certified paraoptometric coder exam answered correctly| 2024 latest update

certified paraoptometric coder exam answered correctly| 2024 latest update certified paraoptometric coder exam answered correctly| 2024 latest update 24 - 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 - Answer PQRS measure G8477 refers to what? Zonules - 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 - Answer Prone Nine - Answer For an E&M service, what is the minimum number of elements required by the Documentation Guidelines for a Detailed Physical Exam? No - Answer Does Medicare have standard guidelines physicians must follow for the "written interpretation of medical findings?" No - Answer Is it a federal requirement to do self audits of patient charts and coding in private practices? within - Answer -endo vertical body plain, divides the body into front & back sections - Answer coronal like - Answer -oid face up/palm up - Answer supine A company that a provider contracts with to transmit claims legally and safely between the provider and the insurance companies - Answer What is an e-claim clearing house? Intacs - 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) - Answer What is medical insurance? Qualified Medicaid Beneficiary- limited benefits - 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 - Answer What are the four "E" modifiers used for? 4 - Answer How many "E" modifiers are there? 19 - Answer On the CMS 1500, what box is designated to provide additional information to the payer? behind, back - Answer -retro Reason for the encounter and assessment, medical plan and date, and legible identity of the observer - Answer The documentation of each patient encounter should include which items(s): across, through - Answer trans- No - 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 - Answer What are the Key Components of E and M Coding? 51 - Answer What modifier is used if two non bundled surgical procedures are performed on the same eye at the same visit? 24 - 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 - Answer What does RBRVS stand for? Counseling, Coordination of Care, Presenting Problem, and Time - Answer List the Contributory Factors of E and M Coding The date the eyewear is dispensed - Answer When billing for post cataract eyewear through Medicare, what is the date of service? at or near front surface of the body - Answer anterior or ventral Surgeon - Answer Whose name goes in Box 17 in the HCFA 1500 when billing for co-managed cataract post op care? Government sponsored insurance plans - Answer What are Medicaid, Medicare, TRICARE and CHAMPVA types of? In 2011 - Answer When did PQRI name change to PQRS? below - Answer inferior breathing - Answer -pnea away from - Answer -ab hemorrhage - Answer -orrhagia Yes, in many states and often is age dependent - Answer Does MQMG Medicaid pay for refraction and eyeglasses? growth - Answer -plasia 25 modifier on the visit code to indicate it was separate from the procedure and RT or LT on the procedure - Answer When billing a 99212 and 65435, which code requires a modifier? flow or discharge - Answer -orrhea The comprehensive ophthalmological service has different required elements than the intermedicate - Answer What separates a 92012 from a 92014? Paralysis - Answer -plegia Coding - Answer What is the process of reviewing the medical record and assigning the appropriate numerical code(s) to accurately describe the patient encounter? A non-participating provider - Answer What do you call a doctor, within your practice, that has not signed a contract with an insurance company? outside - Answer ecto, exo same - Answer ipsi- side - Answer lateral middle - Answer meso- abnormal condition of - Answer -osis toward - Answer ad- farthest from center - Answer distal PQRI (now PQRS) established a financial incentive for eligible health care professionals to participate in a voluntary quality reporting program - Answer What is PQRS (Formally PQRI)? weakness - Answer -paresis