Certified Paraoptometric Coder
(Answered) 213 Questions and
Correct Answers, 100% Correct.
What modifier is commonly used if a provider performs an unrelated office visit during a post
operative period?
24
PQRS measure G8477 refers to what?
Patient encounter documented using a certified EHR system
What are radially arranged natural fibers in the eye that suspend the crystalline lens from the ciliary
body and hold it in position?
Zonules
Prone
face down/ palm down
For an E&M service, what is the minimum number of elements required by the Documentation
Guidelines for a Detailed Physical Exam?
Nine
Does Medicare have standard guidelines physicians must follow for the "written interpretation of
medical findings?"
No
Is it a federal requirement to do self audits of patient charts and coding in private practices?
No
-endo
within
coronal
vertical body plain, divides the body into front & back sections
-oid
like
supine
face up/palm up
,What is an e-claim clearing house?
A company that a provider contracts with to transmit claims legally and safely between the provider
and the insurance companies
What are surgically implanted plastic half rings that change the shape of the cornea?
Intacs
What is medical insurance?
A written policy between the individual (policy holder) and health plan (payer)
What is "QMB" Medicaid?
Qualified Medicaid Beneficiary- limited benefits
What are the four "E" modifiers used for?
For indicating which lid is involved. E1= Upper left eyelid, E2= Lower left eyelid, E3= Upper right
eyelid, E4= Lower right eyelid
How many "E" modifiers are there?
4
On the CMS 1500, what box is designated to provide additional information to the payer?
19
-retro
behind, back
The documentation of each patient encounter should include which items(s):
Reason for the encounter and assessment, medical plan and date, and legible identity of the
observer
trans-
across, through
Is it acceptable for a staff person to correct a CPT or ICD-10 code on a route slip or claim without the
consent of the doctor?
No
What are the Key Components of E and M Coding?
Medical Decision Making, Examination, and History
What modifier is used if two non bundled surgical procedures are performed on the same eye at the
same visit?
51
What modifier should you use on the office visit if a patient comes in with allergic conjunctivitis
during their global post-op period?
, 24
What does RBRVS stand for?
Resource-Based Relative Value Scale
List the Contributory Factors of E and M Coding
Counseling, Coordination of Care, Presenting Problem, and Time
When billing for post cataract eyewear through Medicare, what is the date of service?
The date the eyewear is dispensed
anterior or ventral
at or near front surface of the body
Whose name goes in Box 17 in the HCFA 1500 when billing for co-managed cataract post op care?
Surgeon
What are Medicaid, Medicare, TRICARE and CHAMPVA types of?
Government sponsored insurance plans
When did PQRI name change to PQRS?
In 2011
inferior
below
-pnea
breathing
-ab
away from
-orrhagia
hemorrhage
Does MQMG Medicaid pay for refraction and eyeglasses?
Yes, in many states and often is age dependent
-plasia
growth
When billing a 99212 and 65435, which code requires a modifier?
25 modifier on the visit code to indicate it was separate from the procedure and RT or LT on the
procedure
-orrhea
(Answered) 213 Questions and
Correct Answers, 100% Correct.
What modifier is commonly used if a provider performs an unrelated office visit during a post
operative period?
24
PQRS measure G8477 refers to what?
Patient encounter documented using a certified EHR system
What are radially arranged natural fibers in the eye that suspend the crystalline lens from the ciliary
body and hold it in position?
Zonules
Prone
face down/ palm down
For an E&M service, what is the minimum number of elements required by the Documentation
Guidelines for a Detailed Physical Exam?
Nine
Does Medicare have standard guidelines physicians must follow for the "written interpretation of
medical findings?"
No
Is it a federal requirement to do self audits of patient charts and coding in private practices?
No
-endo
within
coronal
vertical body plain, divides the body into front & back sections
-oid
like
supine
face up/palm up
,What is an e-claim clearing house?
A company that a provider contracts with to transmit claims legally and safely between the provider
and the insurance companies
What are surgically implanted plastic half rings that change the shape of the cornea?
Intacs
What is medical insurance?
A written policy between the individual (policy holder) and health plan (payer)
What is "QMB" Medicaid?
Qualified Medicaid Beneficiary- limited benefits
What are the four "E" modifiers used for?
For indicating which lid is involved. E1= Upper left eyelid, E2= Lower left eyelid, E3= Upper right
eyelid, E4= Lower right eyelid
How many "E" modifiers are there?
4
On the CMS 1500, what box is designated to provide additional information to the payer?
19
-retro
behind, back
The documentation of each patient encounter should include which items(s):
Reason for the encounter and assessment, medical plan and date, and legible identity of the
observer
trans-
across, through
Is it acceptable for a staff person to correct a CPT or ICD-10 code on a route slip or claim without the
consent of the doctor?
No
What are the Key Components of E and M Coding?
Medical Decision Making, Examination, and History
What modifier is used if two non bundled surgical procedures are performed on the same eye at the
same visit?
51
What modifier should you use on the office visit if a patient comes in with allergic conjunctivitis
during their global post-op period?
, 24
What does RBRVS stand for?
Resource-Based Relative Value Scale
List the Contributory Factors of E and M Coding
Counseling, Coordination of Care, Presenting Problem, and Time
When billing for post cataract eyewear through Medicare, what is the date of service?
The date the eyewear is dispensed
anterior or ventral
at or near front surface of the body
Whose name goes in Box 17 in the HCFA 1500 when billing for co-managed cataract post op care?
Surgeon
What are Medicaid, Medicare, TRICARE and CHAMPVA types of?
Government sponsored insurance plans
When did PQRI name change to PQRS?
In 2011
inferior
below
-pnea
breathing
-ab
away from
-orrhagia
hemorrhage
Does MQMG Medicaid pay for refraction and eyeglasses?
Yes, in many states and often is age dependent
-plasia
growth
When billing a 99212 and 65435, which code requires a modifier?
25 modifier on the visit code to indicate it was separate from the procedure and RT or LT on the
procedure
-orrhea
