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5 Written Questions

5 Matching Questions

  1. 3 instance when -51 modifier is used
  2. therapeutic use
  3. e codes
  4. health insurance
  5. International Classification of Diseases, 9th Revision, Clinical Modification
  1. a supplementary classification codes used to describe the reason or external cause of injury, poisoning and other adverse effects
  2. b ICD-9-CM
  3. c instances when a correct substance properly taken is the cause of adverse effects
  4. d same operation, different sites, multiple operations, same operative session, procedure performed multiple times
  5. e a contract between a policyholder, one who purchases the contract, and an insurance carrier, one who provides the benefits plan or a government program developed to reimburse the policyholder of all or most medical expenses

5 Multiple Choice Questions

  1. a document provided to a Medicare beneficiary by a provider prior to service being rendered letting the beneficiary know of his/her responsibility to pay if Medicare denies the claim
  2. unrelated e/m service by the same physician during a postoperative period
  3. composed of a group of 3 digit categories representing a group of conditions or related conditions
  4. mandated services
  5. unrelated procedure or service by the same physician during the postoperative period

5 True/False Questions

  1. -26 modifierreference (outside) lab

          

  2. Level I codeswere used locally or regionally have been eliminated by the CMS since the implementation of the HIPAA.

          

  3. category II codestemporary codes for emerging technology, services and procedures. if a category III code is avail., it is reported instead of a category I unlisted code

          

  4. uncertain behaviorprovide a 4 digit code which is more specific than category code in terms of cause, site, or manifestation of the condition

          

  5. indented codesstart w/a letter followed by four numbers and make up more than 2400 five digit alphanumeric codes divided to 22sections, each covering a related group of items

          

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