Coding & Billing 2011 Updates

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

True

False

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.

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.

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

True

False

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.

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.

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

True

False

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.

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.

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.

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.

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

Lab report

Requisition

Physician order

None of the above

Both B & C

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.

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.

6. Flu vaccine dosage is provided in multi-dose vials.

True

False

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.

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.

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

True

False

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.

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.

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

402.1 Malignant HTN heart disease w/ heart failure

331.11 Alzheimer's disease

140.0 Malignant neoplasm of lip

None of the above

All of the above

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).

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).

9. Vitamine D Assay testing will require the physician to

Have a qualifying test for Vit D 3 performed

Have a qualifying test for Vit D 6 performed

Have no test performed

None of the above

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.

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.