Cms temporary codes Study guides, Class notes & Summaries

Nursing Informatics Certification Exam, ANCC Informatics, ANCC Nursing Informatics Certification Review 629 Questions with Answers Meta structure of NI - CORRECT ANSWER The ability of the nurse to utilize data, information, and knowledge to make wise clinical decisions. Definition of Nursing Informatics - CORRECT ANSWER A speciality that integrates nursing science with multiple information and analytical sciences to identify, define, manage and communicate data, information, knowledge and ...

Alcohol and Drug Abuse codes - H0001-H2037 Categories of temporary codes: C codes - identify items that may qualify for transitional pass through payments under OPPS Categories of temporary codes: G codes - identify professional health care procedures and services that do not have codes identified in CPT Categories of temporary codes: H codes - reported to state Medicaid agencies as mandated by state law to identify mental health services. Categories of temporary codes: K codes - reported...

A Codes - Ambulance and transportation codes A flexible diagnostic colonoscopy is performed. During the procedure, a polyp is removed from one area and a lesion is removed from another. Both the polyp and the lesion are removed by snare technique. Which of the following would be the appropriate code selection? a) 45378-59, 45385, 45385-59 b) 45385, 45385-59 c) 45385 d) 45378-59, 45385 - c: Only code 45385 is reported. The diagnostic colonoscopy is not coded separately. Notice the separat...

AAPC CPC FINAL ACTUAL EXAM QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+ When coding in operative report what action would NOT be recommended? - CORRECT ANSWER Coding from the header with out reading the body of the report If an NCD doesn't exist for a particular service/procedure performed on a Medicare patient who determines coverage? - CORRECT ANSWER Medicare administrative contractor (MAC) What codes are reported voluntarily to payers to provide evidenc...

AAPC CPC FINAL ACTUAL EXAM QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+ When coding in operative report what action would NOT be recommended? - CORRECT ANSWER Coding from the header with out reading the body of the report If an NCD doesn't exist for a particular service/procedure performed on a Medicare patient who determines coverage? - CORRECT ANSWER Medicare administrative contractor (MAC) What codes are reported voluntarily to payers to provide evidenc...

HCPCS Exam Study Guide CPT, HCPCS Level II and HCPCS Level III codes are all HIPAA-approved National Codes Sets. a.) True b.) False - b: False. HCPCS Level III codes are not included in the HIPAA-approved National Code Sets. They will be eliminated on Dec. 31, 2003. In most cases, which modifier is needed for an emergency room case when reporting both a CPT surgery code and evaluation and management (E/M) code? a.) 52 b.) 59 c.) 25 - c: Modifier -25 is appended to the ED E/M c...

CPT, HCPCS Level II and HCPCS Level III codes are all HIPAA-approved National Codes Sets. a.) True b.) False - b: False. HCPCS Level III codes are not included in the HIPAA-approved National Code Sets. They will be eliminated on Dec. 31, 2003. In most cases, which modifier is needed for an emergency room case when reporting both a CPT surgery code and evaluation and management (E/M) code? a.) 52 b.) 59 c.) 25 - c: Modifier -25 is appended to the ED E/M code. Modifier -25 identifies sign...

HCPCS Level II - also called national code used to describe common medical services/services. 5 characters in length, and they begin w/ letters A-V followed with 4 numbers. HCPCS level II used to identify services performed by: - Physician and non physician providers. Ambulance companies Durable medical equipment companies Durable Medical Equipment (DME) - Equipment that can withstand repeated use. Primarily used to serve a medical purpose. Used in the patient's home(or assisted living ...

Durable (can withstand repeated use) -Used for a medical reason -Not usually useful to someone who isn't sick or injured -Used in your home -Generally has an expected lifetime of at least 3 years - Answer-DME must be prescribed by a physician and must meet these criteria: 1. Review the patient record to determine the procedures performed or services provided. 2. Locate the main term in the HCPCS Level II index. 3. Identify the code next to the main term in the HCPCS Level II index. Ther...

___ are used to provide further information. - Answer-Modifiers ___ codes classify similar products and services (both medical) for the purpose of efficient claims processing. - Answer-Level II ___ indicates the thumb of the right hand - Answer-F5 ____ is rental (this is used when DME is rented). - Answer-RR ____ is used to indicate used equipment - Answer-UE ______is a Centers for Medicare and Medicaid Services (CMS) driven coding source that allows for uniform reporting of services, pro...