MBC NCCT PART 4

What does a roentgen identify?
unit of exposure dose

Ms. Lucy Wells was diagnosed w/ cholelithiasis & cholecystitis. The surgeon performed a laparoscopic cholecystectomy & supervised & interpreted the intraoperative cholangiogram.
47563, 74300

Epiduragram of cervical & thoracic regions under fluoroscopic guidance w/ image documentation & reporting.
72275, 72275

MRI of abdomen after administration of contrast agent.
74182

DEXA study to assess a female patients lumbar & thoracic spine.
76075

OB ultrasound of a patient in her second month; ultrasound confirmed twin pregnancy.
76801, 76802

Nuclear medicine scan, parathyroid gland
78070

Two views of cervical spine.
72040

Bilateral examination of TMJ
70330

A patient undergoes the following blood tests; carbon dioxide, CBC (automated), chloride, potassium, & sodium.
80051, 85027

Surgical pathology analysis level VI of esophageal tissue.
88309

Testing of a blood sample for bleeding time.
85002

Patient undergoes a lipid panel. Because of an abnormally high triglyceride level, a repeat triglyceride is done as an individual test.
80061, 84478

A patient underwent confirmation of three drugs by chromatography. This required one stationary phase w/ three mobile phases.
80102, 80102, 80102

Automated testing of urine, using microscopy
81001

ABO blood typing of whole blood unit that will be transfused
86900

Nicole Miller had blood testing done to determine peroxidase activity, qualitative, feces. This was of a specimen obtained from a digital rectal exam (DRE)
82272

C peptide panel
80432

Analysis of semen for presence & morbidity
89321

Pathology examination of tissue removed during a pancreas biopsy
88307

Testing of blood for presence of Bordetella antibody
86615

Complete autopsy of a 35 yr. old man found dead in his car in the parking lot of a convenience store.
88027

Fitting of single vision eyeglasses
92340

A patient, Colin Edwards, had a cochlear implant inserted eight months ago. Today Colin, who is 8 yr. old, requires reprogramming of this device.
92604

Ventilator management performed on May 6 & May 7
94656, 94657

A 12 yr. old patient received interactive psychiatric diagnostic interview & exam. services after she reported that she as being teased & “picked on” at school.
90802

A 17 yr. old patient received an IM injection of HPV vaccine type 11.
90471, 90649

Patient underwent active wound care management that involved the removal of devitalized tissue from burn wounds w/ nonselective debridement & application of wet-to-moist dressings. Wound assessment & instructions for ongoing care were also provided during the session.
97602

CMT of cervical, thoracic, & lumbar regions.
98941

A patient diagnosed w/ asthma was provided w/ respiratory care about the correct usage of a bronchodilator. This service is provided in the patient’s home.
99503

A 65 yr. old male patient underwent a left heart retrograge catheterization, which was preceded by insertion of a Swan-Ganz catherter. The heart catheterization was started via puncture of the femoral artery. Left ventricular & selective coronary angiographies were also performed.
93510, 93543, 93545, 93555, 93556

On September 8 & September 17, William James received outpatient cardiac rehabilitation services provided by Dr. Scott. The services were performed w/ cont. ECG monitoring.
93798, 93798

A 17 yr. old patient in status asthmaticus received BIPAP w/ CPAP.
94660

Air & bone tone audiometry testing
92553

Fluorescin angiography w/ imaging, interpretation of results, & written report
92235

A 5 yr. old was bitten by a stray dog & administered an injection to provide immediate temporary protection against rabies. This type of injection is called
immune globulin

Which statement below is true regarding an immune globulin (Ig)?
Ig is a sterilized solution obtained from human blood plasma that contains antibodies.

A fee schedule is
A cost-based fee-for-service reimbursement methodology

Mrs. French is a patient at a skilled nursing facility, & she has been a resident at the facility for the past 14 days. Today the nursing supervisor uses a software tool to capture data on Mrs. French to answer the questions on the minimum data set (MDS). What is this software called.
RAVEN

Which is assigned to each a CPT & HCPCS code when reported under the OPPS to identify the monetary payment for that code?
Status indicator

What legislation mandated the payment methodology for durable medical equipment in1987 & the resource based relative value scale in 1989?
OBRA

Which is used by hospitals to record patient encounter data?
charge master

A patient is admitted to the hospital w/ complaints of chest pain & coughing. After examination & testing, the patient is diagnosed w/ pneumonia. The patient has a sputum culture, which is negative for the presence of any bacterium. After the patient is discharged, an ICD code is assigned that identifies the patient as having bacterial pneumonia. Submitting a specific pneumonia ICD code is a practice encouraged by the facility to increase its reimbursement rate from Medicare. This practice is known as
fraud

What area of the government investigates possible cases of DRG creep?
Department of Justice

According to the Health Insurance Association of America, which is the largest area of health care fraud?
Misrepresenting diagnosis

What are the civil penalties if a person is found guilty of Medicare fraud?
5,000 to 10,000 per claim, plus triple damages.

Who developed the Correct Coding Initiative?
CMS

When referring to the False Claims Act (FCA), which statement is true?
The FCA does not penalize mistakes or errors.

Which is required under the HIPAA “Administrative simplification” provision?
National employer & provider identifiers

The HIPAA security rule was published in 2003, & it establishes standards & safeguards for what type of health info.
Electronic health info. transmitted by a provider to a health plan.

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Services in pathology/laboratory are provided by a physician or by technologists under resposible supervision of a physician True A service that is rarely provided, unusual, variable, or new would always require a special report in determining medical appropriateness of the …

Services in pathology/laboratory are provided by a physician or by technologists under responsible supervision of a physician. True A service that is rarely provided, unusual, variable, or new would always require a special report in determining medical appropriateness of the …

True/False: Services in pathology/laboratory are provided by a physician or by technologists under responsible supervision of a physician. True True/False: A service that is rarely provided, unusual, variable, or new would always require a special report in determining medical appropriateness …

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