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CPMA Exam Chapter 3 Questions and Answers New (2024/2025) Solved 100% Correct $7.99   Add to cart

Exam (elaborations)

CPMA Exam Chapter 3 Questions and Answers New (2024/2025) Solved 100% Correct

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Which E/M guidelines should you use? - ️️CMS, local contractors, and private payers have all supported the use of either the 1995 or 1997 E/M documentation guidelines. The Medicare National Physician Fee Schedule (MPS) Relative Value File is useful for - ️️determining if procedures are ...

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  • September 21, 2024
  • 3
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • CPMA
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ACADEMICMATERIALS
CPMA Exam Chapter 3
Which E/M guidelines should you use? - ✔️✔️CMS, local contractors, and private
payers have all supported the use of either the 1995 or 1997 E/M documentation
guidelines.

The Medicare National Physician Fee Schedule (MPS) Relative Value File is useful for -
✔️✔️determining if procedures are subject to the multiple procedure payment
reduction.

If there is a "0" in the Multiple Procedure column, the procedure is not subject to the
multiple procedure payment reduction

If there is a "2" in the multiple procedure column, the procedure is subjected to the
multiple procedure payment reduction.

The Medicare National Physician Fee Schedule (MPS) Relative Value File contains
information for - ✔️✔️global days, RVUs, assist surgeon appropriate, etc

ALL AUDITORS should use this during the audit process.


Accurate reimbursement begins with - ✔️✔️accurate coding and rules that vary by
payer

The CPT codebook contains - ✔️✔️instructions, coding guidelines, parenthetical notes,
and symbols to provide guidance for proper coding.

Not all payers follow CPT coding guidelines. - ✔️✔️An auditor must be able to apply
payer variations to the CPT guidelines during an audit, and must communicate the
differences in a way that will make sense to the provider.

Add-on codes - ✔️✔️Listing found in Appendix D in the CPT codebook

Add-on code are carried out in addition to the primary procedure

Add-on codes are never reported alone, and always accompany specific primary
procedure codes.

There is a parenthetical note following the add-on code to indicate the associated
primary code(s)

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