ADVANCED CODING CHAPTER 4
EXAM QUESTIONS AND ANSWERS
add-on code - Correct Answers -indicates procedures usually carried out in addition to
another procedure, which provides the primary code
CPT - Correct Answers -A code set copyrighted and maintained by the AMA
Global Package - Correct Answers -The period 0-10 or 0-90 days as determined by the
health plan and services provided for a surgery inclusive of preop visits, introop
visits,etc.
Global Surgery Status Indicator - Correct Answers -An assigned payment indicator,
which determines classification for a minor or major surgery, based on RVU calculations
Healthcare Common Procedure Coding System (HCPCS) - Correct Answers -HCPCS
Level II is the national procedure code set for healthcare practitioners, providers, and
medical equipment suppliers when filing insurance claims for medical devices,
medications, transportation services and other items and services
locum tenens - Correct Answers -a substitute physician hired to see patients while the
regular physician is away from the office. Modifier Q6 is appended to the services.
major surgery - Correct Answers -Surgeries classified as major have a global surgical
period that includes the day before the surgery, the day of surgery, and any related
follow-up visits with the provider 90 days after the procedure.
minor surgery - Correct Answers -Surgeries classified as minor have a global surgical
period that includes the preoperative service the day of surgery, surgery, and any
related follow-up visits with the provider 0 - 10 days after the surgery.
Resource-Based Relative Value Scale (RBRVS) - Correct Answers -The physician
payment schedule established by Medicare.
Relative Value Unit (RVU) - Correct Answers -Measures of value used in determining
Medicare reimbursement formulas, including the difficulty level of the work involved,
office overhead expenses, and malpractice risk for the given service or procedure.
National Correct Coding Initiative (NCCI) - Correct Answers -developed by CMS to
promote national correct coding methodologies and to eliminate improper coding
practices
EXAM QUESTIONS AND ANSWERS
add-on code - Correct Answers -indicates procedures usually carried out in addition to
another procedure, which provides the primary code
CPT - Correct Answers -A code set copyrighted and maintained by the AMA
Global Package - Correct Answers -The period 0-10 or 0-90 days as determined by the
health plan and services provided for a surgery inclusive of preop visits, introop
visits,etc.
Global Surgery Status Indicator - Correct Answers -An assigned payment indicator,
which determines classification for a minor or major surgery, based on RVU calculations
Healthcare Common Procedure Coding System (HCPCS) - Correct Answers -HCPCS
Level II is the national procedure code set for healthcare practitioners, providers, and
medical equipment suppliers when filing insurance claims for medical devices,
medications, transportation services and other items and services
locum tenens - Correct Answers -a substitute physician hired to see patients while the
regular physician is away from the office. Modifier Q6 is appended to the services.
major surgery - Correct Answers -Surgeries classified as major have a global surgical
period that includes the day before the surgery, the day of surgery, and any related
follow-up visits with the provider 90 days after the procedure.
minor surgery - Correct Answers -Surgeries classified as minor have a global surgical
period that includes the preoperative service the day of surgery, surgery, and any
related follow-up visits with the provider 0 - 10 days after the surgery.
Resource-Based Relative Value Scale (RBRVS) - Correct Answers -The physician
payment schedule established by Medicare.
Relative Value Unit (RVU) - Correct Answers -Measures of value used in determining
Medicare reimbursement formulas, including the difficulty level of the work involved,
office overhead expenses, and malpractice risk for the given service or procedure.
National Correct Coding Initiative (NCCI) - Correct Answers -developed by CMS to
promote national correct coding methodologies and to eliminate improper coding
practices
