The Importance of Billing Codes and Reimbursement for Services Cannot

question 14

Multiple Choice

The importance of billing codes and reimbursement for services cannot be overstated. Which of the following responses are true regarding accurate code input and claims processing?

• A)CPT codes were grouped into services by the first digit followed by four more digits that further described the procedure.
• B)The number 9 is reserved for visits related to evaluation and management procedures.
• C)The CPT code 99211 is an office visit and used for injections.
• D)Two digit modifiers are used to further distinguish services and procedures altering the billing process.
• E)Inaccurate code input will delay claims processing.
• F)None of the above.

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Definitions:

Duress By Improper Threat

A situation where an individual is forced or coerced into a contract or legal agreement under threats that are unlawful or unethical.

Void Contract

is an agreement without legal effect or binding force from its inception due to failure to meet essential legal requirements.

Justified Reliance

Legitimate dependence by a party on the representation or promise of another, typically in a legal or contractual context.

Scienter

A legal term that refers to knowledge of the wrongful nature of one's act or omission or the intent to deceive or defraud.