Well it is time for a self-test. These questions will help you see if you are understanding what has been covered. If you are unsure of the answers refer to the material covered in this Module. You will find a link to the answers below.
Answer each of the following 10 questions True or False...
- It is not necessary to document the reason for every service provided to the patient. Your office staff can figure it out.
- The 'Episode of Care' is the date or date range service(s) were provided.
- The CPT and ICD-9 codes must be assigned according to documentation.
- Medical necessity is the same for all insurance carriers.
- Only the comprehensive service should be billed because the components are reimbursed in the same fee.
- Surgical scopes always include the diagnostic scope.
- Modifier 22 (Unusual Procedural Service) must have documentation to support the use of the modifier.
- Modifier 23 (Unusual Anesthesia) is only reported by the Anesthesiologist.
- Modifiers 24 (Unrelated E&M) and 25 (Separately Identifiable E&M) should be appended to the E&M code and not the procedure code.
- When a service has professional and technical portions and you provide only the professional portion, you can describe this by applying modifier 26.
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