Which codes represent diagnostic amniocentesis with ultrasonic guidance (imaging supervision and interpretation)?
a. 59000, 76945
b. 59000, 76946
c. 59001, 76945
d. 59001, 76946
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Q. 2) This program, formerly called CHAMPUS (Civilian Health and Medical ProgramUniformed
Services), is a health care program for active members of the military and other qualified family
members.
A. TRICARE C. Indian Health Service
B. CHAMPVA D. workers' compensation
(
Q. 3) Which code represents implantation of patient-activated event recorder including programming?
a. 33249
b. 33265
c. 33282
d. 33284
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Q. 4) All of the following statements are true of MS-DRGs, EXCEPT
A. a patient claim may have multiple MS-DRGs.
B. the MS-DRG payment received by the hospital may be lower than the actual cost of providing
the services.
C. special circumstances can result in a cost outlier payment to the hospital.
D. there are several types of hospitals that are excluded from the Medicare inpatient PPS.
(
Q. 5) Which code represents complicated LeFort III open treatment of craniofacial separation that required the use of multiple surgical approaches?
a. 21431
b. 21432
c. 21433
d. 21435
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Q. 6) CMS assigns one _______________ to each APC and each ______________ code.
A. payment status indicator, HCPCS
B. CPT code, HCPCS
C. MS-DRG, CPT
D. payment status indicator, ICD-10-CM and ICD-10-PCS
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Q. 7) Which code represents an intermediate closure of a heavily contaminated hand wound, 14.3 cm?
a. 12001
b. 12005
c. 12035
d. 12045
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Q. 8) Assume the patient has already met his or her deductible and that the physician is a
nonparticipating Medicare provider but does accept assignment. The standard fee for the services
provided is 120.00 . Medicare's PAR fee is 60.00 and Medicare's non-PAR fee is 57.00 . What is
the amount Medicare will pay the beneficiary on this claim?
A. 120.00 C. 57.00
B. 60.00 D. 45.60
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Q. 9) Which code represents an established patient home visit evaluation and management service (problem-focused history and examination, and straightforward medical decision making)?
a. 99347
b. 99348
c. 99349
d. 99350
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Q. 10) To monitor timely claims processing in a hospital, a summary report of patient receivables is
generated frequently. Aged receivables can negatively affect a facility's cash flow; therefore, to
maintain the facility's fiscal integrity, the HIM manager must routinely analyze this report.
Though this report has no standard title, it is often called the
A. remittance advice.
B. periodic interim payments.
C. DNFB (discharged, no final bill).
D. chargemaster.
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