Documentation Quiz 5

Which of the following is the appropriate reimbursement for the SNF Setting

Sequestration is automatic reduction of certain federal spending, initially 2% reduction in Medicare reimbursement

Therapeutic procedure to develop strength, endurance, flexibility, and ROM

Selective Debridement: Wound is 30 sq cm

Stair negotiation with cues for safety or foot placement

Match: Per age group or diagnosis, how many and what CPT codes are being utilized.

Which of the following is the appropriate reimbursement for the Inpatient Rehab Setting

MPPR is the reduction in payment when multiple CPT codes are billed. Lowest valued code by RVU is paid first at 100%

Which of the following is a Modifier for caregiver training spent less time than planned?

Which of the following is an example of liability cost?

Used for progress note and can be used anytime throughout EOC

Pair the following correctly for Evaluation codes (Complexity)

Match: How much revenue is expected based on CPT codes usage

Manual techniques including soft tissue mobilization, manipulation, manual lymphatic drainage, and manual traction.

Modification of a prosthetic fit

Interventions provided simultaneously to 2+ individuals

Which of the following is the appropriate reimbursement for the Out patient Setting

Billing CPT codes are followed EXPECT under which condition

Group therapy

Selective Debridement: First 20 sq cm

MIPS is the collection of data and improved care processes that ties quality to reimbursement. (Required or Opt-in)

Which of the following is NOT an untimed?

Untimed code

What are CPT code values determined by?

Upper body dressing training with compensation s/p CVA

Often over-utilized and low valued code

Removal of devitalized tissue from wound

Recumbent bike... to improve ability to transport self to work

Orthotic Management and Training, Initial Encounter

Includes assessment of wheelchair, fitting and adjusting, instruction on use, propulsion, safety techniques

67yo M stable R TKA PT to address pain, gait training

Use of dynamic activities to improve functional performance

Medicare sets payment policy rules, often followed by commercial payers

Standardized physical test or measure (inc. functional capacity eval) w/ written report. NOT ON DAY OF EVAL OR RE-EVAL

SLS for static balance with close guarding

Documentation should include wound size, type, stage, condition, appearance

Often under-utilized and high valued code

Non-Selective Debridement (97602) is an untimed code. Ex. Wet-to-dry dressing.

Assessment and proper fitting of knee brace s/p ACL reconstruction

You are performing a re-evaluation, which of the following codes should be billed?

What determines the Relative Value Unit?

Which of the following is determined every 3 years?

Prosthetic Management and Training, Initial Encounter

Orthotic & Prosthetic Management and Training, Subsequent Encounter

Coding a procedure as specifically as possible on documentation of all EXPECT:

Which of the following is not a criteria for Modalities?

The Medicare Fee Schedule Calculator is adjusted annually, published by CMS, includes payment reductions.

Negative pressure wound therapy, utilizing DME, including topical app wound assessment, and instruction for ongoing care

Shoulder pulley 2 sets x 1 min to improve functional performance

Residual limb preparation and education on proper use of shrinkwear

Aquatic therapy

Which of the following is the appropriate reimbursement for the Acute Care Setting

Which of the following is the appropriate reimbursement for the Home Health Setting

Debridement, open wound, including topical application, wound assessment, use of whirlpool

Gait Therapy

Which of the following is determined by Congress?