CPT Documentation & Record Keeping 2

Question 1

When a prosthetist modifies a patient's socket due to skin breakdown, which document must be updated to reflect the change?

Accepted Answer

The patient's clinical progress notes

Answer

Clinical progress notes must be updated whenever a modification is made to address a medical issue such as skin breakdown.

Question 2

Under HIPAA, a prosthetic technician shares a patient's fitting details with a colleague not involved in the patient's care. This is:

Accepted Answer

A violation of the minimum necessary standard

Answer

HIPAA's minimum necessary standard prohibits sharing PHI with individuals not involved in the patient's direct care without proper authorization.

Question 3

Which element is required in a Certificate of Medical Necessity (CMN) for a lower-limb prosthesis?

Accepted Answer

Physician's signature and date

Answer

A valid CMN requires a licensed physician's signature and date to certify the medical necessity of the prosthetic device.

Question 4

A patient record shows a K-level of K2 but the prescribed prosthesis is a microprocessor knee. What should the technician do first?

Accepted Answer

Flag the discrepancy and notify the prosthetist

Answer

The technician should immediately notify the prosthetist of the inconsistency before fabrication to prevent improper device delivery and billing issues.

Question 5

How long must prosthetic patient records generally be retained under Medicare regulations?

Accepted Answer

7 years from date of service

Answer

Medicare requires suppliers to retain patient records for a minimum of 7 years from the date of service.

(CPT) Certified Prosthetic Technician Practice Test

(CPT) Certified Prosthetic Technician Practice Test

CPT Documentation & Record Keeping 2