Modify Me
Yearly Evals
This is Risky
Secret Laboratory
Not Chapter of the Year
100
For Bilateral Procedures – (Professional Claims Only) is used to report bilateral procedures that are performed during the same operative session by the same physician in either separate operative areas (e.g. hands, feet, legs, arms, ears), or one (same) operative area (e.g. nose, eyes, breasts).
What is modifier 50?
100
These seven components are used in defining the levels of E/M services ( 97 guidelines).
What are *history *exam *MDM* counseling *Coordination of care *Nature of presenting problem * Time
100
Applying CMS Medicare trumping logic:
What HCC with the greatest hierarchical rank will be included in the risk score and counted as additive to any other category present, for the two condition categories below
HCC 8 and HCC 17
100
CMP
What is Comprehensive Metabolic Panel?
100
5 hours, 40 minutes
What is the length of the CPC exam or majority of exams?
200
For (significant, separately identifiable evaluation and management [E/M] service by physician on the same day of the procedure or other service) is the most important the same modifier for pediatricians in CPT
What is modifier 25?
200
Problem Focused, Expanded Problem Focused, Detailed, Comprehensive.
What are the four levels of history in E/M?
200
What does the acronym RADV stand for?
Risk Adjustment Data Validation
200
PTH is too high
What is Hyperparathyroidism
200
There are 6 of theses, each chapter has 6 (or ideally)
Who are the chapter officers?
300
(Distinct Procedural Service) is used to identify services or procedures performed on
the same day due to special circumstances that are not normally reported together.
What is modifier 59?
300
Can a NPP bill an Incident To for a new patient or new problem?
No
300
Where does Risk Adjustment Data come from?
Hospital and physician claims are the main source of data that drives the risk adjustment model.
300
This factor is checked every pregnancy
Rhesus (Rh) factor
General Info:
• If your blood has the protein, you are Rh positive.
• If your blood lacks the protein, you are Rh negative.
• Rh positive is the most common blood type.
• Your pregnancy needs special care if you are Rh negative and your baby is Rh positive (Rh incompatibility).
300
Karen Bursen
Who is the oldest AAPC member that particiates in the chapter events?
400
unrelated E/M service is performed beginning the day after the procedure, by the same physician, during the 10 or 90-day post-operative period.
What is modifier 24?
400
1995 and 1997
What are the two guidelines used for E/M coding?
400
Why do I need to manage RAFs for my patients?
“Correctly identifying active diagnosis assist in the treatment of patients throughout the system and it ensures that adequate resources/funds to treat that patient are brought into the system."
400
I encompass multiple of these.
What is a Lab Panel?
400
27
What are the number of AAPC credentials?
500
Having to do with the right ring finger
What is modifier F7?
500
A patient who has not received any professional services, i.e: E/M services or any other face to face service from the physician or physician group practice (same physician specialty) within three years.
What is a new patient?
500
What is the appropriate code to report a dual HCC for the following conditions?
Diabetes Mellitus Type II with PVD
500
This test indicates the CKD stage
What is GFR/eGFR?
500
Corporate location
Where is Salt Lake City, UT?