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Select the best answer for the ention 18. A patient was evaluated at an urgent care...
Read the following case scenarios, and indicate the appropriate modifier 1. A patient is seen in...
Read the following case scenarios, and indicate the appropriate modifier 1. A patient is seen in the physician's office for his yearly physical (CPT code 99395). During the exam, the patient requests that the physician remove a mole on his shoulder What CPT modifier would be appended to the 99395 code to explain that the E/M service was unrelated to excision of the mole? 2. A patient is seen in a radiology clinic for an x-ray of the arm (CPT...
what are the CPT codes FOR QUESTIONS 1-5 INVOLVING PROFESSIONAL SERVICES, ASSUME A REPORT WAS PRODUCED...
what are the CPT codes
FOR QUESTIONS 1-5 INVOLVING PROFESSIONAL SERVICES, ASSUME A REPORT WAS PRODUCED UNLESS THE QUESTION STATES OTHERWISE. ALSO, FOR ALL SERVICES FURNISHED IN A HOSPITAL SETTING, ASSUME THAT THE HOSPITAL (AND NOT THE PHYSICIAN) FURNISHED THE TECHNICAL COMPONENT (EX. EQUIPMENT, NON-PHYSICIAN PERSONNEL, ETC.) 1. A primary care physician took a two view chest x-ray (frontal and lateral views) in his office. The films were sent to a radiologist (who was not affiliated with the primary care...
QUESTION 1 Which modifier would a radiologist append to the CPT code to reflect that charges...
QUESTION 1 Which modifier would a radiologist append to the CPT code to reflect that charges were only for "interpretation and report?" A. 53 B. TC C. 22 D. 76 E. 26 F. 25 10 points QUESTION 2 Any CPT code designated as a "separate procedure" is only coded and billed when? A. When bills are not submitted to Medicare B. When it is not considered a component of another procedure C. When the physician demands separate payment for...
Overview CPT modiners clanly services and procedures performed by providers. Although the CPT code and description...
Overview CPT modiners clanly services and procedures performed by providers. Although the CPT code and description remain unchanged, modifiers indicate that the description of the service or procedure performed has been altered. CPT modifiers are reported as two-digit numeric codes added to the five digit CPT code. (HCPCS level Il national modifiers are reported as two character alphabetical and alphanumeric codes added to the five-digit CPT or HCPCS level Il code.) Instructions Circle the most appropriate response 1. Dr. Marshall...
QUESTION 21 Using the table below, select which code(s) should be reported for a Medicare patient...
QUESTION 21 Using the table below, select which code(s) should be reported for a Medicare patient receiving follow-up mammogram imagery on the right breast, following abnormal screening mammogram the prior week. This service is provided in a physician-owned freestanding imaging center. HCPCS Code Descriptor G0202 Screening mammography, digital images, bilateral, all views G0204 Diagnostic mammography, digital images, bilateral, all views G0206 Diagnostic mammography, digital images, unilateral, all views R0070 Transportation of portable x-ray equipment and personnel to home or nursing...
Project 7-1: Classify Patient Incidents According to Policy This primary source of information on patient safety...
Project 7-1: Classify Patient Incidents According to Policy This primary source of information on patient safety will be used to analyze the incidents according to level of severity. The following policies define the three categories of severity Policy on Level I Event: An incident that resulted in patient death or serious short or long-term (6 weeks or more) disability or harm Policy on Level II Event: An incident that resulted in minimal short-term patient disability or harm Policy on Level...
The Striving for Perfection Urgent Care Center feels that its patients wait time is too long. The staff has noticed that increasing numbers of people are waiting longer in the waiting room. The nation...
The Striving for Perfection Urgent Care Center feels
that its patients wait time is too long.
The staff has noticed that increasing numbers of people are waiting
longer in the waiting room.
The national benchmark performance is 90 minutes or less from the
time the customer arrives
to the time the customer is treated and discharged.
