CDEO Study Guide Questions With Complete Solutions
0 Correct Answers A CCM is not allowed and will not bypass
the edits
1 Correct Answers A CCM is allowed and will bypass the
edits
22 Correct Answers Increased procedural service. Requires
more time or effort than is typically required. Must attach
documentation when claim is sent.
24 Correct Answers Appended to an E&M serviced when
performed during the post-op period for an unrelated reason.
25 Correct Answers Appended to an E&M service to show
that an separately identifiable E&M service was performed on
the same day as a procedure or service.
58 Correct Answers Staged or related procedure or service
during a post-op period.
59 Correct Answers Distinct procedural service
76 Correct Answers Repeat procedure or service by the same
physician on same date of service
77 Correct Answers Repeat procedure or service by a different
physician on same date of service
,78 Correct Answers Unplanned and related return to the
operating room during a post-op period
79 Correct Answers Unplanned and unrelated return to the
operating room during a post-op period
9 Correct Answers The use of modifiers is not specified. This
indicator is used for all code pairs that have a deletion date that
is the same asa the effective date. This indicator was created so
that no blank spaces would be in the indicator field.
AA Correct Answers Anesthesia services personally
performed by an anesthesiologist.
Abuse Correct Answers CMS defines as an action act results
in unnecessary costs to a federal healthcare program, either
directly or indirectly. Examples on page 3 of study guide
AD Correct Answers A physician who is medically
supervising more than four concurrent procedures.
Affordable Care Act of 2010 Correct Answers Makes
compliance programs mandatory for providers and other
healthcare providers who offer services and procedures to
Medicare and Medicaid patients.
Anesthesia coding Correct Answers The anesthesia time in
minutes must be reported on the claim, along with modifiers to
identify the anesthesia provider. Anesthesia time starts when the
anesthesia provider prepares the patient for care and ends when
, the personal attendance of the anesthesia provider is no longer
required.
Anesthesia time Correct Answers It is required to report total
time in minutes on the claim form. The AMA and ASA
recommend one unit of time is equal to 15 minute of anesthesia
time.
Anti-Kickback Law Correct Answers Similar to Stark Law,
but imposes more severe penalties. The law states that whoever
knowingly and willfully solicits or receives any renumeration
(directly or indirectly, overtly or covertly, in cash or in kind). **
applies to ANYONE, not just physicians. **REQUIRES proof
of intent-person must KNOWINGLY/WILLINGLY violate.
ASC Correct Answers Ambulatory Surgical Centers
Associated signs and symptoms Correct Answers Associated
secondary complaints.
Bull's-eye symbol Correct Answers Identifies codes that
include moderate sedation. When this is located next to a code,
moderate sedation can not be reported separately.
Bullet symbol Correct Answers Indicates new procedures and
services added to the CPT book.
CAH Correct Answers Critical Access Hospitals
CCM Correct Answers Correct Coding Modifier--a "carrier
only" indicator for both the Comprehensive/Component Table.
0 Correct Answers A CCM is not allowed and will not bypass
the edits
1 Correct Answers A CCM is allowed and will bypass the
edits
22 Correct Answers Increased procedural service. Requires
more time or effort than is typically required. Must attach
documentation when claim is sent.
24 Correct Answers Appended to an E&M serviced when
performed during the post-op period for an unrelated reason.
25 Correct Answers Appended to an E&M service to show
that an separately identifiable E&M service was performed on
the same day as a procedure or service.
58 Correct Answers Staged or related procedure or service
during a post-op period.
59 Correct Answers Distinct procedural service
76 Correct Answers Repeat procedure or service by the same
physician on same date of service
77 Correct Answers Repeat procedure or service by a different
physician on same date of service
,78 Correct Answers Unplanned and related return to the
operating room during a post-op period
79 Correct Answers Unplanned and unrelated return to the
operating room during a post-op period
9 Correct Answers The use of modifiers is not specified. This
indicator is used for all code pairs that have a deletion date that
is the same asa the effective date. This indicator was created so
that no blank spaces would be in the indicator field.
AA Correct Answers Anesthesia services personally
performed by an anesthesiologist.
Abuse Correct Answers CMS defines as an action act results
in unnecessary costs to a federal healthcare program, either
directly or indirectly. Examples on page 3 of study guide
AD Correct Answers A physician who is medically
supervising more than four concurrent procedures.
Affordable Care Act of 2010 Correct Answers Makes
compliance programs mandatory for providers and other
healthcare providers who offer services and procedures to
Medicare and Medicaid patients.
Anesthesia coding Correct Answers The anesthesia time in
minutes must be reported on the claim, along with modifiers to
identify the anesthesia provider. Anesthesia time starts when the
anesthesia provider prepares the patient for care and ends when
, the personal attendance of the anesthesia provider is no longer
required.
Anesthesia time Correct Answers It is required to report total
time in minutes on the claim form. The AMA and ASA
recommend one unit of time is equal to 15 minute of anesthesia
time.
Anti-Kickback Law Correct Answers Similar to Stark Law,
but imposes more severe penalties. The law states that whoever
knowingly and willfully solicits or receives any renumeration
(directly or indirectly, overtly or covertly, in cash or in kind). **
applies to ANYONE, not just physicians. **REQUIRES proof
of intent-person must KNOWINGLY/WILLINGLY violate.
ASC Correct Answers Ambulatory Surgical Centers
Associated signs and symptoms Correct Answers Associated
secondary complaints.
Bull's-eye symbol Correct Answers Identifies codes that
include moderate sedation. When this is located next to a code,
moderate sedation can not be reported separately.
Bullet symbol Correct Answers Indicates new procedures and
services added to the CPT book.
CAH Correct Answers Critical Access Hospitals
CCM Correct Answers Correct Coding Modifier--a "carrier
only" indicator for both the Comprehensive/Component Table.
