Certified Paraoptometric Coder 213 Questions with Complete Solutions 100% Verified What modifier is commonly used if a provider performs an unrelated office visit during a post operative period? - Correct Answers 24 PQRS measure G8477 refers to what? - Correct Answers Patient encounter documented using a certified EHR system What are radially arranged natural fibers in the eye that suspend the crystalline lens from the ciliary body and hold it in position? - Correct Answers Zonules Prone - Correct Answers face down/ palm down For an E&M service, what is the minimum number of elements required by the Documentation Guidelines for a Detailed Physical Exam? - Correct Answers Nine Does Medicare have standard guidelines physicians must follow for the "written interpretation of medical findings?" - Correct Answers No Is it a federal requirement to do self audits of patient charts and coding in private practices? - Correct Answers No -endo - Correct Answers within coronal - Correct Answers vertical body plain, divides the body into front & back sections -oid - Correct Answers like supine - Correct Answers face up/palm up What is an e-claim clearing house? - Correct Answers A company that a provider contracts with to transmit claims legally and safely between the provider and the insurance companies 1 / 3
What are surgically implanted plastic half rings that change the shape of the cornea? - Correct Answers Intacs What is medical insurance? - Correct Answers A written policy between the individual (policy holder) and health plan (payer) What is "QMB" Medicaid? - Correct Answers Qualified Medicaid Beneficiary- limited benefits What are the four "E" modifiers used for? - Correct Answers For indicating which lid is involved. E1= Upper left eyelid, E2= Lower left eyelid, E3= Upper right eyelid, E4= Lower right eyelid How many "E" modifiers are there? - Correct Answers 4 On the CMS 1500, what box is designated to provide additional information to the payer? - Correct Answers 19 -retro - Correct Answers behind, back The documentation of each patient encounter should include which items(s): - Correct Answers Reason for the encounter and assessment, medical plan and date, and legible identity of the observer trans- - Correct Answers across, through Is it acceptable for a staff person to correct a CPT or ICD-10 code on a route slip or claim without the consent of the doctor? - Correct Answers No What are the Key Components of E and M Coding? - Correct Answers Medical Decision Making, Examination, and History What modifier is used if two non bundled surgical procedures are performed on the same eye at the same visit? - Correct Answers 51 2 / 3
What modifier should you use on the office visit if a patient comes in with allergic conjunctivitis during their global post-op period? - Correct Answers 24 What does RBRVS stand for? - Correct Answers Resource-Based Relative Value Scale List the Contributory Factors of E and M Coding - Correct Answers Counseling, Coordination of Care, Presenting Problem, and Time When billing for post cataract eyewear through Medicare, what is the date of service? - Correct Answers The date the eyewear is dispensed anterior or ventral - Correct Answers at or near front surface of the body Whose name goes in Box 17 in the HCFA 1500 when billing for co-managed cataract post op care? - Correct Answers Surgeon What are Medicaid, Medicare, TRICARE and CHAMPVA types of? - Correct Answers Government sponsored insurance plans When did PQRI name change to PQRS? - Correct Answers In 2011 inferior - Correct Answers below -pnea - Correct Answers breathing -ab - Correct Answers away from -orrhagia - Correct Answers hemorrhage Does MQMG Medicaid pay for refraction and eyeglasses? - Correct Answers Yes, in many states and often is age dependent -plasia - Correct Answers growth
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