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Modifiers
UP IN THE AIR
Take a chance
GENERAL
100

What must be reviewed in all invoices?

Par/Non Par status of MD

Does CPT require Auth?

Location-  were procedures were in appropriate location? 

100

What is the E1, E2, E3 and E4 modifier?

Provides one modifier for each eyelid:

E1 for upper left, E2 for lower left, E3 for upper right, and E4 for lower right

100

Who was the first televised President ?

Franklin D. Roosevelt

100

What day is known as Star Wars Day?

May 4th (May the 4th be with you!)

100

Which famous pop band was called "Kara’s Flowers" up until 2001?

Maroon 5

200

What is the national sport of Canada?

Lacrosse

200
What is the QW modifier?

Used in medical billing to indicate that a test is a CLIA-waived test.

When to use: For any CLIA-waived test that's performed

Why use : To ensure that Medicare and Medicaid only pay for waived tests in facilities with a valid CLIA certificate

200

Who painted the Mona Lisa?

Leonardo da Vinci

200

When sending a Fax is a "1" required before the fax number? 

Yes, it's a must, otherwise the fax will not go out. 

200

Which planet is the hottest in the solar system?

Venus

300

In the dictionary what is the number to look up a CPT?

AND within this descriptions of the CPT, does it tell you the number of global days and if an assistant is payable?

#1 and yes, it will state the global days and if an assistant is payable. 

300
What is a GW mod?

The GW modifier indicates that the service rendered is unrelated to the patient's terminal condition.

300

What does EMR and EMS stand for?

EMR - Email Received

EMS- Email Sent

300

List 3 changes that should be performed as a Phase 1 charge correction

  • Editing Modifier, 
  • Adding/removing a DX/changing a pointer, 
  • date of service, 
  • billing area/division, 
  • NDC/drug codes. 
  • Servicing provider, HCT/HBG level, A CPT(if charges = balance) 
300

Name three things you have to verify on an operative report to confirm it is valid.

It must be signed 

Correct patient 

Correct DOS 

Correct provider

400

Efax ---- How can you confirm the email was sent out?

E-Fax is sent the fax confirmation is emailed to the designated E-Fax shared mailbox account

As well a "Send a Fax Confirmation" will come up. 


400

What is a JW and JZ modifier?

JW:  DRUG AMOUNT DISCARDED/NOT ADMINISTERED TO ANY PATIENT. 

JZ: ZERO DRUG AMOUNT DISCARDED/NOT ADMINISTERED TO ANY PATIENT.

400

What is the sixth sign of the zodiac?

Virgo

400

What does CCN, CCL and CE stand for?

CCN- Charge Correction

CCL - Corrected Claim

CE - Charge Edit

400

What was the first state?

Delaware

500

What the "no surprise Billing" adjustment pay code?

PC 6461
500

Modifiers 76 vs 77?

Modifier 76 indicates a repeat procedure or service by the same physician or other qualified healthcare professional on the same day.

Modifier 77 indicates a repeat procedure or service by a different physician or other qualified healthcare professional on the same day.

500
What does CDC and CR means?

CDC - Drop to paper (printed claim)

CR - Queue Electronic - (electronic claim submission)

500

What was the first cable television series to win an Emmy for Outstanding Drama Series?

The Sopranos

500

This Pay Code is used when a claim for a non-par provider has an outstanding balance and we are not holding the patient responsible.

Pay Code 8156 – Non Par Insurance Discount

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