The LAW
Black or White
Coding
E/M codes
Modifiers
100
The sharing of information between health care professionals working in separate entities, or facilities, in the course of caring for the patient.
What is disclosure?
100
Purposely avoiding learning about a law to excuse not following the law.
What is WILLFUL IGNORANCE?
100
A code used by Anesthesiologist to identify elderly patients or very young patients. These special codes are called:
What is Qualifying Circumstance Codes?
100
Karyn, is a 3 year old and sees Dr. Friday for the first time in his office, with itchy spots all over her body. After a detailed history and a detailed examination, his MDM is of a low complexity. Dr. Friday diagnoses her with chicken pox. What is the E/M code for this and the ICD-9 code?
What is 99203 and 052.9?
100
severe malnutrition
What is 261?
200
This Act specifically forbids the submission of health care claims with the intention of gaining financial consideration by stating details that are not true and accurate.
What is THE FEDERAL FALSE CLAIMS ACT?
200
Two organizations listed in your Text Book that have published a Code of Ethics to guide members of our industry on the best professional way to conduct themselves.
What is AHIMA and AAPC?
200
These modifiers are used by anesthesiologist to represent levels of risk.
What is Physical Status Modifiers?
200
Angela, a 40 year old female, recently diagnosed with asthma come to see her family physician, Dr. Palmer, with a complaint of severe headaches. He performs a comprehensive history and exam and a highly complex MDM. What is the E/M code?
What is 99215?
200
Congestive Heart Failure, unspecified
What is 428.0?
300
A 16-yr old requiring a physical to play basketball. Code?
What is V70.3?
300
Actions that are in agreement with society's concepts of right and wrong.
What is Ethical behaviors?
300
A 5 year old female, saw Dr. Jones for a screening audiologic function test, pure tone, air only, to check her hearing. What is the CPT code for this procedure?
What is 92551?
300
Dr. Max calls in Dr. Fritz for a consultation on a 7-year old Dale Hill to determine if a tonsillectomy should be performed. Dale is currently in the hospital for treatment of his previously diagnosed leukemia. Dr. Fritz gathers a comprehensive history, performs a comprehensive examination in his hospital room, and spends time reviewing all prior test results. Dale's history of allergies and other health concerns makes this a highly complex decision.
What is 99255?
300
Code: Patient stepped on nail right foot and was administered a Prophylactic Injection - Tetnus Toxiod 0.5cc right deltoid.
What is V07.2?
400
President Obama signed this Law into effect on March 23, 2010. What was the name of this LAW?
What is THE PATIENT PROTECTION AND AFFORDABLE CARE ACT?
400
This rule is very specific about how to handle PHI.
What is HIPAA?
400
DAILY DOUBLE!!! David, a 25-year old male, was taken to the OR for a corneal transplant, lamellar, to the left eye? What is the CPT code for this procedure?
What is 65710?
400
Amyotrophic lateral sclerosis
What is 335.20?
400
Diaper Rash
What is 691.0?
500
Using inaccurate information or other dishonesty to wrongly gain money or other benefit.
What is Fraud?
500
HIPAA is a _________________law.
What is FEDERAL?
500
A 17-year old female, who is a gymnast, was brought to the OR for the insertion of a plate with screws to assist the healing of the malunion of a humeral shaft fracture. An open procedure began. What is the CPT code for this procedure?
What is 24515?
500
stenosis of larynx
What is 478.74?
500
Cat Scratch Fever
What is 078.3?
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