AAPC Ch. 6

8 September 2022
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19 test answers

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question
What 3 components are considered when Relative Value Units are established?
answer
Physician Work Practice Expense Malpractice Insurance
question
What codes are reported voluntarily to payers to provide evidence-based performance-measure data?
answer
CPT Category 2 Codes
question
CPT Category 3 codes are reimbursable at what level of reimbursement?
answer
Reimbursement, if any, is determined by the payer
question
The surgical global package applies to services performed in what setting?
answer
Hospitals, Physician's Offices AND Ambulatory Surgical Centers
question
What does the acronym HCPCS stand for?
answer
Healthcare Common Procedure Coding System
question
What chapter in the HCPCS level 2 codebook lists the code for wheelchairs?
answer
Durable Medical Equipment (E0100-E9999)
question
What temporary HCPCS level 2 codes are required for use by OPPS hospitals?
answer
C Codes
question
True statement regarding the instruction for use of the CPT Codebook
answer
Select the name of the procedure or service that accurately identifies the service performed
question
What type of CPT code is "modifier 51 exempt" even though there is no modifier 51 exempt symbol next to it?
answer
Add-on Codes
question
What agency maintains and distributes HCPCS level 2 codes?
answer
CMS
question
When procedures are mandated by third party payers, what modifier would you use?
answer
32
question
HCPCS Level 2 includes code ranges which consist of what type of codes?
answer
Permanent national codes, miscellaneous codes & temporary codes
question
What publications are copyrighted and mandated by AMA?
answer
CPT Codebook and CPT Assistant
question
How often are HCPCS level 2 permanent national codes updated?
answer
Annually
question
Where is the starting point for selective catheter placement for the vascular families in Appendix L?
answer
Aorta
question
Services provided in the home by an agency are considered:
answer
Facility Services
question
How are new additions and revisions indicated in your CPT codebook?
answer
Green Print
question
How are ambulance modifiers used?
answer
They identify emergency or non-emergency transport types
question
If a CPT code and a HCPCS level 2 code exists for the same service, which should you report?
answer
It depends on the payer