In CPT, what do Category III codes report?

Emerging technology, services, and procedures

When a medical practice receives a revised edition of CPT, what activities should follow?

Update encounter forms, update patient billing software, and educate medical professional staff.

Level I codes in the Health Care Common Procedure Coding System (HCPCS) are

Current Procedural Terminology (CPT) codes.

Some possible consequences of inaccurate coding and incorrect billing in a medical practice are

Fines, prison sentences, denied claims and reduced payments.

If a payer judges that a code level assigned by a practice is too high for a reported service, the usual action is to

Downcode the reported procedure code

In CPT, what do Category II codes report?

Services to track performance measurement

Which of the following is the best process to correctly select CPT codes?

Determine the procedures and services to report, identify the correct codes, and determine the need for modifiers.

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Billing and coding

Quiz

Question	Answer
In CPT, a plus sign (+) next to a code indicates a(n)	Add-on code.
In CPT, what do Category III codes report?	Emerging technology, services, and procedures
When a medical practice receives a revised edition of CPT, what activities should follow?	Update encounter forms, update patient billing software, and educate medical professional staff.
Durable medical equipment (DME), such as wheelchairs, is reported using	HCPCS codes.
The physician’s description of the main reason for a patient encounter is called a(n)	Diagnostic statement.
In the CCI, which type of code cannot be billed together with a column 1 code for the same patient on the same day of service?	column 2
Level I codes in the Health Care Common Procedure Coding System (HCPCS) are	Current Procedural Terminology (CPT) codes.
Which of the following codes is considered a category code?	S82
What type of coding uses a procedure code that provides a higher reimbursement rate than the correct code?	Upcoding
What was set up to give health care providers a coding system that describes specific products, supplies, and services that patients receive?	HCPCS
Some possible consequences of inaccurate coding and incorrect billing in a medical practice are	Fines, prison sentences, denied claims and reduced payments.
If a payer judges that a code level assigned by a practice is too high for a reported service, the usual action is to	Downcode the reported procedure code
Updates to ICD-10-CM are called	Addenda.
Which of the following provides an index of the disease descriptions?	Alphabetic Index
When selecting an Evaluation and Management code, three components are considered: the type of history, the physical examination, and the	Medical decision making.
In CPT, what do Category II codes report?	Services to track performance measurement
What type of coding uses diagnoses that are not as specific as possible?	truncated coding
Which of the following is the best process to correctly select CPT codes?	Determine the procedures and services to report, identify the correct codes, and determine the need for modifiers.
In CPT, E/M is the abbreviation for Evaluation and	Management.
As of October 1, 2015, the diagnosis codes that must be used in the United States are based on which of the following revisions of the International Classification of Diseases (ICD)?	10th Revision

Created by: InstructorWatson

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