CTP Documentation and Billing 2

Question 1

Which modifier is appended to a CPT code to indicate a telehealth service was provided via audio-visual technology?

Accepted Answer

Modifier 95

Answer

Modifier GT

Answer

Modifier 25

Answer

Modifier 59

Question 2

A telehealth provider sees a patient for the first time via video. What level of documentation is required compared to an in-person new patient visit?

Accepted Answer

The same history, exam, and medical decision-making standards apply

Answer

Reduced documentation is acceptable for telehealth new patients

Answer

Only the chief complaint and plan need to be documented

Answer

A telephone encounter note template is sufficient

Question 3

Which element MUST be documented in every telehealth encounter note to support billing?

Accepted Answer

Confirmation that the patient provided verbal or written consent for telehealth

Answer

Patient's insurance ID number

Answer

The brand of video platform used

Answer

The patient's exact GPS location

Question 4

Under Medicare rules, what is the role of the 'originating site' in telehealth billing?

Accepted Answer

It is the patient's physical location during the telehealth visit

Answer

It is the location where the rendering provider physically sits

Answer

It is the billing entity that submits the claim

Answer

It is the server location of the HIPAA-compliant platform

Question 5

A patient calls in for a phone-only visit and does not have video capability. Which CPT codes are most appropriate for a 15-minute telephone E/M service?

Accepted Answer

99441–99443

Answer

99201–99205

Answer

98966–98968

Answer

99421–99423

Question 6

When a telehealth visit is conducted across state lines, which state's billing regulations typically govern the claim submission?

Accepted Answer

The state where the patient is located

Answer

The state where the provider is licensed and located

Answer

Federal CMS rules override all state-specific rules

Answer

The state where the billing entity is incorporated

Question 7

Which of the following scenarios would most likely result in a telehealth claim denial due to place of service (POS) code error?

Accepted Answer

Using POS 02 for a video visit to a patient in a hospital outpatient clinic

Answer

Using POS 02 for a video visit to a patient at home

Answer

Using POS 10 for a video visit to a patient at home

Answer

Using POS 11 for an in-person office visit