Practice Test GeeksCRCR - Certified Revenue Cycle Representative Program Practice Test
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CRCR - Certified Revenue Cycle Representative Program Charge Capture and Coding Flashcards

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  1. Which modifier is appended to a CPT code to indicate that a procedure was performed on the left side of the body?

    Answer: Modifier -LT

    Modifier -LT (Left Side) is used to identify procedures performed on the left side of the body.

  2. A patient presents to the ED and the physician documents a high-complexity medical decision making with greater than 60 minutes of total time. Which E/M level is most appropriate?

    Answer: 99285

    99285 represents the highest standard ED E/M level, requiring high-complexity MDM or 60+ minutes of time.

  3. What is the primary purpose of a charge description master (CDM) review?

    Answer: To ensure charge codes are accurate, compliant, and map correctly to payer requirements

    A CDM review ensures that all charge items have accurate codes, descriptions, and revenue codes that comply with payer and regulatory requirements.

  4. Under HIPAA, which code set is mandated for reporting professional services in outpatient settings?

    Answer: CPT/HCPCS Level I

    HIPAA mandates CPT/HCPCS Level I codes for reporting physician and outpatient professional services on claims.

  5. Which of the following best describes 'unbundling' in coding?

    Answer: Reporting component services separately when a comprehensive code should be used

    Unbundling occurs when individual component codes are billed separately instead of using the correct comprehensive bundled code, which is a compliance violation.

  6. A coder is reviewing a record where the physician documents 'probable pneumonia.' In the inpatient setting, how should this be coded?

    Answer: Code the condition as if confirmed (pneumonia)

    UHDDS guidelines allow inpatient coders to code 'probable,' 'suspected,' and 'likely' diagnoses as if confirmed at the time of discharge.

  7. Which revenue code is typically associated with pharmacy charges on a UB-04 claim form?

    Answer: 0250

    Revenue code 0250 (and its subcategories) is used to report pharmacy charges on the UB-04 institutional claim form.