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#E
100
What code would be used for an annual check up?
v code
100
A patient must authorize the release of ___________________________ before a provider can submit a claim.
What is medical information
100
What kind of code is 99213?
evaluation and management code
100
What should the provider code if there is no specific diagnosis?
signs and symptoms
100
Can prividers accept Medicaid patients on a case by case basis?
No
200
How many levels are there of new and established outpatient office codes?
3
200
How many factors are there when determining the appropriate level of E and M codes?
3
200
What must be obtained in order to refer a patient to a specialist
authorization
200
What incentives are offered to Medicare participating providers?
higher fee schedules, toll free numbers, and direct payment
200
what is covered in the evaluation and management section of the cpt book
Case management
300
how many sections of the CPT book are there
6
300
how can a provider add more specificity, detail or information to a ICD-9-CM code
by looking for more specific diagnosis listed with four digit codes
300
what should be looked up first for an ovarian cyst diagnosis code
cyst
300
would a provier take into consideration the insurance coverage when determining the correct code
No you must always use the correct code
300
who will usually receive payments when nonparticipating provider is involved
isurance payments are usually sent to the patient and not the provider
400
should the correct diagnosis code always be used
yes to insure proper treatment and reinbursment
400
unbundling is
separating components of a procedure and coding them separately
400
what is bundling
to group more than one component ( service or procedure ) into one CPT code
400
E/M codes begining with 9 usually are how many digits long
5
400
what atre modifiers used for in CPT-4 coding
to give addition information regarding the code
500
what are the most frequently used codes
CPT-4
500
What does the bullet symbol mean
new code
500
what does the triangle symbol mean
code dessciption was changed or modified
500
what does the plus sign symbol mean
that it is a add-on code
500
what does the lightening bolt symbol mean
vaccines are still pending approval