Which code represents transection of esophagus with repair for esophageal varices?
a. 43330
b. 43401
c. 43410
d. 43425
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Q. 2) Accounts Receivable (A/R) refers to
A. cases that have not yet been paid.
B. the amount the hospital was paid.
C. cases that have been paid.
D. denials that have been returned to the hospital.
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Q. 3) Which code represents removal of foreign body, intranasal, by lateral rhinotomy?
a. 30220
b. 30300
c. 30310
d. 30320
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Q. 4) This document is published by the Office of Inspector General (OIG) every year. It details the
OIG's focus for Medicare fraud and abuse for that year. It gives health care providers an
indication of general and specific areas that are targeted for review. It can be found on the Internet
on CMS' Web site.
A. the OIG's Evaluation and Management Documentation Guidelines
B. the OIG's Model Compliance Plan
C. the Federal Register
D. the OIG's Workplan
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Q. 5) Which code represents fine needle aspiration with imaging guidance?
a. 10021
b. 10022
c. 88172
d. 88137
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Q. 6) Which of the following statements is FALSE regarding the use of modifiers with the CPT codes?
A. All modifiers will alter (increase or decrease) the reimbursement of the procedure.
B. Some procedures may require more than one modifier.
C. Modifiers are appended to the end of the CPT code.
D. Not all procedures need a modifier.
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Q. 7) Which code represents anesthesia for repairs in the upper abdomen of an omphalocele?
a. 00700
b. 00703
c. 00750
d. 00754
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Q. 8) In the managed care industry, there are specific reimbursement concepts, such as capitation. All
of the following statements are true in regard to the concept of capitation, EXCEPT
A. each service is paid based on the actual charges.
B. the volume of services and their expense do not affect reimbursement.
C. capitation means paying a fixed amount per member per month.
D. capitation involves a group of physicians or an individual physician.
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Q. 9) Which code represents a new patient exam in which the physician documents a detailed history, detailed examination, and medical decision making of low complexity?
a. 99203
b. 99204
c. 99213
d. 99214
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Q. 10) This is a 10-digit, intelligence-free, numeric identifier designed to replace all previous provider
legacy numbers. This number identifies the physician universally to all payers. This number is
issued to all HIPAA-covered entities. It is mandatory on the CMS-1500 and UB-04 claim forms.
A. National Practitioner Databank (NPD)
B. Universal Physician Number (UPN)
C. Master Patient Index (MPI)
D. National Provider Identifier (NPI)
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