CPMA Exam (All of chapter 4) Questions and Answers

CPMA Exam (All of chapter 4) Questions and Answers Which procedure is exempt from Modifier 5? - Correct ️️ 93456 Which of the following code combination are NOT subject to a multiple procedure payment reduction? - Correct ️️ 32666, 32764 In febuary 2018, an auditor is asked to review 10 records for date of service 12/1/2017 to make sure the claims were paid correctly. The claims included code 55450, which was denied on all the claims. The denial was for an invalid code. What should the auditor advise the provider? - Correct ️️ If documentation supports the service, have the staff to write off the balance Which code combination is appropriate to report? - Correct ️️ 10022, 76942 How are revisions to coding guidelines identified in the CPT* codebook? - Correct ️️ Green text with opposing arrows Which of the following scenarios qualifies for a consultation code? - Correct ️️ A patient followed by her primary care physician for diabetes is referred to an endocrinologist in the same group practice to review the patient's current regimen and offer suggestions for ongoing treatment. Her diabetes has been difficult to keep under control. Determine the level of history for the following documentation. 44 year-old female reports that she stepped on a broken piece of glass last evening. She reports pain in the bottom of her left foot has persisted since this incident. Patient reports that she noted mild bleeding from this area. She reports her tetanus is up to date. She denies paralysis or paresthesia. - Correct ️️ Detailed Which system is given credit for the exam component when a provider documents "no appreciable edema in the ankles?" - Correct ️️ Cardiovascular What is the level of MDM for the documentation provided below? Diabetic neuropathy, improved but still uncontrolled. Still having insomnia is contributing to her sugars being high in the mornings. Lyrica should help her with the sleeping; we will monitor how her BS responds to this new medicine. Return to the office in 4-5 weeks. - Correct ️️ Low What is the E/M code for the case below? 56 year-old established male patient presents with the chest cold, denies any fever and chills. Productive cough; yellow, green phlegm. Postnasal drainage, ears feel pressure, headache, at times. Has not taken any OTC as this is just starting, has had approx. 3-4 days, and seems to be getting worse. - Correct ️️ 99214 A patient receives general anesthesia for a total knee replacement. The anesthesia provider starts anesthesia at 8:00 AM. The surgery begins at 8:15 AM and ends 9:45 AM. The anesthesia