Question 1

At the end of each subsection or subheading,a code is provided under the heading "other procedures," which typically ends in _______.

Accepted Answer

The answer of At the end of each subsection or...

Question 2

The health insurance professional must establish what level of service the patient received,which is based on three key components.

Accepted Answer

A) True 
 B)False

Question 3

Similar to the ICD-9 and ICD-10-CM manuals,CPT-4 is made up of several sections beginning with a/an ___________,identified by lowercase Roman numerals.

Accepted Answer

The answer of Similar to the ICD-9 and ICD-10-CM manuals,CPT-4...

Question 4

E/M codes represent the services provided directly to the patient during an encounter that does not involve an actual procedure.

Accepted Answer

A) True 
 B)False

Question 5

The time the healthcare provider spends in direct contact with a patient during an office visit,which includes taking a history,performing an examination,and discussing results,is _____ time.

Accepted Answer

A)   unit floor
B)   face-to-face
C)   E&M
D)   counselingE) B) and D)
F) B) and C)

Question 6

The health insurance professional must establish what level of service the patient received,which is based on all but which of the following three key components?

Accepted Answer

A)   History
B)   Examination
C)   Time
D)   Complexity of medical decision makingE) B) and D)
F) C) and D)

Question 7

Observation services can be defined as the direct delivery of medical care by a physician for a critically ill or critically injured patient.

Accepted Answer

A) True 
 B)False

Question 8

____________ codes deal with what the healthcare provider does during the time spent with the patient rather than merely with the amount of time spent.

Accepted Answer

A)   Unit floor time
B)   E/M
C)   Combination
D)   ConsultationE) A) and B)
F) A) and C)

Question 9

The category of codes established by the AMA as a set of temporary CPT codes for emerging technologies,services,and procedures is Category _____ codes.

Accepted Answer

A)   I
B)   II
C)   III
D)   IVE) A) and D)
F) B) and C)

Question 10

To be eligible for a Category III code,the procedure or service must be involved in ongoing or planned research.

Accepted Answer

A) True 
 B)False

Question 11

A patient's medical record must contain sufficient documentation to support the use of ____________________.

Accepted Answer

The answer of A patient's medical record must contain sufficient...

Question 12

The level of _____________ is determined by the complexity involved in the healthcare provider's assessment of and professional judgment regarding the patient's diagnosis and care.

Accepted Answer

A)   UCR schedule fees
B)   medical decision making
C)   the patient's status
D)   the patient's examinationE) B) and C)
F) None of the above

Question 13

The most important thing to remember when using modifiers is that the health record must contain ______________ to support the modifier.

Accepted Answer

A)   adequate documentation
B)   signatures of two physicians
C)   an operative report
D)   proof of insurance coverageE) B) and D)
F) A) and B)

Question 14

What are the four contributing factors that may impact the E&M coding level reported?

Accepted Answer

Counseling
Coordinat...

Question 15

In the CPT manual,the Alphabetic Index is presented:

Accepted Answer

A)   first.
B)   last.
C)   immediately before the category III codes.
D)   after the introduction and before the main body.E) None of the above
F) A) and B)

Question 16

Levels of service are based on what three key components?

Accepted Answer

History
Examination
...

Question 17

Modifiers are universal and can be used with all CPT codes.

Accepted Answer

A) True 
 B)False

Question 18

When the amount of time spent face to face with the patient exceeds the usual length of service,this extra time is reported using ___________ codes.

Accepted Answer

A)   observation
B)   combination
C)   consultation
D)   prolonged servicesE) A) and B)
F) All of the above

Question 19

The codes in the category for initial hospital care are for reporting services for any physician dealing with the patient.

Accepted Answer

A) True 
 B)False

Question 20

Each main term in the CPT manual can stand alone or be followed by up to three modifying terms.

Accepted Answer

A) True 
 B)False

Exam 13: Procedural, Evaluation and Management, and HCPCS Coding

The codes in the category for initial hospital care are for reporting services for any physician dealing with the patient.

Correct AnswerverifiedShow Answer

The health insurance professional must establish what level of service the patient received,which is based on three key components.

Correct AnswerverifiedShow Answer

The health insurance professional must establish what level of service the patient received,which is based on all but which of the following three key components?

Correct AnswerverifiedShow Answer

Levels of service are based on what three key components?

Correct AnswerverifiedHistoryExamination...View AnswerShow Answer

The time the healthcare provider spends in direct contact with a patient during an office visit,which includes taking a history,performing an examination,and discussing results,is _____ time.

Correct AnswerverifiedShow Answer

What are the four contributing factors that may impact the E&M coding level reported?

Correct AnswerverifiedCounselingCoordinat...View AnswerShow Answer

E/M codes represent the services provided directly to the patient during an encounter that does not involve an actual procedure.

Correct AnswerverifiedShow Answer

At the end of each subsection or subheading,a code is provided under the heading "other procedures," which typically ends in _______.

Correct AnswerverifiedShow Answer

In the CPT manual,the Alphabetic Index is presented:

Correct AnswerverifiedShow Answer

The level of _____________ is determined by the complexity involved in the healthcare provider's assessment of and professional judgment regarding the patient's diagnosis and care.

Correct AnswerverifiedShow Answer

The category of codes established by the AMA as a set of temporary CPT codes for emerging technologies,services,and procedures is Category _____ codes.

Correct AnswerverifiedShow Answer

Modifiers are universal and can be used with all CPT codes.

Correct AnswerverifiedShow Answer

Similar to the ICD-9 and ICD-10-CM manuals,CPT-4 is made up of several sections beginning with a/an ___________,identified by lowercase Roman numerals.

Correct AnswerverifiedShow Answer

Observation services can be defined as the direct delivery of medical care by a physician for a critically ill or critically injured patient.

Correct AnswerverifiedShow Answer

____________ codes deal with what the healthcare provider does during the time spent with the patient rather than merely with the amount of time spent.

Correct AnswerverifiedShow Answer

Each main term in the CPT manual can stand alone or be followed by up to three modifying terms.

Correct AnswerverifiedShow Answer

A patient's medical record must contain sufficient documentation to support the use of ____________________.

Correct AnswerverifiedShow Answer

When the amount of time spent face to face with the patient exceeds the usual length of service,this extra time is reported using ___________ codes.

Correct AnswerverifiedShow Answer

The most important thing to remember when using modifiers is that the health record must contain ______________ to support the modifier.

Correct AnswerverifiedShow Answer

To be eligible for a Category III code,the procedure or service must be involved in ongoing or planned research.

Correct AnswerverifiedShow Answer

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History
Examination
...
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Counseling
Coordinat...
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