CPCO Final Exam prep | 40 Questions with 100% Correct Answers | Latest Update 2024 | Rated A+

CPCO Final Exam prep | 40 Questions with 100% Correct Answers | Latest Update 2024 | Rated A+ Modifier 25 is used to allow additional payment for E/M services performed by a provider on the same day as a procedure, as long as ____________. - The E/M services are significant, separately identifiable, and above and beyond the usual preoperative and postoperative care associated with the procedure. To ensure that Medicare does not incorrectly reimburse the physician for the overhead portion of the payment if the service was performed in a facility setting it is important to have what on the claim? - The correct place of service LCDs and NCDs provide information for coverage limited to certain what? - Diagnosis codes Medicare requires physicians and mid-level providers to certify the need for physical, occupational, and speech therapy. The first certification is needed within how many days of starting therapy? - 30 After an audit reveals areas for improvement, what is the next step a Compliance Officer should take? - Implement corrective action plans Which of the following is a documentation guideline that will help you avoid overpayment demands and potential False Claim Act violations in the event of an audit by a third-party payer? - The CPT® and diagnosis codes reported on the health insurance claim form or billing statement should be supported by the documentation in the medical record. PAR means what? - Physicians agree to take assignment on all Medicare claims Advanced Beneficiary Notices should be presented: - When a service is not a covered benefit/service of Medicare