Certified Paraoptometric Coder
24 - CORRECT ANSWER-What modifier is commonly used if a provider
performs an unrelated office visit during a post operative period?
Patient encounter documented using a certified EHR system - CORRECT
ANSWER-PQRS measure G8477 refers to what?
Zonules - CORRECT ANSWER-What are radially arranged natural fibers in the
eye that suspend the crystalline lens from the ciliary body and hold it in position?
face down/ palm down - CORRECT ANSWER-Prone
Nine - CORRECT ANSWER-For an E&M service, what is the minimum number
of elements required by the Documentation Guidelines for a Detailed Physical
Exam?
No - CORRECT ANSWER-Does Medicare have standard guidelines physicians
must follow for the "written interpretation of medical findings?"
No - CORRECT ANSWER-Is it a federal requirement to do self audits of patient
charts and coding in private practices?
within - CORRECT ANSWER--endo
vertical body plain, divides the body into front & back sections - CORRECT
ANSWER-coronal
like - CORRECT ANSWER--oid
face up/palm up - CORRECT ANSWER-supine
A company that a provider contracts with to transmit claims legally and safely
between the provider and the insurance companies - CORRECT ANSWER-What
is an e-claim clearing house?
,Intacs - CORRECT ANSWER-What are surgically implanted plastic half rings
that change the shape of the cornea?
A written policy between the individual (policy holder) and health plan (payer) -
CORRECT ANSWER-What is medical insurance?
Qualified Medicaid Beneficiary- limited benefits - CORRECT ANSWER-What is
"QMB" Medicaid?
For indicating which lid is involved. E1= Upper left eyelid, E2= Lower left eyelid,
E3= Upper right eyelid, E4= Lower right eyelid - CORRECT ANSWER-What are
the four "E" modifiers used for?
4 - CORRECT ANSWER-How many "E" modifiers are there?
19 - CORRECT ANSWER-On the CMS 1500, what box is designated to provide
additional information to the payer?
behind, back - CORRECT ANSWER--retro
Reason for the encounter and assessment, medical plan and date, and legible
identity of the observer - CORRECT ANSWER-The documentation of each
patient encounter should include which items(s):
across, through - CORRECT ANSWER-trans-
No - CORRECT ANSWER-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 - CORRECT ANSWER-What
are the Key Components of E and M Coding?
51 - CORRECT ANSWER-What modifier is used if two non bundled surgical
procedures are performed on the same eye at the same visit?
24 - CORRECT 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 - CORRECT ANSWER-What does
RBRVS stand for?
Counseling, Coordination of Care, Presenting Problem, and Time - CORRECT
ANSWER-List the Contributory Factors of E and M Coding
The date the eyewear is dispensed - CORRECT ANSWER-When billing for post
cataract eyewear through Medicare, what is the date of service?
at or near front surface of the body - CORRECT ANSWER-anterior or ventral
Surgeon - CORRECT ANSWER-Whose name goes in Box 17 in the HCFA 1500
when billing for co-managed cataract post op care?
Government sponsored insurance plans - CORRECT ANSWER-What are
Medicaid, Medicare, TRICARE and CHAMPVA types of?
In 2011 - CORRECT ANSWER-When did PQRI name change to PQRS?
below - CORRECT ANSWER-inferior
breathing - CORRECT ANSWER--pnea
away from - CORRECT ANSWER--ab
hemorrhage - CORRECT ANSWER--orrhagia
Yes, in many states and often is age dependent - CORRECT ANSWER-Does
MQMG Medicaid pay for refraction and eyeglasses?
growth - CORRECT ANSWER--plasia
25 modifier on the visit code to indicate it was separate from the procedure and
RT or LT on the procedure - CORRECT ANSWER-When billing a 99212 and
65435, which code requires a modifier?
24 - CORRECT ANSWER-What modifier is commonly used if a provider
performs an unrelated office visit during a post operative period?
Patient encounter documented using a certified EHR system - CORRECT
ANSWER-PQRS measure G8477 refers to what?
Zonules - CORRECT ANSWER-What are radially arranged natural fibers in the
eye that suspend the crystalline lens from the ciliary body and hold it in position?
face down/ palm down - CORRECT ANSWER-Prone
Nine - CORRECT ANSWER-For an E&M service, what is the minimum number
of elements required by the Documentation Guidelines for a Detailed Physical
Exam?
No - CORRECT ANSWER-Does Medicare have standard guidelines physicians
must follow for the "written interpretation of medical findings?"
No - CORRECT ANSWER-Is it a federal requirement to do self audits of patient
charts and coding in private practices?
within - CORRECT ANSWER--endo
vertical body plain, divides the body into front & back sections - CORRECT
ANSWER-coronal
like - CORRECT ANSWER--oid
face up/palm up - CORRECT ANSWER-supine
A company that a provider contracts with to transmit claims legally and safely
between the provider and the insurance companies - CORRECT ANSWER-What
is an e-claim clearing house?
,Intacs - CORRECT ANSWER-What are surgically implanted plastic half rings
that change the shape of the cornea?
A written policy between the individual (policy holder) and health plan (payer) -
CORRECT ANSWER-What is medical insurance?
Qualified Medicaid Beneficiary- limited benefits - CORRECT ANSWER-What is
"QMB" Medicaid?
For indicating which lid is involved. E1= Upper left eyelid, E2= Lower left eyelid,
E3= Upper right eyelid, E4= Lower right eyelid - CORRECT ANSWER-What are
the four "E" modifiers used for?
4 - CORRECT ANSWER-How many "E" modifiers are there?
19 - CORRECT ANSWER-On the CMS 1500, what box is designated to provide
additional information to the payer?
behind, back - CORRECT ANSWER--retro
Reason for the encounter and assessment, medical plan and date, and legible
identity of the observer - CORRECT ANSWER-The documentation of each
patient encounter should include which items(s):
across, through - CORRECT ANSWER-trans-
No - CORRECT ANSWER-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 - CORRECT ANSWER-What
are the Key Components of E and M Coding?
51 - CORRECT ANSWER-What modifier is used if two non bundled surgical
procedures are performed on the same eye at the same visit?
24 - CORRECT 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 - CORRECT ANSWER-What does
RBRVS stand for?
Counseling, Coordination of Care, Presenting Problem, and Time - CORRECT
ANSWER-List the Contributory Factors of E and M Coding
The date the eyewear is dispensed - CORRECT ANSWER-When billing for post
cataract eyewear through Medicare, what is the date of service?
at or near front surface of the body - CORRECT ANSWER-anterior or ventral
Surgeon - CORRECT ANSWER-Whose name goes in Box 17 in the HCFA 1500
when billing for co-managed cataract post op care?
Government sponsored insurance plans - CORRECT ANSWER-What are
Medicaid, Medicare, TRICARE and CHAMPVA types of?
In 2011 - CORRECT ANSWER-When did PQRI name change to PQRS?
below - CORRECT ANSWER-inferior
breathing - CORRECT ANSWER--pnea
away from - CORRECT ANSWER--ab
hemorrhage - CORRECT ANSWER--orrhagia
Yes, in many states and often is age dependent - CORRECT ANSWER-Does
MQMG Medicaid pay for refraction and eyeglasses?
growth - CORRECT ANSWER--plasia
25 modifier on the visit code to indicate it was separate from the procedure and
RT or LT on the procedure - CORRECT ANSWER-When billing a 99212 and
65435, which code requires a modifier?
