Modifier 25 significant - Study guides, Class notes & Summaries

answers The office policy for claims follow-up is to prioritize the insurance balance accounts past 90 days by highest outstanding balance. Based on the A/R report provided, which payer type and aging category would be one of the top priorities on which to focus collection efforts? Answer workers' compensation, 121+ days Using the fee schedule and the payment policy provided, what is the expected reimbursement (including patient responsibility) when a provider performs a nasal endoscopy and...

HCPCS EXAM WITH COMPLETE SOLUTIONS CPT, HCPCS Level II and HCPCS Level III codes are all HIPAA-approved National Codes Sets. a.) True b.) False b: False. HCPCS Level III codes are not included in the HIPAA-approved National Code Sets. They will be eliminated on Dec. 31, 2003. In most cases, which modifier is needed for an emergency room case when reporting both a CPT surgery code and evaluation and management (E/M) code? a.) 52 b.) 59 c.) 25 c: Modifier -25 is appended to the E...

FINAL EXAM QUIZ CH 10 Modifiers CPT TEST. Modifiers may affect - CORRECT ANSWER The way payment is made by a third-party payer Modifiers are used to indicate what type of information - CORRECT ANSWER Bilateral procedure multiple procedures service greater than usually required All of the above Modifier 57 decision for surgery is used on what type of service - CORRECT ANSWER EM service Modifier 79 unrelated procedure or service by the same position during the post operative. Is use...

CPC Practice Exam C Questions with Correct Answers Photodynamic therapy involving application of light externally to destroy premalignant lesions on the lower lip was provided to a 63-year-old patient. Code the encounter. A. 96570 B. 96999 C. 96567 D. 96913 - Answer-C. 96567 The photodynamic therapy is performed externally in this case which eliminates option A. Photochemotherapy is not used, which eliminates option D. The code description for 96567 reports the services provided for this...

The office policy for claims follow-up is to prioritize the insurance balance accounts past 90 days by highest outstanding balance. Based on the A/R report provided, which payer type and aging category would be one of the top priorities on which to focus collection efforts? - workers' compensation, 121+ days Using the fee schedule and the payment policy provided, what is the expected reimbursement (including patient responsibility) when a provider performs a nasal endoscopy and dilation of t...

According to the CPT manual, modifier -91 is not to be used when tests are ____ to confirm initial results. Rerun Modifier -80, Assistant Surgeon, is used when: a second surgeon provides assistance to the primary surgeon The range of codes 10021-69990 would be found in this section of the CPT manual. Surgery Modifier -25, significant, separately identifiable E/M service by the same individual on the same day of the procedure or other service, is used to report an E/M service that ...

HCPCS Exam Questions and Answers | 100% Pass CPT, HCPCS Level II and HCPCS Level III codes are all HIPAA-approved National Codes Sets. a.) True b.) False -Answer-b: False. HCPCS Level III codes are not included in the HIPAA-approved National Code Sets. They will be eliminated on Dec. 31, 2003. In most cases, which modifier is needed for an emergency room case when reporting both a CPT surgery code and evaluation and management (E/M) code? a.) 52 b.) 59 c.) 25 -Answer-c: Modifier -25 i...

According to the CPT manual, modifier -91 is not to be used when tests are ____ to confirm initial results. Rerun Modifier -80, Assistant Surgeon, is used when: a second surgeon provides assistance to the primary surgeon The range of codes would be found in this section of the CPT manual. Surgery Modifier -25, significant, separately identifiable E/M service by the same individual on the same day of the procedure or other service, is used to report an E/M service that was: The rules tha...

HCPCS EXAM WITH COMPLETE SOLUTIONS CPT, HCPCS Level II and HCPCS Level III codes are all HIPAA-approved National Codes Sets. a.) True b.) False b: False. HCPCS Level III codes are not included in the HIPAA-approved National Code Sets. They will be eliminated on Dec. 31, 2003. In most cases, which modifier is needed for an emergency room case when reporting both a CPT surgery code and evaluation and management (E/M) code? a.) 52 b.) 59 c.) 25 c: Modifier -25 is appended to the E...

Modifiers Practice Exam Questions 2024. May affect the way payment is made by 3rd party payers - correct answer Modifiers Modifiers are used to indicate - correct answer Bilateral procedure, Multiple Procedures, Service greater than required Modifier -57 - correct answer Decision for surgery can be used with an E/M code Modifier -79 - correct answer Unrelated procedure or service by the same physician during the past. Op period - correct answer Can only be used with a surgery c...