COBGC Compliance and Documentation 3

Question 1

Under CMS guidelines, which time threshold must be met to bill a 99215 office visit based on total time on the date of the encounter for an established gynecology patient?

Accepted Answer

40–54 minutes

Answer

30–39 minutes

Answer

55–69 minutes

Answer

20–29 minutes

Question 2

A gynecology patient signs a Notice of Privacy Practices (NPP) acknowledgment. What does this document legally confirm?

Accepted Answer

The patient was provided the opportunity to review the practice's HIPAA privacy policies

Answer

The patient consents to all uses and disclosures of her PHI

Answer

The patient waives her right to access her medical records

Answer

The patient authorizes release of records to her insurer

Question 3

Documentation of medical necessity for a GYN procedure is primarily supported by which part of the medical record?

Accepted Answer

The ICD-10-CM diagnosis codes linked to the procedure and the clinical notes

Answer

The CPT code selected by the coder

Answer

The patient's insurance card copy

Answer

The operative report header only

Question 4

Which modifier indicates that a procedure was performed by two surgeons with distinct roles during a single gynecologic operative session?

Accepted Answer

-62

Answer

-51

Answer

-80

Answer

-66

Question 5

An OB/GYN coder discovers a claim was submitted with an incorrect procedure code six months ago. The compliance-appropriate first step is to:

Accepted Answer

Conduct a self-disclosure, correct the record, and refund any overpayment

Answer

Ignore it if the payment amount was correct

Answer

Wait for the payer to request a refund before acting

Answer

Submit a new claim with the correct code without notifying the payer

Question 6

In obstetric coding, which antepartum visit count is required before a physician may bill the global obstetric package code 59400?

Accepted Answer

At least 7 antepartum visits

Answer

At least 3 antepartum visits

Answer

At least 13 antepartum visits

Answer

Any number of antepartum visits qualifies

Question 7

A gynecologic surgical note states the surgeon 'explored the pelvis and found findings consistent with endometriosis.' A coder should:

Accepted Answer

Code endometriosis as confirmed based on the surgeon's intraoperative description

Answer

Query the physician because 'findings consistent with' is not a definitive diagnosis

Answer

Code 'abnormal pelvic findings' only

Answer

Leave the diagnosis code blank until pathology returns