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.   ICD-9-CM codes.
C.   Category III CPT codes.
D.   Category II CPT codes.
Question #2
CPT Category II codes are used principally:
A.   for performance measurement.
B.   for providing more information about the diagnosis.
C.   to describe the procedure performed by the physician.
D.   as temporary codes for emerging technology.
Question #3
All of the following are sections of Category I CPT codes EXCEPT:
A.   Medicine.
B.   Surgery.
C.   Emergency Room Services.
D.   Evaluation and Management.
Question #4
The symbol • used with a CPT code indicates:
A.   new code.
B.   add-on code.
C.   new or revised text.
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.   add-on code.
B.   new code.
C.   new or revised text.
D.   revised code.
Question #7
The modifier -32 is used to indicate:
A.   significant, separately identifiable E/M service by the same physician on the same day of the procedure or other service.
B.   unrelated E/M service by the same physician during a postoperative period.
C.   mandated services (used when requested by the payer).
D.   reduced services.
Question #8
The modifier -57 is used to indicate:
A.   a decision for surgery.
B.   significant, separately identifiable E/M service by the same physician on the same day of the procedure or other service.
C.   unrelated evaluation and management (E/M) service by the same physician during a postoperative period.
D.   repeat procedure by the same physician.
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.   -57
B.   -25
C.   -52
D.   -32
Question #10
Components that define the level of evaluation and management (E/M) services include all of the following EXCEPT:
A.   the location of the procedure or service.
B.   time.
C.   the complexity of the medical decision making documented.
D.   the extent of the history 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.   examination, chief complaint, and place of service.
C.   medical decision making, presenting problem, and counseling.
D.   history, patient age, and time.
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.   primary diagnosis.
B.   chief complaint.
C.   reason for complaint.
D.   principal diagnosis.
Question #13
A description of how long the symptom or pain has been present is referred to as the:
A.   timing.
B.   quality.
C.   severity.
D.   duration.
Question #14
A social history would include which of the following?
A.   the situation that is associated with the pain or symptom
B.   prior major illnesses and injuries
C.   marital status and/or living arrangements
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, detailed, comprehensive, and complete.
B.   problem focused, expanded problem focused, detailed, and comprehensive.
C.   problem focused, expanded problem focused, complete, 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.   expanded problem-focused exam.
B.   problem-focused exam.
C.   comprehensive exam.
D.   detailed exam.
Question #17
In a coding a physical examination, all of the following organ systems are recognized EXCEPT:
A.   respiratory.
B.   skin.
C.   head, including the face.
D.   eyes.
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.   history and examination
B.   history and medical decision making
C.   examination only
D.   history, examination, and medical decision making
Question #19
CPT codes are used to determine the amount of reimbursement the provider will receive.
A.   True
B.   False
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.   True
B.   False
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.   True
B.   False
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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