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Procedural , Evaluation and Management and HCPCS Coding Test-Graded A

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Procedural , Evaluation and Management and HCPCS Coding Test-Graded A

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Procedural , Evaluation and
Management and HCPCS Coding Test-
Graded A

The manual containing codes used in reporting medical services and procedures
performed by healthcare providers in the care and treatment of patients is the :
A) HCPCS level II
B) ICD-9-CM
C) CPT-4
D) All the above - ANSWER-C) CPT-4

CPT code were developed by the :
A) World Health Organization (WHO)
B) AMA
C) HCFA
D) Department of Health and human services - ANSWER-B) AMA

The CPT manual is published by the :
A) AMA
B) HCFA
C) WHO
D) HHS - ANSWER-A) AMA

A new CPT manual is published:
A) Annually
B) semiannually
C) Biannually
D) Every 5 years - ANSWER-A) Annually

The first CPT was developed and published in
A) 1955
B) 1966
C) 1970
D) 1977 - ANSWER-B) 1966

The 5 digit coding system replaced the 4 digit coding system in the CPT edition
published in:
A) 1955
B) 1966
C) 1970

, D) 1977 - ANSWER-C) 1970

The main body part of the CPT annual is organized in:
A) 4 sections
B) 6 sections
C) 10 sections
D) 12 sections - ANSWER-B) 6 sections

The 5- digit CPT codes may be defined further by two additional digits to help explain an
unusual circumstances associated with a service or procedure. These two digits are
called:
A) modifiers
B) amendments
C) appendices
D) CPT codes cannot have more than 5 digits - ANSWER-A) modifiers


The health insurance professional must determine three factors that would direct him or
her to a proper category in the E & M coding section, which includes all of the following
except:
A) place of service
B) type of service
C) time spent with patient
D) patient status - ANSWER-D) patient status

Contributing factors that affect E & M coding level report include all of the following
except:
A) counseling
B) coordination of care
C) nature of presenting problem
D) whether or not modifier is used - ANSWER-D) whether or not modifier is used

_________ is AMA ongoing efforts to improve the structure and process of the CPT
codes to reflect today's coding deed as well as the HIPAA challenges.
A) The CPT -5 project
B) HCPCS Level II
C) The crosswalk design
D) The patient affordable care act - ANSWER-A) The CPT -5 project

Today, most managed care, and other insurance company, based their reimbursement
on the values of established by the CMS.
True
False - ANSWER-True

If the correct CPT code is not known, a narrative description of procedure/services
related can be used for a third-party claim.

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