AAPC CPC Practice Exam E With Complete Solution

AAPC CPC Practice Exam E Which service is covered by Medicare Part B? A. Inpatient chemotherapy B. Minor surgery performed in a physician's office C. Routine dental care D. Assisted living facility - B. Minor surgery performed in a physician's office Services performed by physicians are covered by Medicare Part B. Inpatient services are covered by Part A. Medicare does not cover routine dental care. Which one of the following statements regarding advanced beneficiary notices (ABN) is TRUE? A. ABN must specify only the CPT® code that Medicare is expected to deny. B. Generic ABN which states that a Medicare denial of payment is possible, or the internist is unaware whether Medicare will deny payment or not is acceptable. C. An ABN must be completed before delivery of items or services are provided. D. An ABN must be obtained from a patient even in a medical emergency when the services to be provided are not covered. - C. An ABN must be completed before delivery of items or services are provided. An ABN must include the service that may be denied, an estimated cost of the patient's responsibility if Medicare denies the service and the response for the potential denial. Generic ABNs are not allowed. Signing of the ABN cannot be obtained during a medical emergency. The patient must be stable. The ABN must be signed prior to providing the service. In order to use the critical care codes, which statement is TRUE? A. Critical care services can be provided in an internist's office B. Critical care services provided for more than 15 minutes but less than 30 minutes should be billed with 99291 and modifier 52. C. Time spent reviewing laboratory test results or discussing the critically ill patient's care with other medical staff in the unit or at the nursing station on the floor cannot be included in the determination of critical care time. D. Critical care services are never reported with endotracheal intubation (31500)E. Physician can provide services to another patient during the same time providing critical care services to a critically ill patient - A. Critical care services can be provided in an internist's office Critical care services can be provided at any site. If the patient is critically ill, the services provided can be coded with critical care regardless of where the services take place. A minimum of 30 minutes of critical care must be performed in order to report 99291. If less than 30 minutes, select the appropriate E/M code based on the three key components. Time spent reviewing results and discussing the critically ill patient with medical staff is included in the critical care time. Endotracheal intubation, code 31500, can be reported with critical care services. The subsection guidelines for critical care services in the CPT® codebook does give what services cannot be billed with critical care. A physician providing critical care services must devote full attention to the critically ill patient and cannot provide services to any other patient during the same period of time.