CPMA Chapter 4 Review Already Graded A+
What modifier is used to indicate a service provided under the primary care exception without the
presence of a teaching physician?
A) Modifier 22
B) Modifier GE
C) Modifier -58
D) Modifier -59
Correct answer: B) Modifier GE
Which scenario is ...
CPMA Chapter 4 Review Already Graded A+
What modifier is used to indicate a service provided under the primary care exception without the
presence of a teaching physician?
A) Modifier 22
B) Modifier GE
C) Modifier -58
D) Modifier -59
Correct answer: B) Modifier GE
Which scenario is likely to result in an audit finding?
A) The lab results were reviewed by the provider after the tests were performed.
B) The lab results were not reviewed by the provider after the tests were performed.
C) The patient's medical records were not updated after the lab results were received.
D) The lab tests were not ordered by the provider.
Correct answer: B) The lab results were not reviewed by the provider after the tests were performed.
What is a good faith effort to estimate the cost on an Advance Beneficiary Notice (ABN)?
A) Within $50 or 20% of the actual cost, whichever is greater.
B) Within $100 or 25% of the actual cost, whichever is greater.
C) Within $200 or 30% of the actual cost, whichever is greater.
D) Within $500 or 40% of the actual cost, whichever is greater.
Correct answer: B) Within $100 or 25% of the actual cost, whichever is greater.
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