Patient modifiers - Study guides, Class notes & Summaries

NHA,CBCS | Questions and Verified Answers| 100% Correct| Grade A (2024/ 2025 Update) Q: A beneficiary of a Medicare/Medicaid crossover claim submitted by a participating provider is responsible for which of the following percentages? Answer: 0% Q: Which of the following coding manuals is used primarily to identify products, supplies, and services? Answer: HCPCS level II manual Q: A billing and coding specialist needs to know how much Medicare paid on a claim before b...

Healthcare Reimbursement Final UPDATED Exam Questions and CORRECT Answers There are 3 parties in healthcare reimbursement. Who is the first party? - Correct AnswerPatient or guarantor Which type of reimbursement methodology is associated with the abbreviation "PMPM"? - Correct Answer- Capitated payment What is an example of a charge that usually would be reviewed by an HIM coder? - Correct Answer- Claim is failing due to potentially incomplete code, including missing modifiers.

Certified Paraoptometric Coder 213 Questions with Complete Solutions 100% Verified What modifier is commonly used if a provider performs an unrelated office visit during a post operative period? - Correct Answers 24 PQRS measure G8477 refers to what? - Correct Answers 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? - Correct Answers Zonules Pro...

Which level of the facility structure corresponds with Cadence System Definitions? - Answer-Facility Which of the following are true about Centers? Choose ALL that apply. - Answer-a. You build Centers in Category List DEP 100. b. Centers are groups of departments for which you can build in patient travel times Dr. Acula is a hematologist who sees outpatients and works for your organization. - Answer-True: Dr. Acula needs both a provider and user record You are manually creating a new pr...

ATI PN PHARMACOLOGY PROCTORED EXAM A nurse is administering subcutaneous heparin to a client who is at risk for deep vein thrombosis. Which of the following actions should the nurse take? 1. Administer the medication into the client's abdomen. 2. Inject the medication into a muscle. 3. Massage the site after administering the medication. 4. Use a 22-gauge needle to administer the medication. A nurse is providing teaching to a client who has a urinary tract infection and new ...

CPT codes tell the insurance carrier what brought the patient to the physician's office. false Text, symbols, and the history of CPT are found in the introduction of the book. true The CPt code book is updated annually every July 1 false The Surgery section of codes begins with code 1001 and goes through code 69999 false ▲ Is the symbol for a revised code true The CPT coding system was first published in 1966 by ____________. The American Medical Association A complete and detailed des...

Goal of the Case Hx is to establish? Answer - The how and why How/Why details which aspect of the HX?e Answer - Mech Of Injury-forces and energy dissipated to create trauma Trauma Answer - Singular or multiply "the framework" Other conditions must be detailed d/t Answer - Directly/indirectly relate to the complaint or the well being of the pt. Understanding the whole patient, is best accomplished through the creation of Answer - Doing a clinical impression aka prioritized prob...

NCCT Insurance & Coding Practice Test Questions with Correct Answers Latest (100% Solved) A patient had surgery two weeks ago to repair a dislocated ankle, and returns today to have a flexor tendon in the hand repaired. Which of the following modifiers should be reported for today's service? - Answer- -79 A patient has called to schedule an appointment for an office visit to see the doctor tomorrow for an earache. It is discovered during the scheduling process that the insurance policy on...

ANESTHESIA CODING MODULE 13 EXAM 2024 QUESTIONS WITH 100% CORRECT ANSWERS Anesthesia for modified radical mastectomy performed on a 49-year-old female and excision of a 4 cm lesion requested removed by the patient. What procedures and time should be reported in this instance? Only the most complex procedure is reported and time for all procedures combined Each appropriate anesthesia code with appropriate modifiers Each appropriate anesthesia code with appropriate time for each Only th...

medical billing & coding review latest update graded A+ Three factors of E/M Codes 1. Place of service 2. Type of service 3. Patient status Place of service Explains the sttings in which the services were provided to the patient. Codes vary depending on the place of the service. Service can be a doctors office, hospital, emergency department, nursing home and so on. Type of service Explains the sttings in which the services were provided to the patient. Codes vary depending on...