Coding & Billing 2011 Updates

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| By Jkbaer

Jkbaer

Community Contributor

Quizzes Created: 1 | Total Attempts: 239

Questions: 11 | Attempts: 239 | Updated: Mar 17, 2023

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Explore the 2011 updates in coding and billing, focusing on medical coding practices for splints, casts, and laboratory tests. This quiz assesses knowledge on HCPCS updates, physician requirements, and changes in billing for ESRD and Vitamin D Assay testing.

Questions and Answers

1.

What type of codes will be used for splints and casts when coding and billing?
- A.
  
  J-codes
- B.
  
  L-codes
- C.
  
  Q-codes
- D.
  
  None of the above
Correct Answer
C. Q-codes
2.

What will physicians be required to sign for clinical diagnostic laboratory tests?
- A.
  
  Lab report
- B.
  
  Requisition
- C.
  
  Physician order
- D.
  
  None of the above
- E.
  
  Both B & C
Correct Answer
E. Both B & C

Explanation
Physicians will be required to sign both a lab report and a requisition for clinical diagnostic laboratory tests. The lab report is a document that provides the results and analysis of the tests conducted, while the requisition is a form that specifies the tests to be performed and the necessary information about the patient. By signing both documents, physicians acknowledge their involvement in the testing process and take responsibility for the accuracy and interpretation of the results.

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3.

HCPCS manuals are updated yearly on January 1st and usually have quarterly updates.
- A.
  
  True
- B.
  
  False
Correct Answer
A. True

Explanation
HCPCS manuals are updated yearly on January 1st and usually have quarterly updates. This means that the information contained in the manuals is revised and updated every year, with additional updates being made on a quarterly basis. Therefore, the statement "HCPCS manuals are updated yearly on January 1st and usually have quarterly updates" is true.

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4.

Effective Jan. 1, 2011, ESRD reasonable charges will no longer be calculated for payment of home dialysis supplies and equipment for Method II End Stage Renal disease patients, but will be _________________ as per the new payment system.

Correct Answer
implemented as an addition to

Explanation
The correct answer is "implemented as an addition to." This means that the new payment system will include the calculation of ESRD reasonable charges for home dialysis supplies and equipment for Method II End Stage Renal disease patients. In other words, the charges will be incorporated into the new payment system rather than being calculated separately.

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5.

Vitamine D Assay testing will require the physician to
- A.
  
  Have a qualifying test for Vit D 3 performed
- B.
  
  Have a qualifying test for Vit D 6 performed
- C.
  
  Have no test performed
- D.
  
  None of the above
Correct Answer
D. None of the above

Explanation
The correct answer is "None of the above" because the question is asking what the physician needs to do for Vitamin D Assay testing. The options provided do not include any action related to Vitamin D Assay testing. Therefore, none of the options are correct.

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6.

Flu vaccine dosage is provided in multi-dose vials.
- A.
  
  True
- B.
  
  False
Correct Answer
A. True

Explanation
Flu vaccine dosage is indeed provided in multi-dose vials. This means that multiple doses of the vaccine can be drawn from a single vial, making it more convenient and cost-effective for healthcare providers to administer the vaccine to multiple individuals. The vials are designed to maintain the potency and effectiveness of the vaccine throughout its use, ensuring that each dose is as effective as the first.

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7.

What ICD-9-CM codes will be covered and support medical necessity for a PET scan to be done?
- A.
  
  402.1 Malignant HTN heart disease w/ heart failure
- B.
  
  331.11 Alzheimer's disease
- C.
  
  140.0 Malignant neoplasm of lip
- D.
  
  None of the above
- E.
  
  All of the above
Correct Answer
E. All of the above

Explanation
All of the given ICD-9-CM codes will be covered and support medical necessity for a PET scan to be done. This means that a PET scan can be performed for patients with any of the following conditions: Malignant HTN heart disease with heart failure (402.1), Alzheimer's disease (331.11), and malignant neoplasm of lip (140.0).

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8.

For CPT codes 78608, 78811, 78812, 78813, 78814, 78815 or 78816 there are six lists of diagnoses. Which type of cancer has its own list?
- A.
  
  Mouth and oral cancers
- B.
  
  Stomach and intestinal cancers
- C.
  
  Cancers of the blood
- D.
  
  None of the above
- E.
  
  All of the above
Correct Answer
D. None of the above
9.

Coverage for Pet scans is devided into initial and subsequent catagories.
- A.
  
  True
- B.
  
  False
Correct Answer
A. True

Explanation
The statement is stating that coverage for Pet scans is divided into initial and subsequent categories. This means that there are different coverage rules or criteria for Pet scans depending on whether it is the first time the scan is being done (initial) or if it is being done again (subsequent). Therefore, the correct answer is True.

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10.

Effective 1/1/2011, there are new exceptions in reporting revenue codes used to report additional services for data collection.
- A.
  
  True
- B.
  
  False
Correct Answer
A. True

Explanation
The statement is true because it states that there are new exceptions in reporting revenue codes for additional services for data collection starting from 1/1/2011. This implies that there have been changes made to the reporting guidelines for revenue codes, specifically for reporting additional services related to data collection.

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11.

Effective Jan. 1st for Rural Health Clinics, initial and subsequent Medicare wellness visits must hav e G0437 or G0440 codes on the claim.
- A.
  
  True
- B.
  
  False
Correct Answer
B. False

Explanation
The statement is false because effective Jan. 1st for Rural Health Clinics, initial and subsequent Medicare wellness visits must have G0438 or G0439 codes on the claim, not G0437 or G0440 codes.

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Current Version
Mar 17, 2023

Quiz Edited by
ProProfs Editorial Team
Jan 12, 2011

Quiz Created by
Jkbaer

Coding & Billing 2011 Updates

What type of codes will be used for splints and casts when coding and billing?

What will physicians be required to sign for clinical diagnostic laboratory tests?

HCPCS manuals are updated yearly on January 1st and usually have quarterly updates.

Effective Jan. 1, 2011, ESRD reasonable charges will no longer be calculated for payment of home dialysis supplies and equipment for Method II End Stage Renal disease patients, but will be _________________ as per the new payment system.

Vitamine D Assay testing will require the physician to

Flu vaccine dosage is provided in multi-dose vials.

What ICD-9-CM codes will be covered and support medical necessity for a PET scan to be done?

For CPT codes 78608, 78811, 78812, 78813, 78814, 78815 or 78816 there are six lists of diagnoses. Which type of cancer has its own list?

Coverage for Pet scans is devided into initial and subsequent catagories.

Effective 1/1/2011, there are new exceptions in reporting revenue codes used to report additional services for data collection.

Effective Jan. 1st for Rural Health Clinics, initial and subsequent Medicare wellness visits must hav e G0437 or G0440 codes on the claim.