Exam (elaborations)
EVIT Midterm Exam: Questions With Solutions (Pass!)
- Course
- Institution
EVIT Midterm Exam: Questions With Solutions (Pass!)
[Show more]
Content preview
EVIT Midterm Exam: Questions With Solutions (Pass!)The international classification of diseases, 9th revision, clinical
modification(ICD-9-CM) will remain in use in the United States until October 1
of what year? Right Ans - 2015
Who publishes Current Procedural Terminology (CTP)? Right Ans - AMA
(American Medical Association)
As a result of the Medicare Modernization Act of 2004, new, revised, and
deleted codes must be implemented every year on which date? Right Ans -
Jan 1
Which level of the Healthcare Common Procedural Coding System (HCPCS)
includes National Codes? Right Ans - Level 2
The national codes are approved and maintained jointly by all but which of
the following organizations? Right Ans - National Hospital Association
(NHA)
Which HCPCS Level II codes are temporary codes for procedures, services, and
supplies? Right Ans - G codes
A ________ is used to inform third-party payers that circumstances for a
particular code has been altered Right Ans - Modifer
The evaluation and management (E/M) section codes are divided into ____
categories of provider services Right Ans - 17
services performed in the office are generally marked on a patients encounter
form by the what? Right Ans - Provider
when coding, the primary reason for the office visit is listed first, and other
reasons are listed in what order? Right Ans - Order of importance
when coding, you isolate the main term from the provider's statement and
then look it up in the what? Right Ans - Index
, ICD codes are descriptive of what? Right Ans - Presenting disease or
condition
When implemented, the US will be the only nation using the ICD-10 code
system Right Ans - False
Assigning CPT procedural codes that do not match patient documentation for
the purpose or increasing reimbursement is known as? Right Ans -
Upcoding
When records are reviewed by third-party payers, if a procedure is not
documented, it ? Right Ans - Didn't happen
Blue Cross was originally set up to pay for ? Right Ans - Hospital Expenses
In a(n) _____ plan, patients are able to see specialists without having to obtain
referrals from another physcian Right Ans - Indemnity
Because a primary care physician (PCP) in a HMO makes referrals and
approves additional care if needed, he or she is known as the ___________.
Right Ans - Gatekeeper
If the patient had a primary and secondary insurance on a 80/20 coinsurance
which of the following is the primary insurance responsible for? Right Ans
- 80
Part ___ of medicare is for payment of medical expenses such as office visits
and x-ray and laboratory services. Right Ans - B
Part ____ of medicare was created to provide coverage for both generic and
brand name drugs Right Ans - D
The only practitioners that can currently bill Medicare with the hard copy
CMS-1500s are businesses with what? Right Ans - Less than 10 full time
employees including phyicians
Medicare pays for ____ of the approved medical bill amount once the
deductible is satisfied Right Ans - 80%
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller LeCrae. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $10.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
79373 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now