The number of radiologic views includes studies taken from different angles for one x-ray as described in a radiology report, and this __________ selected on the encounter form.
a. always results in many different codes
b. determines the particular Radiology code
c. makes it difficult to identify code(s) to be
d. triggers a claims audit based on code(s)
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Q. 2) There are times when documentation is incomplete or insufficient to support the diagnoses found
in the chart. The most common way of communicating with the physician for answers is by
A. e-mailing physicians. C. calling the physician's office.
B. using physician query forms. D. leaving notes in the chart.
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Q. 3) When billing multiple surgical procedures, the code __________ should be reported first on the claim.
a. associated with topical anesthesia
b. for the major surgical procedure
c. in straight numerical order
d. that justifies all of the diagnoses
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Q. 4) A Medicare Summary Notice (MSN) is sent to ________ as their EOB.
A. physicians
B. patients (beneficiaries)
C. hospitals
D. skilled nursing facilities
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Q. 5) Which parenthetical note follows a code description to identify procedures that are an integral part of another procedure or service?
a. add-on procedure
b. routine procedure
c. separate procedure
d. unlisted procedure
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Q. 6) If this physician is a nonparticipating physician who does NOT accept assignment for this claim,
the total amount of the patient's financial liability (out-of-pocket expense) is
A. 66.50 C. 190.00.
B. 38.00 D. 152.00.
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Q. 7) The global period is the number of days associated with the surgical package (or global surgery) and is designated by the payer as __________.
a. a specific number of days for each surgery
b. including the management of any complications
c. requiring a repeat surgery, if indicated
d. treating the patient until (s)he is healed
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Q. 8) If this physician is a participating physician who accepts assignment for this claim, the total
amount of the patient's financial liability (out-of-pocket expense) is
A. 200.00 C. 160.00.
B. 40.00 D. 30.00.
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Q. 9) Which service is included as part of the surgical package (or global surgery)?
a. complicated postoperative care
b. general anesthesia
c. repeat surgery, if necessary
d. surgical procedure performed
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Q. 10) If this physician is a nonparticipating physician who does NOT accept assignment for this claim,
the total amount the physician will receive is
A. 250.00 C. 218.50.
B. 200.00 D. 190.00.
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