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Certified Paraoptometric Coder Exam
Questions and Answers 100% Pass
24 - ANS What modifier is commonly used if a provider performs an unrelated office visit
during a post operative period?
Patient encounter documented using a certified EHR system - ANS PQRS measure G8477
refers to what?
Zonules - ANS What are radially arranged natural fibers in the eye that suspend the
crystalline lens from the ciliary body and hold it in position?
face down/ palm down - ANS Prone
Nine - ANS For an E&M service, what is the minimum number of elements required by the
Documentation Guidelines for a Detailed Physical Exam?
No - ANS Does Medicare have standard guidelines physicians must follow for the "written
interpretation of medical findings?"
No - ANS Is it a federal requirement to do self audits of patient charts and coding in private
practices?
within - ANS -endo
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, ©FYNDLAY 2025 ALL RIGHTS RESERVED
vertical body plain, divides the body into front & back sections - ANS coronal
like - ANS -oid
face up/palm up - ANS supine
A company that a provider contracts with to transmit claims legally and safely between the
provider and the insurance companies - ANS What is an e-claim clearing house?
Intacs - ANS What are surgically implanted plastic half rings that change the shape of the
cornea?
A written policy between the individual (policy holder) and health plan (payer) - ANS What is
medical insurance?
Qualified Medicaid Beneficiary- limited benefits - ANS What is "QMB" Medicaid?
For indicating which lid is involved. E1= Upper left eyelid, E2= Lower left eyelid, E3= Upper right
eyelid, E4= Lower right eyelid - ANS What are the four "E" modifiers used for?
4 - ANS How many "E" modifiers are there?
19 - ANS On the CMS 1500, what box is designated to provide additional information to the
payer?
behind, back - ANS -retro
Reason for the encounter and assessment, medical plan and date, and legible identity of the
observer - ANS The documentation of each patient encounter should include which items(s):
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, ©FYNDLAY 2025 ALL RIGHTS RESERVED
across, through - ANS trans-
No - ANS 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?
Medical Decision Making, Examination, and History - ANS What are the Key Components of E
and M Coding?
51 - ANS What modifier is used if two non bundled surgical procedures are performed on the
same eye at the same visit?
24 - ANS What modifier should you use on the office visit if a patient comes in with allergic
conjunctivitis during their global post-op period?
Resource-Based Relative Value Scale - ANS What does RBRVS stand for?
Counseling, Coordination of Care, Presenting Problem, and Time - ANS List the Contributory
Factors of E and M Coding
The date the eyewear is dispensed - ANS When billing for post cataract eyewear through
Medicare, what is the date of service?
at or near front surface of the body - ANS anterior or ventral
Surgeon - ANS Whose name goes in Box 17 in the HCFA 1500 when billing for co-managed
cataract post op care?
Government sponsored insurance plans - ANS What are Medicaid, Medicare, TRICARE and
CHAMPVA types of?
©FYNDLAY 3
Certified Paraoptometric Coder Exam
Questions and Answers 100% Pass
24 - ANS What modifier is commonly used if a provider performs an unrelated office visit
during a post operative period?
Patient encounter documented using a certified EHR system - ANS PQRS measure G8477
refers to what?
Zonules - ANS What are radially arranged natural fibers in the eye that suspend the
crystalline lens from the ciliary body and hold it in position?
face down/ palm down - ANS Prone
Nine - ANS For an E&M service, what is the minimum number of elements required by the
Documentation Guidelines for a Detailed Physical Exam?
No - ANS Does Medicare have standard guidelines physicians must follow for the "written
interpretation of medical findings?"
No - ANS Is it a federal requirement to do self audits of patient charts and coding in private
practices?
within - ANS -endo
©FYNDLAY 1
, ©FYNDLAY 2025 ALL RIGHTS RESERVED
vertical body plain, divides the body into front & back sections - ANS coronal
like - ANS -oid
face up/palm up - ANS supine
A company that a provider contracts with to transmit claims legally and safely between the
provider and the insurance companies - ANS What is an e-claim clearing house?
Intacs - ANS What are surgically implanted plastic half rings that change the shape of the
cornea?
A written policy between the individual (policy holder) and health plan (payer) - ANS What is
medical insurance?
Qualified Medicaid Beneficiary- limited benefits - ANS What is "QMB" Medicaid?
For indicating which lid is involved. E1= Upper left eyelid, E2= Lower left eyelid, E3= Upper right
eyelid, E4= Lower right eyelid - ANS What are the four "E" modifiers used for?
4 - ANS How many "E" modifiers are there?
19 - ANS On the CMS 1500, what box is designated to provide additional information to the
payer?
behind, back - ANS -retro
Reason for the encounter and assessment, medical plan and date, and legible identity of the
observer - ANS The documentation of each patient encounter should include which items(s):
©FYNDLAY 2
, ©FYNDLAY 2025 ALL RIGHTS RESERVED
across, through - ANS trans-
No - ANS 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?
Medical Decision Making, Examination, and History - ANS What are the Key Components of E
and M Coding?
51 - ANS What modifier is used if two non bundled surgical procedures are performed on the
same eye at the same visit?
24 - ANS What modifier should you use on the office visit if a patient comes in with allergic
conjunctivitis during their global post-op period?
Resource-Based Relative Value Scale - ANS What does RBRVS stand for?
Counseling, Coordination of Care, Presenting Problem, and Time - ANS List the Contributory
Factors of E and M Coding
The date the eyewear is dispensed - ANS When billing for post cataract eyewear through
Medicare, what is the date of service?
at or near front surface of the body - ANS anterior or ventral
Surgeon - ANS Whose name goes in Box 17 in the HCFA 1500 when billing for co-managed
cataract post op care?
Government sponsored insurance plans - ANS What are Medicaid, Medicare, TRICARE and
CHAMPVA types of?
©FYNDLAY 3
