Who performs cpt codes - Study guides, Class notes & Summaries

1 CRCS EXAM | QUESTIONS & ANSWERS (VERIFIED) | LATEST UPDATE | GRADED A+ Medicare Part A Correct Answer: Covers individuals who are elderly (age 65 or older) and individuals with permanent disabilities, end stage renal disease (ESRD) or Lou Gehrig's disease Title XVIII Correct Answer: Medicare (title) Medicare part A Correct Answer: Covers inpatient hospitalizations, skilled nursing facility (SNF), home health & hospice Lifetime reserve days Correct Answer: 60 days of inpatient...

Which of the following is considered the final determination of the issues involving settlement of an insurance claim? - Adjudication A form that contains charges, DOS, CPT codes, ICD codes, fees and copayment information is called which of the following? - Encounter form A patient comes to the hospital for an inpatient procedure. Which of the following hospital staff members is responsible for the initial patient interview, obtaining demographic and insurance information, and documenting the ch...

CMCA PRACTICE EXAM 136 Questions with Verified Answers The Joint Commission (JC) requires the Factors that Affect Learning must be assessed for a hospital or hospital owned physician practice as well as other health care facilities. When assessing this element what does this include? A. The patient's ability to read, method of learning and understanding. B. Any language or physical disabilities. C. Cultural beliefs. D. All the above - CORRECT ANSWER D. All the above Report cop...

The attending physician - A nurse is reviewing a patients lab results prior to discharge and discovers an elevated glucose level. Which of the following health care providers should be altered before the nurse can proceed with discharge planning? The patients condition and the providers information - On the CMS-1500 Claims for, blocks 14 through 33 contain information about which of the following? Problem focused examination - A provider performs an examination of a patient's throat du...

A nurse is reviewing a patients lab results prior to discharge and discovers an elevated glucose level. Which of the following health care providers should be altered before the nurse can proceed with discharge planning? - The attending physician On the CMS-1500 Claims for, blocks 14 through 33 contain information about which of the following? - The patients condition and the providers information A provider performs an examination of a patient's throat during an office visit. Which of the ...

A 46-year-old female had a previous biopsy that indicated positive malignant margins anteriorly on the right side of her neck. A 0.5 cm margin was drawn out and a 15 blade scalpel was used for full excision of an 8 cm lesion. Layered closure was performed after the removal. The specimen was sent for permanent histopathologic examination. What are the CPT® code(s) for this procedure? A. 11626 B. 11626, 12004-51 C. 11626, 12044-51 D. 11626, 13132-51, 13133 - ANSWER-C. 11626, 12044-51 A 30-...

CCA Exam Preparation Updated Questions and Answers ;All domain modules with complete solutions During an audit of health records, the HIM director finds that transcribed reports are being changed by the author up to a week after initial transcription. The director is concerned that changes occurring this long after transcription jeopardize the legal principle that documentation must occur near the time of the event. To remedy this situation, the HIM director should recommend which of the foll...

Which of the following electronic forms is used to post payments? - Electronic remittance advice (ERA) If a clean claim is received March 1 of this year, which of the following is the allowable last day of payment in order to meet Medicare compliance requirements? - March 30 Threading a catheter with balloon into a coronary artery and expanding it to repair arteries describes which of the following procedures? - Angioplasty The authorization number for a service that was approved before t...

A provider admits Mrs. Smith to the hospital. She is there for five days. The provider sees her each day she's in the hospital. What subcategory of E/M codes would be used for days two, three and four? - ANSWER Subsequent Hospital Care If the pain is sharp, stabbing or dull, what is the component of the History of Present Illness (HPI)? - ANSWER Quality What modifier is used to report an evaluation and management service mandated by a court order? - ANSWER 32 According to CPT® guideli...

PTCB EXAM TEST BANK QUESTIONS AND ANSWERS LATEST WITH RATIONALE Multiple choice What is the route of administration for a prescription with the following directions: "i supp pr q 6 hr prn"? A. Orally B. Rectally C. Urethrally D. Vaginall {{Correct Ans- B. Rectally Rationale: "pr" means per rectum. What is the meaning of PDA? A. Personal digital aid B. Personal digital assistant C. Physician digital assistant D. Pharmaceutical data assistant {{Correct Ans- B. Personal dig...