E&M This!
Modifier Madness
ICD-10 What?
General
EMR & HIT
100
Your ______ patient was seen by a physician in your practice two years and 11 months ago.
What is new?
100
A significant, separately identifiable evaluation and management service by the same physician on the same day of the procedure or other service.
What is modifier 25?
100
Y93.J4: A code for injuries received while playing brass instruments.
What is a true code for an injury received while playing brass instruments?
100
The acronym means: current procedural terminology.
What is CPT?
100
What is another name for electronic medical records other than EMR?
What is EHR
200
The ______ of the following is NOT an organ system. Eyes Neck Cardiovascular
What is Neck?
200
The professional component.
What is modifier 26?
200
W6162XA: struck by dodo bird, initial encounter.
What is a false code for being struck by a dodo bird? (The dodo bird is extinct.)
200
The publisher of the CPT book.
What is the AMA (American Medical Association)?
200
Approximately how much will it cost to implement an EMR system in an outpatient setting?
What is $10-20,000 per physician
300
The level of medical decision making that usually pertains to drugs on the CMS Table of Risk.
What is moderate?
300
A bilateral procedure.
What is modifier 50?
300
The date that ICD-10 will be in effect.
What is October 1, 2014?
300
The CMS 1500.
What is the form used to submit a pro fee?
300
The US Dept of Health and Human Services estimated that in the nation's $1.9 trillion health care industry, how much money could be saved through the adoption of HIT systems?
What is $140 billion per year
400
The set of CMS evaluation and management guidelines that refer to a single organ system.
What are the 1997 Guidelines for Evaluation and Management?
400
Under certain circumstances, the physician may need to indicate that a procedure or service was distinct or independent from other non-E/M services performed on the same day. This CPT modifier is used to identify procedures/services, other than E/M services, that are not normally reported together but are appropriate under the circumstances.
What is modifier 59?
400
A coding system that will be impossible to use at first, but easier as time goes on.
What is ICD-10?
400
Noridian Healthcare Solutions.
What is the new MAC?
400
What year was HIPAA brought into legislation?
What is 1996
500
The code that we use to indicate to payers when a physician has performed the following: a comprehensive history, a detailed exam and a moderate decision.
What is a 99214?
500
This modifier indicates services delivered under an outpatient occupational plan of care.
What is modifier GO?
500
The material from which a coder can derive an ICD-10 code.
What is greatly detailed physician documentation?
500
The _______ pays the premiums for an insurance policy.
What is the policy holder?
500
In what year will the incentives for EMR adaptation end?
What is 2016
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