Certified Paraoptometric Coder Exam Questions and Answers Latest Guide 2024/2025 (Already Scored 100%)

Certified Paraoptometric Coder Exam Questions and Answers Latest Guide 2024 (Already Scored 100%) 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 - Answer What are the Key Components of E and M Coding? 51 - Answer What modifier is used if two non bundled surgical procedures are performed on the same eye at the same visit? 24 - Answer 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 - Answer What does RBRVS stand for? Counseling, Coordination of Care, Presenting Problem, and Time - Answer List the Contributory Factors of E and M Coding The date the eyewear is dispensed - Answer When billing for post cataract eyewear through Medicare, what is the date of service? at or near front surface of the body - Answer anterior or ventral Surgeon - Answer Whose name goes in Box 17 in the HCFA 1500 when billing for co-managed cataract post op care? Government sponsored insurance plans - Answer What are Medicaid, Medicare, TRICARE and CHAMPVA types of? In 2011 - Answer When did PQRI name change to PQRS? below - Answer inferior breathing - Answer -pnea away from - Answer -ab hemorrhage - Answer -orrhagia Yes, in many states and often is age dependent - Answer Does MQMG Medicaid pay for refraction and eyeglasses? growth - Answer -plasia 25 modifier on the visit code to indicate it was separate from the procedure and RT or LT on the procedure - Answer When billing a 99212 and 65435, which code requires a modifier? flow or discharge - Answer -orrhea The comprehensive ophthalmological service has different required elements than the intermedicate - Answer What separates a 92012 from a 92014? Paralysis - Answer -plegia Coding - Answer What is the process of reviewing the medical record and assigning the appropriate numerical code(s) to accurately describe the patient encounter? A non-participating provider - Answer What do you call a doctor, within your practice, that has not signed a contract with an insurance company? outside - Answer ecto, exo same - Answer ipsiside - Answer lateral middle - Answer mesoabnormal condition of - Answer -osis toward - Answer adfarthest from center - Answer distal PQRI (now PQRS) established a financial incentive for eligible health care professionals to participate in a voluntary quality reporting program - Answer What is PQRS (Formally PQRI)? weakness - Answer -paresis surrounding - Answer periVolume 3 of the ICD-10 - Answer A classification system for surgical, diagnostic, and therapeutic procedures (alphabetic index and tabular list) is found in what publication? Some payers permit billing these together with the 59 modifer on the 92134 - Answer Can 92250 and 92134 be billed on the same day? Yes - Answer Can you bill for a medical condition that another doctor is currently managing, i.e. glaucoma? Haptics - Answer What are the arms of an intraocular lens, which holds it in place once inserted inside the eye? Location, Severity, Quality, Timing, Duration, Context, Modifying Factors, Associated Signs and Symptoms - Answer What are the eight elements of the History of Present Illness (HPI)? H04.123 - Answer What is the primary code used for Dry Eye? Past, Family, Social History - Answer What does the acronym PFSH mean? 90 days - Answer How many days is the global period for cataract extraction surgery? after, beyond, transformation - Answer metaIt is a complete listing of the reason codes on your Medicare remittance advice - Answer What is the ANSI guide book for? Volume 1 of the ICD-10 - Answer A list of the disease code numbers in tabular form is found in what publication? middle - Answer medial Yes - Answer Does Medicare consider and approve of UV protections? upon - Answer epi tumor - Answer -oma below, under - Answer infraNew patient is one who hasn't received any professional services from the physician or another physician of the same specialty in the same group practice within the last 3 years. - Answer When is an encounter considered a new patient visit? American Medical Association - Answer What does AMA stand for? at or near back surface of the body - Answer Posterior or dorsal 11 - Answer What is the "place of service" (POS) code for the office? 2023 Certified Paraoptometric Coder Exam Answered Correctly Yes - Answer If your doctor chooses not to participate in n insurance plan, can you have the patient pay in full and file on their behalf? 2 - Answer How many PQRS measures are related to macular degeneration? Yes - Answer Can you charge the patient (post cataract surgery) for the overage on a progressive lens? To report the disease state, signs, and/or symptoms that are germane to the service(s) provided - Answer What are ICD-10 Codes used for? disease of - Answer -apathy For reporting a reduced service - Answer What would you use a 52 modifier for? Yes - Answer If you are regularly performing careful documentation and billing and coding, should you still be prepared for an audit? To accommodate more specific coding for procedures - Answer Why have the ICD10 systems changed? Z96.1 Presence of Intraocular lens - Psuedophakia (if patient has an intraocular lens) - Answer When filing for post operative cataract eye glasses, what diagnosis should be used? Determination of refractive state - Answer What service is coded using CPT code92015? Endocrine - Answer What system does diabetes falls under? Performing Provider - Answer When the patient is seen by a doctor within a group practice, what is the doctor who cared for the patient called? above - Answer superior yes, but it should be document on the record - Answer Can a doctor decide not to charge the patient portion due to severe financial burden on the patient? American Public Health Association - Answer What does APHA stand for?