CPT Exam Review Questions with 100% Correct Answers| Verified | Latest Update 2024

CPT Exam Review Questions with 100% Correct Answers| Verified | Latest Update 2024 What three components contribute to the calculation of Relative Value Units? Physician work, Practice expense, Malpractice insurance Rationale: Per the Centers for Medicare & Medicaid Services (CMS), Relative value units (RVUs) capture the following three components of patient care: Physician work RVU, Practice Expense RVU, and Malpractice RVUs. What codes are voluntarily reported to payers and provide evidence-based performance-measure data? CPT® Category II codes Rationale: Per AMA, CPT® Category II codes are a set of supplemental tracking codes used for performance measurement. CPT® Category III codes reimburse at what level? Reimbursement, if any, is determined by the payer Rationale: Per AMA, there are no relative value units (RVUs) assigned to these codes. Payment for these services or procedures is based on the policies of payers. The Global Surgical Package applies to services performed in what setting? Hospitals Ambulatory Surgical Centers Physician's offices Correct! All of the above Rationale: The services included in the global surgical package may be furnished in any setting, including hospitals, ASCs, and physicians' offices. Visits to a patient in an intensive or critical care unit are also included if made by the surgeon. What surgical status indicator represents the Global Surgical Package for endoscopic procedures (without an incision) where there is no postoperative period after the day of the surgery? 000 Rationale: For endoscopic procedures (except procedures requiring an incision), there is no postoperative period. Surgical status indicator 000 is for endoscopies or minor surgical procedures with no preoperative or postoperative period. Any related services on the day of the procedure are generally included in the fee schedule payment amount and not paid separately; including evaluation and management services on the day of the procedure.