Documentation and Billing Flashcards
7 cards from real CTP practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Documentation and Billing flashcards as text
A clinician uses an asynchronous store-and-forward method to review dermatology images and send back a diagnosis. Which CPT code category best captures this service?
Answer: Asynchronous store-and-forward codes such as 99453 or specialty-specific codes
Store-and-forward asynchronous services use specific codes, such as 99453 for remote monitoring setup or specialty-specific asynchronous codes, not standard synchronous E/M codes.
Remote Patient Monitoring (RPM) setup and patient education on device use is billed using which CPT code?
Answer: 99453
CPT 99453 covers the initial setup and patient education on the use of remote monitoring equipment.
For RPM monthly management, CPT 99457 requires a minimum of how many minutes of clinical staff time per calendar month?
Answer: 20 minutes
CPT 99457 requires at least 20 minutes of clinical staff time per calendar month, including at least one interactive communication with the patient.
Which payer-specific modifier should be used instead of Modifier 95 when billing telehealth to Medicaid programs in many states?
Answer: Modifier GT
Modifier GT ('via interactive audio and video telecommunications systems') is commonly required by Medicaid programs and some other payers in place of Modifier 95.
A provider conducts a 25-minute video E/M visit and also performs care management for 20 minutes on the same date. How should this be billed?
Answer: Bill the E/M with Modifier 25 to indicate a significant, separately identifiable service
Modifier 25 is appended to the E/M code to indicate it is a significant, separately identifiable service performed on the same day as another procedure or service.
In a telehealth documentation note, what information about the technology platform should be included?
Answer: A statement that HIPAA-compliant audio-video technology was used
Documentation should include a statement confirming that the visit was conducted using HIPAA-compliant audio-video technology, establishing that privacy standards were met.
Which of the following is a key difference between CPT 98966–98968 and 99441–99443?
Answer: 98966–98968 are for non-physician health professionals; 99441–99443 are for physicians
CPT 98966–98968 are telephone assessment codes for non-physician qualified healthcare professionals, while 99441–99443 are the equivalent codes for physicians.