certified paraoptometric coder questions and answers latest 2023 – 2024 with complete solution
what modifier is commonly used if a provider performs an unrelated offic
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Certified Paraoptometric Coder
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Certified Paraoptometric Coder Questions And Answers
(Latest 2023 – 2024) With Complete Solution
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
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