CPMA Exam Chapter 3 Study Guide with Complete Solutions
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Course
CPMA
Institution
CPMA
CPMA Exam Chapter 3 Study Guide with
Complete Solutions
Accurate reimbursement begins with - Answer-accurate coding and rules that
vary by payer
The CPT codebook contains - Answer-instructions, coding guidelines,
parenthetical notes, and symbols to provide guidance for proper coding.
Not all ...
Multiple surgical procedure reduction is applied when - Answer✔✔-multiple
procedures are performed during the same operative session.
The highest valued code is paid at 100%
The 2nd highest valued code is paid at 50%.
And each additional procedure is paid at 25%
If a claim exceeds five line items, payers may evaluate for special pricing
The fee schedule for add-on codes already accounts for - Answer✔✔-the reduction,
and the payment is made at 100%
The Medicare National Physician Fee Schedule (MPS) Relative Value File is useful for -
Answer✔✔-determining if procedures are subject to the multiple procedure payment
reduction.
If there is a "0" in the Multiple Procedure column, the procedure is not subject to the
multiple procedure payment reduction
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