Part I
The staff decides to examine the time it takes for all patients to
move through their service process
on two successive days...
QUESTION 1 Physicians and mid-level practitioners (NPs and PAs) use which coding system to capture their...
QUESTION 1 Physicians and mid-level practitioners (NPs and PAs) use which coding system to capture their professional fees? A. DSM-5 B. CPT/HCPCS C. ICD-10-PCS D. ICD-10-CM 10 points QUESTION 2 Choose the best answer. Because each CPT/HCPCS code has its own separate fee, are coders allowed to code all services separately? A. Yes. In order to properly capture all charges, every CPT and HCPCS code should be coded separately to optimize reimbursement. B. No. A coder can only choose...
1. Focusing on only the inpatient care cost (i.e., ignoring operating room costs), what is the...
1. Focusing on only the inpatient care cost (i.e., ignoring
operating room costs), what is the cost of a TAH (non-oncology)
under each of the cost accounting systems? A tuboplasty? A TAH
(oncology)? What accounts for the differences?
Croswell University Hospital This report doesn't describe where our costs are generated. We're applying one standard to all patients, regardless of their level of care. What incentive is there to identify and account for the costs of each type of procedure? Unless...
QUESTION 4 On the day of Max's discharge from the hospital, the attending physician asked him...
QUESTION 4 On the day of Max's discharge from the hospital, the attending physician asked him questions and provided information such as Max's final diagnosis, prognosis, the results of various diagnostic tests, and necessary follow-up in the outpatient setting. The provider created two medical records for this same date of service. A progress note for the day of discharge records the physicians review of diagnostic tests, assessment of the patient's condition, and decision to discharge home. The discharge summary provides...
Read the following case scenarios, and indicate the appropriate modifier 1. A patient is seen in the physician's office for his yearly physical (CPT code 99395). During the exam, the patient requests that the physician remove a mole on his shoulder What CPT modifier would be appended to the 99395 code to explain that the E/M service was unrelated to excision of the mole? 2. A patient is seen in a radiology clinic for an x-ray of the arm (CPT...
what are the CPT codes
FOR QUESTIONS 1-5 INVOLVING PROFESSIONAL SERVICES, ASSUME A REPORT WAS PRODUCED UNLESS THE QUESTION STATES OTHERWISE. ALSO, FOR ALL SERVICES FURNISHED IN A HOSPITAL SETTING, ASSUME THAT THE HOSPITAL (AND NOT THE PHYSICIAN) FURNISHED THE TECHNICAL COMPONENT (EX. EQUIPMENT, NON-PHYSICIAN PERSONNEL, ETC.) 1. A primary care physician took a two view chest x-ray (frontal and lateral views) in his office. The films were sent to a radiologist (who was not affiliated with the primary care...
Overview CPT modiners clanly services and procedures performed by providers. Although the CPT code and description remain unchanged, modifiers indicate that the description of the service or procedure performed has been altered. CPT modifiers are reported as two-digit numeric codes added to the five digit CPT code. (HCPCS level Il national modifiers are reported as two character alphabetical and alphanumeric codes added to the five-digit CPT or HCPCS level Il code.) Instructions Circle the most appropriate response 1. Dr. Marshall...
The Striving for Perfection Urgent Care Center feels
that its patients wait time is too long.
The staff has noticed that increasing numbers of people are waiting
longer in the waiting room.
The national benchmark performance is 90 minutes or less from the
time the customer arrives
to the time the customer is treated and discharged.
Part I
The staff decides to examine the time it takes for all patients to
move through their service process
on two successive days...
1. Focusing on only the inpatient care cost (i.e., ignoring
operating room costs), what is the cost of a TAH (non-oncology)
under each of the cost accounting systems? A tuboplasty? A TAH
(oncology)? What accounts for the differences?
Croswell University Hospital This report doesn't describe where our costs are generated. We're applying one standard to all patients, regardless of their level of care. What incentive is there to identify and account for the costs of each type of procedure? Unless...
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