The CPT comprehensive examination includes a(n) __________.
a. extended examination of the affected body areas and other symptomatic or related organ systems
b. general multisystem examination or a complete examination of a single organ system
c. limited examination of the affected body area or organ system
d. limited examination of the affected body areas or organ systems and other symptomatic or related organ systems
(
Q. 2) ____ is knowingly making false statements or representation of material facts to obtain a benefit
or payment for which no entitlement would otherwise exist.
A. Fraud
B. Whistle-blowing
C. Abuse
D. Assault
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Q. 3) The CPT detailed examination includes a(n) __________.
a. extended examination of the affected body areas and other symptomatic or related organ systems
b. general multisystem examination or a complete examination of a single organ system
c. limited examination of the affected body area or organ system
d. limited examination of the affected body areas or organ systems and other symptomatic or related organ systems
(
Q. 4) The Health Insurance Portability and Accountability Act (HIPAA) requires the retention of health
insurance claims and accounting records for a minimum of ____ years, unless state law specifies a
longer period.
A. six
B. five
C. seven
D. ten
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Q. 5) The CPT expanded problem-focused examination includes a(n) __________.
a. extended examination of the affected body areas and other symptomatic or related organ systems
b. general multisystem examination or a complete examination of a single organ system
c. limited examination of the affected body area or organ system
d. limited examination of the affected body areas or organ systems and other symptomatic or related organ systems
(
Q. 6) Based on this patient volume, the MS-DRG that brings in the highest total profit to the hospital is
A. 470 C. 392.
B. 247 D. It cannot be determined from this information.
(
Q. 7) The CPT problem-focused examination includes a(n) __________.
a. extended examination of the affected body areas and other symptomatic or related organ systems
b. general multisystem examination or a complete examination of a single organ system
c. limited examination of the affected body area or organ system
d. limited examination of the affected body areas or organ systems and other symptomatic or related organ systems
(
Q. 8) Based on this patient volume, during this time period, the MS-DRG that brings in the highest
total reimbursement to the hospital is
A. 470 C. 392.
B. 247 D. 871.
(
Q. 9) The CPT __________ of examination is categorized according to four levels.
a. extent
b. level
c. range
d. type
(
Q. 10) Which individual MS-DRGs has the highest reimbursement?
A. 247 C. 871
B. 470 D. 293