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CPMA Exam Chapter 3 Questions And Answers
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CPMA Exam Chapter 3 Questions And Answers When the list of associated add-on codes is too extensive, there will not be a list of applicable primary codes in a parenthetical note following the add-on code All add-on codes are exempt from the multiple procedure concepts (modifier 51) See Appe...

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  • October 19, 2024
  • 7
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • cpma exam chapter 3 questions and answers

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CPMA Exam Chapter 3 Questions And
Answers

When the list of associated add-on codes is too extensive, there will not be a list of

applicable primary codes in a parenthetical note following the add-on code




All add-on codes are exempt from the multiple procedure concepts (modifier 51) See

Appendix A




Multiple surgical procedure reduction is applied when 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

, CPMA Exam Chapter 3 Questions And
Answers
The fee schedule for add-on codes already accounts for the reduction, and the payment is

made at 100%




The Medicare National Physician Fee Schedule (MPS) Relative Value File is useful for

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




If there is a "2" in the multiple procedure column, the procedure is subjected to the multiple

procedure payment reduction.




The Medicare National Physician Fee Schedule (MPS) Relative Value File contains information

for global days, RVUs, assist surgeon appropriate, etc




ALL AUDITORS should use this during the audit process.




A triangle symbol located to the left of a code indicates that the description of the code

has been revised.

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