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| By Scoulston

Scoulston

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Quizzes Created: 2 | Total Attempts: 340

Questions: 5 | Attempts: 169 | Updated: Mar 21, 2023

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SUBMISSION OF ACCURATE CLAIMS TO FEDERAL HEALTH CARE PROGRAMS

Questions and Answers

1.

1.The differences between Holter monitoring and event monitoring include which of the following?
- A.
  
  Holter monitoring involves continuous recording of the heart’s ECG activity, while event monitoring is usually activated by the patient when cardiac symptoms occur
- B.
  
  Event monitoring can be performed for up to 30 days, but Holter monitoring usually lasts no more than 48 hours
- C.
  
  Holter monitoring data is sent to C.M.S. on a “flash card” or over secure software, but data from an event recorder can be transmitted over the telephone
- D.
  
  All of the above
Correct Answer
D. All of the above

Explanation
Holter monitoring and event monitoring have several differences. Holter monitoring involves continuous recording of the heart's ECG activity, while event monitoring is usually activated by the patient when cardiac symptoms occur. Event monitoring can be performed for up to 30 days, but Holter monitoring usually lasts no more than 48 hours. In terms of data transmission, Holter monitoring data is sent to C.M.S. on a "flash card" or over secure software, while data from an event recorder can be transmitted over the telephone. Therefore, all of the above statements are correct in describing the differences between Holter monitoring and event monitoring.

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2.

A valid order for Holter monitoring or event monitoring must be signed by a physician, a physician assistant, or a nurse practitioner
- A.
  
  True
- B.
  
  False
Correct Answer
A. True

Explanation
A valid order for Holter monitoring or event monitoring must be signed by a physician, a physician assistant, or a nurse practitioner. This means that only these healthcare professionals have the authority to order these types of monitoring tests. Other healthcare professionals, such as nurses or medical assistants, do not have the authority to order these tests on their own. Therefore, the statement is true.

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3.

The acronyms “CPT,” used to describe the service being performed, and “ICD,” used to describe the supporting medical diagnosis, stand for:
- A.
  
  Common Procedural Terms and Internal Classes of Disease
- B.
  
  Current Procedure Types and International Clinical Developments
- C.
  
  Clinical Physician Terms and Internal Clinical Diodes
- D.
  
  Current Procedural Terminology and International Classification of Diseases
Correct Answer
D. Current Procedural Terminology and International Classification of Diseases

Explanation
The acronyms "CPT" and "ICD" are used in the medical field to describe the service being performed and the supporting medical diagnosis, respectively. "CPT" stands for Current Procedural Terminology, which is a set of codes used to describe medical procedures and services. "ICD" stands for International Classification of Diseases, which is a system used to classify and code diagnoses, symptoms, and procedures. Therefore, the correct answer is "Current Procedural Terminology and International Classification of Diseases."

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4.

Under which of the following circumstances may C.M.S. submit a claim for Holter monitoring to a federal health care program?
- A.
  
  The service is supported by a nurse practitioner’s written order listing a supporting diagnosis of cardiac arrhythmia
- B.
  
  The service is supported by a verbal physician’s order to rule out cardiac arrhythmia
- C.
  
  The service is provided as part of a routine preventative examination for a non-Medicare patient
- D.
  
  The service is ordered by a physician for 72 hours without explanation
Correct Answer
A. The service is supported by a nurse practitioner’s written order listing a supporting diagnosis of cardiac arrhythmia

Explanation
C.M.S. may submit a claim for Holter monitoring to a federal health care program if the service is supported by a nurse practitioner's written order listing a supporting diagnosis of cardiac arrhythmia. This means that there is a clear written order from a nurse practitioner, specifying the need for Holter monitoring due to a diagnosis of cardiac arrhythmia. This is a valid reason to submit a claim for reimbursement from a federal health care program.

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5.

Which of the following is not a benefit of submitting claims electronically to federal health care programs?
- A.
  
  Claims settle up to 50% faster than paper claims
- B.
  
  Claims get paid with a 5% bonus
- C.
  
  Claims may be submitted 24 hours a day and 7 days a week
- D.
  
  Claims may be more efficiently controlled
Correct Answer
B. Claims get paid with a 5% bonus

Explanation
You have completed the Section II Quiz.

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Section II - Quiz

1.The differences between Holter monitoring and event monitoring include which of the following?

A valid order for Holter monitoring or event monitoring must be signed by a physician, a physician assistant, or a nurse practitioner

The acronyms “CPT,” used to describe the service being performed, and “ICD,” used to describe the supporting medical diagnosis, stand for:

Under which of the following circumstances may C.M.S. submit a claim for Holter monitoring to a federal health care program?

Which of the following is not a benefit of submitting claims electronically to federal health care programs?