additional information to the third-party payer d. Increased third-party payer reimbursement 20. Which code is an example of an add-on code? a. 11301 c. 15100 b. 11000 d . 15201 21. The range of codes 1002169990 would be found in this section of the CPT manual. a. Radiology c. Pathology b. Medicine d. Surgery 22. Level II (HCPCS) codes are not used in which setting? a. outpatient c. sameday surgery b. Inpatient d. Assisted Living pg. 3 EXAM 1 – CHAPTERS 1, 2, 3 AND 11

Your preview ends here

Eager to read complete document? Join bartleby learn and gain access to the full version

Access to all documents
Unlimited textbook solutions
24/7 expert homework help

23. The twodigit modifier for a return to the operating room for an unplanned related procedure during a postoperative period is ______ ___78_________. 24. When two surgeons work together as primary surgeons performing distinct parts of a procedure, each surgeon would report modifier _________62_________ with his/her procedure code. 25. True or False: These are the location methods to find main terms in the index of CPT - procedure/service/examinations, organs/anatomic sites, conditions/diagnoses, synonym/eponym/abbre viations true 26. HCPCS Level II codes are used to report all the following except: a) Drugs b) Dental procedures c) Durable medical equipment d) Major surgeries 27. Modifiers are used to indicate what type of information? a. bilateral procedure c. Service greater than usually required b. Multiple procedures d. All of the above 28. Modifier 57, decision for surgery, is used on what type of service? a . E/M c. Anesthesia b. Surgery d. All of the above 29. Modifier - 79, unrelated procedure or service by the same physician or other qualified health care professional duri ng the postoperative period, can be used with surgical codes. True 30. Modifier 51, Multiple Procedures, is used with what type of CPT codes? a. E/M c. Anesthesia b. Surgery d. All of the above 31. Modifier 80, Assistant Surgeon, is used when: a. two surgeons perform a distinct part of the surgery b. The surgery is complex and requires several physicians c. a second surgeon provides assistance to the primary surgeon d. All of the above pg. 4 EXAM 1 – CHAPTERS 1, 2, 3 AND 11

32. Modifier 59, distinct procedure service, is used to indicate that: a . a procedure or service was distinct or independent from other services provided on the same day b. a subsequent surgery was planned or staged c. a service was repeated d. a patient is taken back to the operating room for surgical treatment of a complication resulting from a previous surgery 33. Modifier 52, reduced services, is used to indicate: a. a service was discontinued b. Changes the description of the code c. a service was reduced without changing the definition of the code d. The procedure was terminated at the request of the patient 34. The modifier that indicates only the professional component of the service was provided is: a. 50 c. 22 b. 51 d . 26 35. Mr. Coslet has multiple procedures performed during the same operative session that need to be listed in order by the fee. Which modifier would you use? -51 36. What modifier would you use if you were coding only for the professional component of a diagnostic procedure? -26 37. What are main sections in the CPT code book divided into first? a. Procedures b. Headings c. Subsections d. Subcategories e. 38. What does the plus symbol (+) indicate? a. New code description b. New code c. Add-on code d. Resequenced code 39. What does the triangle symbol mean? pg. 5 EXAM 1 – CHAPTERS 1, 2, 3 AND 11

a. New code description b. New code c. Add-on code d. Resequenced code 40. What leter is the final character of a CPT Category II code? a. A b. Q c. D d. F 41. What is the listing of specific codes organized by main entries/terms called? a. The Tabular b. The Guide c. The Key d. The Alphabetic Index e. 42. True or False? If you cannot locate an Alphabetic Index entry for a service/procedure, it means there is no correct CPT code. False 43. What is something a coder should never do? a. Use the Alphabetic Index to locate the main term b. Review and select the possible subterms indented below the main term c. Choose the final code only using the Alphabetic Index d. Follow any cross-references in the Alphabetic Index 44. What is the purpose of the National Correct Coding Initiative (NCCI)? a. To help providers increase their reimbursement b. To promote correct coding c. To make coding harder for everyone d. To get more people to visit the CMS website pg. 6 EXAM 1 – CHAPTERS 1, 2, 3 AND 11

Your preview ends here

Eager to read complete document? Join bartleby learn and gain access to the full version