Mod F Week 1

Front 1

Which level of healthcare common procedural coding system includes codes that identify products, supplies and services not included in CPT

Back 1

Level 2

Front 2

Upcoding can result in

Back 2

Serious fines and penalties

Front 3

Assigning a diagnosis code that does not match patient documentation for the purpose of increasing reimbursement through the DRG system

Back 3

Upcoding

Front 4

All of these statement are true about IDC-10-CM except

Back 4

The United States will be the only nation using the ICD-10-CM

Front 5

Which of the following would not be a required step in utilizing medical necessity guidelines?

Back 5

Review the family history section of the progress note

Front 6

Which of the following statements is not true when using HCPCS Level 2 codes

Back 6

The search for the correct HCPCS code begins night tabular list

Front 7

The ICD-9-CM remained in use in the US until Sep 30th of what year

Back 7

2015

Front 8

Which HCPCS Level 2 codes are temporary codes for procedures, services and supplies

Back 8

G codes

Front 9

HCPCS Level 1 codes are know as

Back 9

Current procedural terminology

Front 10

Where in the CPT manual would you find information about modifiers

Back 10

Appendix A

Front 11

A payer practice in which a reported evaluation and management service is reduced to a lower level based strictly on the diagnosis code reported

Back 11

Down coding

Front 12

Which of the following statements is true regarding HCPCS Level 2 codes

Back 12

All of the above

Front 13

Level of history obtained

Back 13

Key component

Front 14

Counseling

Back 14

Contributory factor

Front 15

Coordination of care

Back 15

Contributory factor

Front 16

Level of examination performed

Back 16

Key component

Front 17

Degree of medical decision making involved

Back 17

Key component

Front 18

Nature of the presenting problem

Back 18

Key component

Front 19

Always at least three characters

Back 19

ICD 9 PCS

Front 20

Each character can be alphanumeric

Back 20

ICD 10 PCS

Front 21

No decimal is used

Back 21

ICD 10 PCS

Front 22

Alpha characters are no case sensitive

Back 22

ICD 10 PCS

Front 23

Identify the main term in the index

Back 23

Both

Front 24

Code each problem to the highest level of specificity available in the classification

Back 24

ICD

Front 25

Analyze the providers statement or description for the service provided and isolate the main term

Back 25

CPT

Front 26

Never code directly from the index

Back 26

Both

Front 27

Code the minimum number of diagnoses that fully describe the patients care received on that visit

Back 27

ICD

Front 28

Sequence codes correctly so that it is possible to understand chronology of events

Back 28

ICD

Front 29

The reason for the patients visit is coded first

Back 29

ICD

Front 30

Check for any relevant subterms under the main term

Back 30

Both

Front 31

Review all descriptions of codes listed for main terms and subterms to be sure the correct code is selected

Back 31

Both

Front 32

Code correctly and completely and diagnosis or procedure that affects the care, influences the health status, or is a reason for treatment on that visit

Back 32

Both

Front 33

When both spouses have health insurance, the policy provision that limits benefits to 100% of the cost: also known as dual coverage

Back 33

Coordination of benefits

Front 34

A type of managed care operation that is typically set up as a for profit corporation with salaries employees

Back 34

Health maintenance organization

Front 35

Determining whether a service is covered and considered medically necessary under a patient's insurance plan

Back 35

Preauthorization

Front 36

Discoery of whether a treatment is covered under a patient's insurance contract

Back 36

Precertification

Front 37

Identifies limited situations where paper claim forms may be submitted for payment

Back 37

Administrative simplification compliance act