What is the standard means of interfacing HCPCS codes with English language?
a. If you have a code number, but need the English language equivalent, look in the front section of the HCPCS. HCPCS codes have a letter, then several numbers.
b. The codes are listed by the number, then the letters within that number.
c. Codes are assigned within groups. Therefore the items within a group will be found in several associated coding sections.
d. If you have an English language equivalent and need to look up the HCPCS code, look up the item in the dictionary found at the back of the manual.
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Q. 2) How are values assigned using the payment methodology called the Relative Value Scale (RVS)?
a. By geographic region
b. By population density
c. By weather patterns
d. By rate of malpractice cases
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Q. 3) Which of the following is NOT a body section contained in Volume III of the ICD-9-CM?
a. Nervous System
b. Endocrine System
c. Hemic and Lymphatic System
d. Digital System
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Q. 4) All injury claims (i.e., injury diagnosis) must have an injury, accident, or workers' compensation date.
Indicate whether this statement is true or false.
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Q. 5) There are two types of forms most commonly used for billing claims: the CMS-1500 and the UB-04.
Indicate whether this statement is true or false.
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Q. 6) The Red Book is primarily used by pharmacists for drug information and wholesale pricing, and the Blue Book is used normally by providers and patients to compare pricing for their geographical area.
Indicate whether this statement is true or false.
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Q. 7) As a rule, the medical dictionary should be used instead of the Merck Manual for verifying a diagnosis or affected body area or checking definitions and the spelling of terms.
Indicate whether this statement is true or false.
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Q. 8) Claims examiners use the Product Information Section of the PDR the least.
Indicate whether this statement is true or false.
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Q. 9) replacement of inferior vena can with nonautologous tissue substitute, open approach
Select the correct PCS codes:
A) 05RC0JZ
B) 05RR07Z
C) 06R00KZ
D) 06R10JZ
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Q. 10) Which of the following is true about Rule 12s?
A) A control violates the rule only when it falls more than 3 SD from the mean.
B) A control that deviates up to -4 SD from the mean is not considered in violation.
C) A control will violate the rule approximately once in every 20 acceptable runs.
D) A violation of this rule should result in rejection of the recent runs.
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