CERTIFIED PARAOPTOMETRIC CODER EXAM, PRACTICE
EXAM AND STUDY GUIDE NEWEST 2024 ACTUAL EXAM
400 QUESTIONS AND CORRECT DETAILED ANSWERS|
ALREADY GRADED A+
What modifier is commonly used if a provider performs an unrelated office visit
during a post operative period? - ANSWER: 24
PQRS measure G8477 refers to what? - ANSWER: 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? - ANSWER: Zonules
Prone - ANSWER: 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? - ANSWER: Nine
Does Medicare have standard guidelines physicians must follow for the "written
interpretation of medical findings?" - ANSWER: No
Is it a federal requirement to do self audits of patient charts and coding in private
practices? - ANSWER: No
-endo - ANSWER: within
coronal - ANSWER: vertical body plain, divides the body into front & back sections
-oid - ANSWER: like
supine - ANSWER: face up/palm up
What is an e-claim clearing house? - ANSWER: A company that a provider contracts
with to transmit claims legally and safely between the provider and the insurance
companies
What are surgically implanted plastic half rings that change the shape of the cornea?
- ANSWER: Intacs
What is medical insurance? - ANSWER: A written policy between the individual
(policy holder) and health plan (payer)
What is "QMB" Medicaid? - ANSWER: Qualified Medicaid Beneficiary- limited
benefits
, What are the four "E" modifiers used for? - ANSWER: 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? - ANSWER: 4
On the CMS 1500, what box is designated to provide additional information to the
payer? - ANSWER: 19
-retro - ANSWER: behind, back
The documentation of each patient encounter should include which items(s): -
ANSWER: Reason for the encounter and assessment, medical plan and date, and
legible identity of the observer
trans- - ANSWER: 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? - ANSWER: No
What are the Key Components of E and M Coding? - ANSWER: 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? - ANSWER: 51
What modifier should you use on the office visit if a patient comes in with allergic
conjunctivitis during their global post-op period? - ANSWER: 24
What does RBRVS stand for? - ANSWER: Resource-Based Relative Value Scale
List the Contributory Factors of E and M Coding - ANSWER: Counseling, Coordination
of Care, Presenting Problem, and Time
When billing for post cataract eyewear through Medicare, what is the date of
service? - ANSWER: The date the eyewear is dispensed
anterior or ventral - ANSWER: 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? - ANSWER: Surgeon
What are Medicaid, Medicare, TRICARE and CHAMPVA types of? - ANSWER:
Government sponsored insurance plans
When did PQRI name change to PQRS? - ANSWER: In 2011
EXAM AND STUDY GUIDE NEWEST 2024 ACTUAL EXAM
400 QUESTIONS AND CORRECT DETAILED ANSWERS|
ALREADY GRADED A+
What modifier is commonly used if a provider performs an unrelated office visit
during a post operative period? - ANSWER: 24
PQRS measure G8477 refers to what? - ANSWER: 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? - ANSWER: Zonules
Prone - ANSWER: 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? - ANSWER: Nine
Does Medicare have standard guidelines physicians must follow for the "written
interpretation of medical findings?" - ANSWER: No
Is it a federal requirement to do self audits of patient charts and coding in private
practices? - ANSWER: No
-endo - ANSWER: within
coronal - ANSWER: vertical body plain, divides the body into front & back sections
-oid - ANSWER: like
supine - ANSWER: face up/palm up
What is an e-claim clearing house? - ANSWER: A company that a provider contracts
with to transmit claims legally and safely between the provider and the insurance
companies
What are surgically implanted plastic half rings that change the shape of the cornea?
- ANSWER: Intacs
What is medical insurance? - ANSWER: A written policy between the individual
(policy holder) and health plan (payer)
What is "QMB" Medicaid? - ANSWER: Qualified Medicaid Beneficiary- limited
benefits
, What are the four "E" modifiers used for? - ANSWER: 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? - ANSWER: 4
On the CMS 1500, what box is designated to provide additional information to the
payer? - ANSWER: 19
-retro - ANSWER: behind, back
The documentation of each patient encounter should include which items(s): -
ANSWER: Reason for the encounter and assessment, medical plan and date, and
legible identity of the observer
trans- - ANSWER: 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? - ANSWER: No
What are the Key Components of E and M Coding? - ANSWER: 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? - ANSWER: 51
What modifier should you use on the office visit if a patient comes in with allergic
conjunctivitis during their global post-op period? - ANSWER: 24
What does RBRVS stand for? - ANSWER: Resource-Based Relative Value Scale
List the Contributory Factors of E and M Coding - ANSWER: Counseling, Coordination
of Care, Presenting Problem, and Time
When billing for post cataract eyewear through Medicare, what is the date of
service? - ANSWER: The date the eyewear is dispensed
anterior or ventral - ANSWER: 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? - ANSWER: Surgeon
What are Medicaid, Medicare, TRICARE and CHAMPVA types of? - ANSWER:
Government sponsored insurance plans
When did PQRI name change to PQRS? - ANSWER: In 2011
