Question 1

The direct delivery of medical care by a physician for a severely ill or seriously injured patient is a definition for:

Accepted Answer

A)   a referral.
B)   a consultation.
C)   a critical care service.
D)   observation service.E) All of the above
F) C) and D)

Question 2

Following the six sections listed in the main body of the CPT manual are the:

Accepted Answer

A)   level codes.
B)   category II codes.
C)   category IV codes.
D)   appendices A-N.E) A) and B)
F) None of the above

Question 3

If a patient is transferred to a specialist who then assumes ongoing responsibility for all or a portion of the patient's care,this is considered a/an:

Accepted Answer

A)   referral.
B)   consultation.
C)   critical care service.
D)   observation status.E) B) and C)
F) All of the above

Question 4

The information provided by the patient is referred to as:

Accepted Answer

A)   subjective information.
B)   voluntary information.
C)   credible information.
D)   independent information.E) None of the above
F) A) and D)

Question 5

The HCPCS coding manual contains an index of main terms arranged in alphabetic order similar to the Level I CPT-4 codes.

Accepted Answer

A) True 
 B)False

Question 6

What is the service type that includes those provided to hospital inpatients,as well as those in a "partial hospital" setting?

Accepted Answer

A)   Outpatient service
B)   Observation service
C)   Partial inpatient service
D)   Inpatient serviceE) All of the above
F) B) and C)

Question 7

How many key components must be met or exceeded for new patients?

Accepted Answer

A)   None
B)   One
C)   Two
D)   ThreeE) None of the above
F) All of the above

Question 8

If Jane was seen the previous year by Dr.Hunter,Dr.Allen's partner,Jane's status on her visit to Dr.Allen would be:

Accepted Answer

A)   new patient.
B)   traditional patient.
C)   established patient.
D)   customary patient.E) A) and D)
F) All of the above

Question 9

It is not acceptable to use the 1995 E/M documentation guidelines;coders must use the updated 1997 version.

Accepted Answer

A) True 
 B)False

Question 10

The Affordable Care Act required all state Medicaid programs to incorporate _________________ in their claims processing systems by March 31,2011.

Accepted Answer

A)   HCPCS codes
B)   Category III Codes
C)   ICD-10-CM diagnosis codes
D)   National Correct Coding InitiativesE) All of the above
F) C) and D)

Question 11

Which E/M codes are used for new patients who have been treated in a physician's office?

Accepted Answer

A)   99221-99223
B)   99281-99288
C)   99211-99215
D)   99201-99205E) B) and D)
F) All of the above

Question 12

Name and briefly explain the three levels of procedural coding.

Accepted Answer

. Level I contains the AMA CPT codes.The...

Question 13

Complete,accurate,and timely documentation is vital for a health record.Discuss this statement.

Accepted Answer

Health record documentation is required ...

Question 14

In CPT coding a "new" patient is distinguished from an "established" patient using specific descriptions.Define both types of patients.

Accepted Answer

A new patient is a person who is new to ...

Question 15

How many key components must be met or exceeded for established patients?

Accepted Answer

A)   None
B)   One
C)   Two
D)   ThreeE) None of the above
F) A) and C)

Question 16

The combination of HCPCS and CPT-4 is the HIPAA-adopted standard for reporting physician services and other healthcare services on standard transactions.

Accepted Answer

A) True 
 B)False

Question 17

Codes used by most physicians for reporting key categories of their services are called _____ codes.

Accepted Answer

A)   A&B
B)   M&M
C)   E/M
D)   A-ZE) None of the above
F) A) and D)

Question 18

_________ is AMA's ongoing effort to improve the structure and processes of CPT codes to reflect today's coding demands,as well as HIPAA challenges.

Accepted Answer

A)   The CPT-5 project
B)   HCPCS Level II
C)   The crosswalk design
D)   The Patient Affordable Care ActE) A) and D)
F) A) and C)

Question 19

A CPT code can be displayed one of three ways: as ____________,____________,or ______________.

Accepted Answer

(Any one of the following combinations)
...

Question 20

The AMA publishes an updated version of the CPT manual every 2 years.

Accepted Answer

A) True 
 B)False

Exam 13: Procedural, Evaluation and Management, and HCPCS Coding

The direct delivery of medical care by a physician for a severely ill or seriously injured patient is a definition for:

Correct AnswerverifiedShow Answer

If a patient is transferred to a specialist who then assumes ongoing responsibility for all or a portion of the patient's care,this is considered a/an:

Correct AnswerverifiedShow Answer

How many key components must be met or exceeded for new patients?

Correct AnswerverifiedShow Answer

The AMA publishes an updated version of the CPT manual every 2 years.

Correct AnswerverifiedShow Answer

Name and briefly explain the three levels of procedural coding.

Correct Answerverified. Level I contains the AMA CPT codes.The...View AnswerShow Answer

What is the service type that includes those provided to hospital inpatients,as well as those in a "partial hospital" setting?

Correct AnswerverifiedShow Answer

The combination of HCPCS and CPT-4 is the HIPAA-adopted standard for reporting physician services and other healthcare services on standard transactions.

Correct AnswerverifiedShow Answer

Complete,accurate,and timely documentation is vital for a health record.Discuss this statement.

Correct AnswerverifiedHealth record documentation is required ...View AnswerShow Answer

_________ is AMA's ongoing effort to improve the structure and processes of CPT codes to reflect today's coding demands,as well as HIPAA challenges.

Correct AnswerverifiedShow Answer

The Affordable Care Act required all state Medicaid programs to incorporate _________________ in their claims processing systems by March 31,2011.

Correct AnswerverifiedShow Answer

How many key components must be met or exceeded for established patients?

Correct AnswerverifiedShow Answer

In CPT coding a "new" patient is distinguished from an "established" patient using specific descriptions.Define both types of patients.

Correct AnswerverifiedA new patient is a person who is new to ...View AnswerShow Answer

Following the six sections listed in the main body of the CPT manual are the:

Correct AnswerverifiedShow Answer

Codes used by most physicians for reporting key categories of their services are called _____ codes.

Correct AnswerverifiedShow Answer

A CPT code can be displayed one of three ways: as ____________,____________,or ______________.

Correct Answerverified(Any one of the following combinations)...View AnswerShow Answer

The information provided by the patient is referred to as:

Correct AnswerverifiedShow Answer

The HCPCS coding manual contains an index of main terms arranged in alphabetic order similar to the Level I CPT-4 codes.

Correct AnswerverifiedShow Answer

Which E/M codes are used for new patients who have been treated in a physician's office?

Correct AnswerverifiedShow Answer

It is not acceptable to use the 1995 E/M documentation guidelines;coders must use the updated 1997 version.

Correct AnswerverifiedShow Answer

If Jane was seen the previous year by Dr.Hunter,Dr.Allen's partner,Jane's status on her visit to Dr.Allen would be:

Correct AnswerverifiedShow Answer

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. Level I contains the AMA CPT codes.The...
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Health record documentation is required ...
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A new patient is a person who is new to ...
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A CPT code can be displayed one of three ways: as ,,or __.

Correct Answer
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(Any one of the following combinations)
...
View Answer

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