Who performs cpt codes - Study guides, Class notes & Summaries

COC 2020 - FINAL EXAM STUDY QUESTIONS (SET 7) Medicare payment for inPt eligible new tech is based on the cost to the hospital for the new tech. Medicare pays: - 50% for the costs of the new tech in excess of the full MS-DRG payment Medicare reimbursable drugs are found in this code book. - HCPCS Level II Rationale: Medicare reimbursable drugs are found in the HCPCS Level II code book. Medicare reimbursable drugs must be billed in the appropriate dosage amount defined by the long de...

COC 2020 Final Exam Study Questions - Set 7 (Complete Solutions, Answered) Medicare payment for inPt eligible new tech is based on the cost to the hospital for the new tech. Medicare pays: 50% for the costs of the new tech in excess of the full MS-DRG payment Medicare reimbursable drugs are found in this code book. HCPCS Level II Rationale: Medicare reimbursable drugs are found in the HCPCS Level II code book. Medicare reimbursable drugs must be billed in the appropriate dosage amount defined ...

AAPC-CPC FINAL EXAM UPDATE. COMPLETE QUESTIONS AND ANSWERS. 65 year-old was admitted in the hospital two days ago and is being examined today by his primary care physician, who has been seeing him since he has been admitted. Primary care physician is checking for any improvements or if the condition is worsening. CHIEF COMPLAINT: CHF INTERVAL HISTORY: CHF symptoms worsened since yesterday. Now has some resting dyspnea. HTN remains poorly controlled with systolic pressure running in the ...

The top portion of the claim form where the insurance company address is entered - Upper margin Where the insurance type is marked with an X - Block 1 Qualifier for DOA/Date of present illness block 14 - 431 Qualifier for LMP block 14 - 484 Referring Provider block 17 - DK Ordering provider block 17 - DQ Supervising provider block 17 - DK They are arranged in 8 digit formats MM/DD/YYYY only even though the field on the form says YY - How dates are arranged for DOB They can be 6 or 8 di...

When is the principle diagnosis applicable? - Inpatient Hospital coding The term "encounter records" means: - claim What is the name of the act designed to address the collection practices of third- party debt collectors and attorneys who regularly collect debts for others? - Fair debt collection practices act (FDCPA) Medigap insurance may cover - the deductible not covered under Medicare Which of the following coding manuals is used primarily to identify products, supplies, and servic...

Assign code(s) for the following diagnosis: Congestive heart failure due to hypertension. I10 Essential (primary) hypertension I11.9 Hypertensive heart disease without heart failure I11.0 Hypertensive heart disease with heart failure I50.9 Heart failure, unspecified I50.1 Left ventricular failure I50.20 Unspecified systolic (congestive) heart failure I50.21 Acute systolic (congestive) heart failure I50.22 Chronic systolic (congestive) heart failure I50.23 Acute on chronic systolic (cong...

What is the ICD-10-CM code for UTI? a. A54.00 b. N71.9 c. T80.29XA d. N39.0 - ANSWER-d. N39.0 What ICD-10-CM code(s) is/are reported for enlargement of the prostate with a symptom of urinary retention? a. N40.1, R33.8 b. N40.1 c. N40.0 d. N40.3, R33.8 - ANSWER-a. N40.1, R33.8 Patient with coronary arteriosclerosis disease (CAD) sees his cardiologist to discuss a coronary artery bypass graft (CABG). This will be the patient's first CABG. What ICD-10-CM code is reported? a. I25....

What actions should be taken when a claim is billed for a level four office visit and paid at a level three? -Answer- Submit an appeal with documentation The standard medical abbreviation "ECG" refers to a test used to assess which of the body systems? -Answer- cardiovascular system- test checks electricity of heart According to HIPAA standards, what identifies the rendering provider on the CMS-1500 claim form in Block 24J? -Answer- NPI On the CMS-1500 claim form, blocks 14 throug...

CBCS Practice Test Questions And Answers Which of the following sections of the medical record is used to determine the correct evaluation and management code used for billing and coding? - ANS history and physical A billing and coding specialist is reviewing a CMS-1500 claim form. The "assignment of benefits" box has been checked "yes." The checked box indicates which of the following? - ANS The provider receives payment directly from the payer Which of the following do physic...

Local Coverage Determinations are administered by whom? a. State Law b. NCDs c. Each regional MAC d. LMRPs - ANSWER c. Each regional MAC ABN stands for _____. a. Advanced Benefits Notification b. Advisory Beneficial Notice c. Admitting Beneficiary Notice d. Advance Beneficiary Notice - ANSWER d. Advance Beneficiary Notice What type of health insurance provides coverage for low-income families? a. Commercial HMO b. Medicaid c. Medicare d. Commercial PPO - ANSWER b. Med...