Medical Insurance: An Integrated Claims Approach Process
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| Panel | show 🗑
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| Professional Component | show 🗑
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| show | A procedure performed in addition to a primary procedure.
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| Category III Codes | show 🗑
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| Global Period | show 🗑
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| Bundled Code | show 🗑
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| show | CPT codes that are used to track performance measures
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| show | A secondary procedure that is performed with a primary procedure and that is indicated in CPT by a plus sign (+) next to the code.
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| Unlisted Procedure | show 🗑
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| show | A two-digit number indicating that special circumstances were involved with a procedure, such as a reduced service or a discontinued procedure.
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| T/F In Selecting correct procedure codes, that main text sections are first searched, and the code is then verified in the index. | show 🗑
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| T/F Category II codes are not reported for payment. | show 🗑
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| T/F In the CPT index, a see cross-reference must be followed. | show 🗑
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| T/F The section guidelines summarize the unlisted codes for the section. | show 🗑
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| show | False
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| show | True
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| show | True
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| show | False
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| show | False
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| T/F Because it is an evaluation of a patient, a consultation is coded using E/M office service codes. | show 🗑
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| show | D. three years
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| show | A. past medical history
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| The abbreviation PFSH stands for: | show 🗑
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| show | A. straightforward, low complexity, moderate complexity, or high complexity
B. problem-focused, expanded problem-focused, detailed, or comprehensive
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| The 3 key factors in selecting an evaluation and management code are; | show 🗑
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| show | B. a preventive medicine service code
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| Anesthesia codes generally include: | show 🗑
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| show | B. Preoperative evaluation and planning, the operation and normal additional procedures, and routine care after the procedure.
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| When a Surgery section code has a plus sign next to it: | show 🗑
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| When a panel code from the Pathology and Laboratory section is reported: | show 🗑
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| show | 1. Determine procedure & services to report
2. Identify the correct codes
3. Determine the need for modifiers
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| List the 3 key components used to select E/M codes and the four levels each component has: | show 🗑
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| What are E/M codes? | show 🗑
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| Category I Code | show 🗑
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| show | Indicates to payer that physician did not perform all the work (just professional part).
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