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CHAPTER 20 proceduring codes

Wiil Montoya 20 questions Updated 10 Mar 2022

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Questions in this quiz (20)

  1. 1Is the concept used once the insurance company bases the yield on a lower code rating than that submitted by the provider.
    1. AUpcoding
    2. BDown-coding
    3. CUnbundling
    4. Dovercoding
  2. 2 As stated in the bundling definition, is defined as breaking a bundled code into its component parts for higher reimbursement and is not allowed.
    1. ADown-coding
    2. BUnbundling
    3. CUpcoding
    4. Dovercoding
  3. 3Refers to coding a procedure or service at a higher level than that provided to receive a higher level of reimbursement.
    1. ADown-coding
    2. BUnbundling
    3. CUpcoding
    4. Doverbiling
  4. 4When unbundling is done intentionally to receive more payment than is allowed, the claim is likely to be considered
    1. AFraudulent
    2. BCorrect
    3. CAceptable
    4. DN/A
  5. 5Patient who has seen the physician within the past 3 years.
    1. ANew patient
    2. BEstablished patient
    3. COld patient
  6. 6Patient who, for CPT reporting purposes, has not received professional services from the physician within the past 3 years.
    1. AOld patient
    2. BNew patient
    3. CEstablished patient
  7. 7Which part of a physical exam includes vital signs and general appearance of the patient?
    1. Aphysical exam
    2. Bconstitutional exam
    3. Cfamily history
  8. 8Breaking a bundle code into its component parts for higher reimbursement is allowed.
    1. ATrue
    2. BFalse
  9. 9True or false: Evaluation and management (E/M) codes are often considered the most important of all CPT codes because they can be used by all physicians in any medical speciality?
    1. ATrue
    2. BFalse
  10. 10Code linkage of the CPT and ICD code is not necessary.
    1. ATrue
    2. BFalse

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medical assistant
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Created on 10 Mar 2022 · updated on 10 Mar 2022
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