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1. An established patient is defined as one who has seen the provider within the last

one year

two years

three years

four years

2. The proper modifier for an E&M code billed with treatment is?

3. The proper modifier and place of service indicator for a telemedicine visit billed with an E&M code is?

25 and 11

59 and 12

95 and 02

X5 and 11

4. For Medicare status of Non-PAR stands for?

A. Provider not enrolled in Medicare.

B. Participating provider

C. Registered as non participating provider

D. None of the above

5. What modifier is required on physical medicine and rehabilitation codes billed to the VA and United Health Care

6. The modifier necessary for Medicare claims to demonstrate active or acute treatment of the CMT code is?

7. Diagnosis codes in ICD10 are always

3 to 4 Characters

4 Characters

5 to 6 Characters

3, 4, 5, 6, or-7 characters

8. Therapeutic procedures and constant attendance modalities are timed in?

5 minutes

10 minutes

15 minutes

30 minutes

9. Due to COVID Medicare is covering telemedicine visits for chiropractors

True

False

10. The minimum required face to face time for a timed therapeutic procedure to be billable as one unit, is how many minutes?

5 minutes

8 minutes

12 minutes

30 minutes

11. The minimum required face to face time for a timed therapeutic procedure(s) to be billable as 2 units?

8-20 minutes

30 minutes

23-37 minutes

45 minutes

12. When billing 97140 with spinal CMT what is required for separate reimbursement on the same date of service?

The services are done by separate providers

The manual therapy must be performed by the DC

The services are performed to separate regions

97140 is performed for 30 minutes or more

None of the above

13. For sprain or strain diagnosis the 7th character of A indicates?

Initial encounter and active care

Subsequent encounter

Sequelae

Injury is severe

14. To be paid under the VA Choice program whether under TriWest or OptumHealth the services must be preauthorized?

True

False

15. For Medicare claims the primary diagnosis on the claim must be?

Neuromusculoskeletal diagnosis

Pain

Spinal Subluxation

Headache

16. Providers may routinely waive copays and deductibles?

True

False

17. To bill for an E&M on a visit that is not on a day of an examination would require how much time devoted to counseling or coordination of care?

At least 10% of the visit must be spent in counseling

50% or more of the encounter is counseling

30 minutes

Counseling is not billable

18. May you bill for a phone call with the patient if the patient was seen within 7 days of the phone call?

True

False

19. When providing mechanical traction, 97012, for 38 minutes you may bill for how many units?

1 unit

2 units

3 units

4 units

20. A Medicare patient on maintenance who has signed an ABN may be charged your regular fee for CMT and not limited to the Medicare rate?

True

False

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Published by HJ Ross Company on 06/16/202006/16/2020

1. An established patient is defined as one who has seen the provider within the last

2. The proper modifier for an E&M code billed with treatment is?

3. The proper modifier and place of service indicator for a telemedicine visit billed with an E&M code is?

4. For Medicare status of Non-PAR stands for?

5. What modifier is required on physical medicine and rehabilitation codes billed to the VA and United Health Care

6. The modifier necessary for Medicare claims to demonstrate active or acute treatment of the CMT code is?

7. Diagnosis codes in ICD10 are always

8. Therapeutic procedures and constant attendance modalities are timed in?

9. Due to COVID Medicare is covering telemedicine visits for chiropractors

10. The minimum required face to face time for a timed therapeutic procedure to be billable as one unit, is how many minutes?

11. The minimum required face to face time for a timed therapeutic procedure(s) to be billable as 2 units?

12. When billing 97140 with spinal CMT what is required for separate reimbursement on the same date of service?

13. For sprain or strain diagnosis the 7th character of A indicates?

14. To be paid under the VA Choice program whether under TriWest or OptumHealth the services must be preauthorized?

15. For Medicare claims the primary diagnosis on the claim must be?

16. Providers may routinely waive copays and deductibles?

17. To bill for an E&M on a visit that is not on a day of an examination would require how much time devoted to counseling or coordination of care?

18. May you bill for a phone call with the patient if the patient was seen within 7 days of the phone call?

19. When providing mechanical traction, 97012, for 38 minutes you may bill for how many units?

20. A Medicare patient on maintenance who has signed an ABN may be charged your regular fee for CMT and not limited to the Medicare rate?

7 Comments

wellnesspractice · 09/10/2022 at 7:46 pm

wellnesspractice · 09/10/2022 at 7:47 pm

Yen-Chen Kuo · 10/08/2022 at 4:16 pm

tbc · 11/12/2022 at 4:22 pm

Yvonne Marinkovich · 11/13/2022 at 12:50 pm

Gibson Chiropractic · 01/16/2023 at 4:41 pm

dr.cdarin · 01/28/2023 at 7:42 pm

Leave a Reply Cancel reply

2026 HIPAA Update: Is Your Chiropractic Practice Ready?

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Live Virtual Seminar

Published by HJ Ross Company on 06/16/202006/16/2020

1. An established patient is defined as one who has seen the provider within the last

2. The proper modifier for an E&M code billed with treatment is?

3. The proper modifier and place of service indicator for a telemedicine visit billed with an E&M code is?

4. For Medicare status of Non-PAR stands for?

5. What modifier is required on physical medicine and rehabilitation codes billed to the VA and United Health Care

6. The modifier necessary for Medicare claims to demonstrate active or acute treatment of the CMT code is?

7. Diagnosis codes in ICD10 are always

8. Therapeutic procedures and constant attendance modalities are timed in?

9. Due to COVID Medicare is covering telemedicine visits for chiropractors

10. The minimum required face to face time for a timed therapeutic procedure to be billable as one unit, is how many minutes?

11. The minimum required face to face time for a timed therapeutic procedure(s) to be billable as 2 units?

12. When billing 97140 with spinal CMT what is required for separate reimbursement on the same date of service?

13. For sprain or strain diagnosis the 7th character of A indicates?

14. To be paid under the VA Choice program whether under TriWest or OptumHealth the services must be preauthorized?

15. For Medicare claims the primary diagnosis on the claim must be?

16. Providers may routinely waive copays and deductibles?

17. To bill for an E&M on a visit that is not on a day of an examination would require how much time devoted to counseling or coordination of care?

18. May you bill for a phone call with the patient if the patient was seen within 7 days of the phone call?

19. When providing mechanical traction, 97012, for 38 minutes you may bill for how many units?

20. A Medicare patient on maintenance who has signed an ABN may be charged your regular fee for CMT and not limited to the Medicare rate?

7 Comments

wellnesspractice · 09/10/2022 at 7:46 pm

wellnesspractice · 09/10/2022 at 7:47 pm

Yen-Chen Kuo · 10/08/2022 at 4:16 pm

tbc · 11/12/2022 at 4:22 pm

Yvonne Marinkovich · 11/13/2022 at 12:50 pm

Gibson Chiropractic · 01/16/2023 at 4:41 pm

dr.cdarin · 01/28/2023 at 7:42 pm

Leave a Reply Cancel reply

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