CRCR CRCR - Certified Revenue Cycle Representative Program Charge Capture and Coding 4

Question 1

What does the 'global surgical package' concept mean in CPT coding?

Accepted Answer

Preoperative, intraoperative, and standard postoperative care included in one surgical code

Answer

The global surgical package includes pre-op evaluation, the surgery itself, and routine post-op care within a defined period (0, 10, or 90 days).

Question 2

Which ICD-10-CM coding guideline applies when a patient is admitted for chemotherapy and also has the malignancy being treated?

Accepted Answer

Code the chemotherapy encounter (Z51.11) as the principal diagnosis

Answer

When the purpose of admission is chemotherapy, the encounter for antineoplastic chemotherapy (Z51.11) is sequenced as the principal diagnosis, with the malignancy coded additionally.

Question 3

A hospital bills a service using revenue code 0360 (operating room). Which type of charge does this represent?

Accepted Answer

Facility/technical component charge

Answer

Revenue code 0360 represents operating room facility charges, which are the technical/facility component billed by the hospital on a UB-04.

Question 4

When a physician performs two separate, distinct procedures during the same operative session, modifier -51 is appended to:

Accepted Answer

The secondary (additional) procedure(s)

Answer

Modifier -51 (Multiple Procedures) is appended to the secondary and subsequent procedures, not the primary procedure, to indicate multiple procedures were performed.

Question 5

What is the correct action when a charge capture team identifies a service that was performed but never entered into the billing system?

Accepted Answer

Conduct a late charge entry within the facility's defined timely filing window

Answer

A missed charge should be submitted via a late charge process as long as it falls within the payer's timely filing deadline to ensure appropriate reimbursement.

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 4