CRCR CRCR - Certified Revenue Cycle Representative Program Charge Capture and Coding 3

Question 1

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

Accepted Answer

Modifier -LT

Answer

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

Question 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?

Accepted Answer

99285

Answer

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

Question 3

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

Accepted Answer

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

Answer

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

Question 4

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

Accepted Answer

CPT/HCPCS Level I

Answer

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

Question 5

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

Accepted Answer

Reporting component services separately when a comprehensive code should be used

Answer

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

CRCR - Certified Revenue Cycle Representative Program Practice Test

CRCR - Certified Revenue Cycle Representative Program Practice Test

CRCR CRCR - Certified Revenue Cycle Representative Program Charge Capture and Coding 3