MOA 183 - Intro to Health Insurance » Fall 2022 » Weekly Quiz 5 Chapter 6

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Question #1
The type of procedure codes that use a five-digit numeric code and descriptor are:
A.   Category I CPT codes.
B.   Category II CPT codes.
C.   Category III CPT codes.
D.   ICD-9-CM codes.
Question #2
CPT Category II codes are used principally:
A.   to describe the procedure performed by the physician.
B.   for performance measurement.
C.   as temporary codes for emerging technology.
D.   for providing more information about the diagnosis.
Question #3
All of the following are sections of Category I CPT codes EXCEPT:
A.   Emergency Room Services.
B.   Evaluation and Management.
C.   Medicine.
D.   Surgery.
Question #4
The symbol • used with a CPT code indicates:
A.   add-on code.
B.   new or revised text.
C.   new code.
D.   revised code.
Question #5
The symbol + used with a CPT code indicates:
A.   new code.
B.   add-on code.
C.   revised code.
D.   new or revised text.
Question #6
The ▲ symbol used with a CPT code indicates:
A.   new code.
B.   revised code.
C.   add-on code.
D.   new or revised text.
Question #7
The modifier -32 is used to indicate:
A.   unrelated E/M service by the same physician during a postoperative period.
B.   significant, separately identifiable E/M service by the same physician on the same day of the procedure or other service.
C.   mandated services (used when requested by the payer).
D.   reduced services.
Question #8
The modifier -57 is used to indicate:
A.   repeat procedure by the same physician.
B.   a decision for surgery.
C.   unrelated evaluation and management (E/M) service by the same physician during a postoperative period.
D.   significant, separately identifiable E/M service by the same physician on the same day of the procedure or other service.
Question #9
If a physician began an initial gynecological exam on a patient but discontinued it due to the patient's extreme discomfort, the modifier would be:
A.   -52
B.   -57
C.   -25
D.   -32
Question #10
Components that define the level of evaluation and management (E/M) services include all of the following EXCEPT:
A.   time.
B.   the location of the procedure or service.
C.   the extent of the history documented.
D.   the complexity of the medical decision making documented.
Question #11
The three key components used to select the appropriate evaluation and management (E/M) code include:
A.   history, examination, and medical decision making.
B.   history, patient age, and time.
C.   medical decision making, presenting problem, and counseling.
D.   examination, chief complaint, and place of service.
Question #12
A statement, usually in the patient's words, describing the symptom, problem, condition, or other factor that is the reason for the encounter is called the:
A.   reason for complaint.
B.   primary diagnosis.
C.   principal diagnosis.
D.   chief complaint.
Question #13
A description of how long the symptom or pain has been present is referred to as the:
A.   severity.
B.   quality.
C.   duration.
D.   timing.
Question #14
A social history would include which of the following?
A.   marital status and/or living arrangements
B.   prior major illnesses and injuries
C.   the situation that is associated with the pain or symptom
D.   current medications
Question #15
The four types of examinations used in determining the level of evaluation and management (E/M) services are:
A.   problem focused, expanded problem focused, complete, and comprehensive.
B.   problem focused, detailed, comprehensive, and complete.
C.   problem focused, expanded problem focused, detailed, and comprehensive.
D.   expanded problem focused, detailed, expanded detailed, and comprehensive.
Question #16
If an examination includes an extended exam of the affected body area(s) and other symptomatic or related organ systems, it is considered a(n):
A.   comprehensive exam.
B.   problem-focused exam.
C.   expanded problem-focused exam.
D.   detailed exam.
Question #17
In a coding a physical examination, all of the following organ systems are recognized EXCEPT:
A.   respiratory.
B.   eyes.
C.   skin.
D.   head, including the face.
Question #18
To code an evaluation and management (E/M) service properly for a new patient, which of the following elements must be documented?
A.   examination only
B.   history, examination, and medical decision making
C.   history and medical decision making
D.   history and examination
Question #19
CPT codes are used to determine the amount of reimbursement the provider will receive.
A.   False
B.   True
Question #20
CPT codes describe the main reason for the encounter or visit.
A.   True
B.   False
Question #21
The modifier -32 is used to identify a mandated service; it is used when the service is requested by the payer.
A.   False
B.   True
Question #22
Services that include a physical examination according to age, and appropriate immunizations and laboratory procedures, are called critical care.
A.   False
B.   True
Question #23
A physician providing a consultation must document his or her opinion in the medical record and render the opinion in writing to the requesting physician.
A.   False
B.   True
Question #24
A description of other things that happen when the symptom or pain occurs is referred to as a "modifying factor."
A.   True
B.   False
Question #25
The risk of significant complications, morbidity, and/or mortality is a factor in determining the level of medical decision making (MDM).
A.   False
B.   True

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