Exam 1

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Mechanical Engineering

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Oct 30, 2023

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44 points 1. The Medicare program was established in: a. 1955 c. 1965 b. 1960 d. 1970 2. Medicare Part A pays for: a. professional services and durable medical equipment b. Hospital/facility care c. Physician services and durable medical equipment d. Hospital/facility care and durable medical equipment 3. Medicare Part B pays for: a. durable medical equipment b. Hospital/facility care c. Physician services and durable medical equipment d. Hospital/facility care and durable medical equipment 4. How many sections does CPT Category I have? a. 2 b. 8 c. 6 d. 3 5. Who developed the Healthcare Common Procedure Coding System (HCPCS)? a. The Centers for Medicare and Medicaid Services (CMS) b. US Department of Health and Human Services c. American Medical Association d. The American Health Information Management Association 6. Medicare Part A pays for the cost of: a. medical equipment b. Ambulance services c. Prescription drugs d. Hospital and facility care pg. 1 EXAM 1 – CHAPTERS 1, 2, 3 AND 11
7. CMS establishes contractual arrangements with ____________ and they process Medicare claims for local geographic regions. a. Medicare Administrative Contractors b. Medical Adjustment Contractors c. Medicare Administrative Corporations d. Medical Adjustment Companies 8. Who is responsible for the annual revisions and modification of the CPT code book? a. The American Hospital Association (AHA) b. AMA CPT Editorial Panel c. The Centers for Medicare and Medicaid Services (CMS) d. National Center for Health Statistics e. 9 . A code that has all of the words that describe the code that follows is what type of code a. developed c . Stand alone b. Isolated d. Complete 10. Procedures that are experimental, newly approved, or seldom used are reported with what type of code? a. unlisted/Category III c. Modified b. Technical d. Variable 11. In which CPT appendix would all modifiers be found? a . Appendix A c. Appendix C b. Appendix B d. Appendix D 12. CPT stands for: a. Current Physician’s Terminology c. Current Procedural Terminology b. Current Procedure Terminology d. Current Procedural Terms 13. This act mandated the adoption of national uniform standards for electronic transmission of financial and administrative health information. a. HPIAA c. HIAPA b. HAPIA d . HIPAA 14. What year was CPT first developed and published? a. 1966 c. 1983 b. 1970 d. None of the above 15. Who publishes CPT? a. WHO c. CMS pg. 2 EXAM 1 – CHAPTERS 1, 2, 3 AND 11
b. AMA d. HHS 16. Category I CPT codes have ____ digits. a. 5 c. 4 b. 6 d. 7 17. The universal health insurance paper form for submission of outpatient services is the: a. HCFA-1500 c. CMS 1500 b. CMS1400 d. UB04 18. Which statement is true regarding an add-on code? a. It can be a first listed code b. Identifies services that are done with moderate sedation c. Identifies a code that is never used alone d. Serves as a primary code under certain conditions 19. A modifier: a. Subtracts from the definition of the code b. Adds to the CPT code number c. Provides additional information to the third-party payer d. Increased third-party payer reimbursement 20. Which code is an example of an add-on code? a. 11301 c. 15100 b. 11000 d . 15201 21. The range of codes 1002169990 would be found in this section of the CPT manual. a. Radiology c. Pathology b. Medicine d. Surgery 22. Level II (HCPCS) codes are not used in which setting? a. outpatient c. sameday surgery b. Inpatient d. Assisted Living pg. 3 EXAM 1 – CHAPTERS 1, 2, 3 AND 11
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