Modifier 25 significant Study guides, Class notes & Summaries

CPT Questions with 100% Correct Answers| Verified | Latest Update 2024 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 ot...

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 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...

CPCO Final Exam prep | 40 Questions with 100% Correct Answers | Latest Update 2024 | Rated A+ Modifier 25 is used to allow additional payment for E/M services performed by a provider on the same day as a procedure, as long as ____________. - The E/M services are significant, separately identifiable, and above and beyond the usual preoperative and postoperative care associated with the procedure. To ensure that Medicare does not incorrectly reimburse the physician for the overhead portion ...

AAPC CPB - Chapter 13 QuizWhich of the following denials is one of the leading reasons a claim is denied and can be prevented by accurate intake information being collected every time? a. Medical necessity b. Coordination of Benefits c. Request for medical records not received d. Incorrect patient information - correct answer d. Incorrect patient information Which modifier is used to indicate that an E&M service is unrelated to the global service? a. 24 b. 25 c. 59 d. 79 - correct...

ModifiersMay 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 code Modifier -51 - correct a...

CPB Practice Exam A: Questions and answers, rated A+ 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 responsibilit...

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 dilation...

CPT coding Category I codes Procedures or services identified by a five-digit CPT code and organized within the six sections. Main body of the CPT code book. Arranged in numeric order, with one exception the evaluation and Management section. parenthetical notes in the CPT code book indicate that a _______ code should not be reported with another code or codes. The triangle in CPT code book is used for? A revised code The + sign beside a CPT code indicates: Identifies add-on codes, for p...

15-year-old male is seen by the pediatrician in his office for having excessive thirst and frequent urination. A urine dip is performed showing +3 sugar and with some ketones. Glucometer reading is done showing a blood sugar range of 500-600. Physician sends the patient with his father to the hospital for emergency admission and insulin drip. The pediatrician meets the patient at the hospital and performs a medically appropriate history andexam continuing treatment for the patient. How shoul...