Final Studying!

Question 1

what are the three main purposes of a medical report? communicating with…

Answer 1

other providers
insurance companies
legal teams

Question 2

are we allowed to make western medical diagnoses?

Answer 2

no

Question 3

is a medical report a legal document?

Answer 3

yes

Question 4

Should the initial comprehensive acupuncture report have opinions or speculation?

Answer 4

no

Question 5

which section of the initial comprehensive acupuncture report does not need a heading?

Answer 5

opening statement

Question 6

should we write about the chief complaint in the past medical history section?

Answer 6

no

Question 7

what goes in the “initial impression” section of the initial comprehensive acupuncture report

Answer 7

a list of western medical conditions that you plan to treat

Question 8

who can request a medical legal report?

Answer 8

patient
insurer
employer
police
court

Question 9

do you need patient’s written permission before writing a medical legal report?

Answer 9

yes

Question 10

can the patient’s history of events be considered as fact in a medical legal report?

Answer 10

no

Question 11

are you required to give opinion in a medical legal report?

Answer 11

no

Question 12

can you advocate for your patient in a medical legal report?

Answer 12

no

Question 13

Personal Injury Protection (PIP) claims must be submitted within __ days of date of service

Answer 13

45

Question 14

Major medical claims are (mostly) able to be made for up to _____ after date

Answer 14

1 year

Question 15

what does ICD stand for?

Answer 15

International Classification of Diseases

Question 16

what is the code for headaches

Answer 16

R51

Question 17

what does CPT stand for?

Answer 17

Current Procedural Technology

Question 18

what are the two categories of CPT codes?

Answer 18

1. evaluation and management

2. procedure and modality

Question 19

how many E/M codes are there?

Answer 19

10

Question 20

E/m codes are comprised of 3 components + _______________. What are the three components?

Answer 20

time spent.

history, evaluation, decision making

Question 21

what are the 5 initial evaluation e/m codes and what times do they represent?

Answer 21

99201 - 10 min
99202 - 20 min
99203 - 30 min
99204 - 45 min
99205 - 60 min

Question 22

what is the most common initial eval e/m code used by acupuncturists?

Answer 22

99203

Question 23

how often can you use initial eval E/m codes on the same patient?

Answer 23

every 3 years

Question 24

If patient sees someone else in your office, for 3 years and then comes back to you, can you use the initial e/m code?

Answer 24

no

Question 25

what are the 5 re-evaluation e/m codes and what times do they represent?

Answer 25

99211 - 5 min
99212 - 10 min
99213 - 15 min
99214 - 25 min
99215 - 40 min

Question 26

which “key component” is dropped from initial to re-eval codes?

Answer 26

“history” because you don’t need to take history anymore

Question 27

a __________ is any therapy applied to the patient

Answer 27

procedure

Question 28

a _________ is a physical object applied to a body part in order to affect therapeutic change

Answer 28

modality

Question 29

what are the two initial acupuncture procedure codes, and what do they represent?

Answer 29

97810 - initial 15 min of regular acupuncture

97813 - initial 15 min of estim acupuncture

Question 30

what are the two additional/reinsertion acupuncture procedure codes and what do they represent?

Answer 30

97811 - additional 15 min of regular acupuncture with reinsertion
97814 - additional 15 min of estim acupuncture with reinsertion

Question 31

do the initial acupuncture procedure codes include hand-washing, prepping, basic history, and charting?

Answer 31

yes

Question 32

what are two ways to count for reinsertion?

Answer 32

adding points

needle stimulation/manipulation

Question 33

can you bill for both regular and estim acupuncture in the same treatment?

Answer 33

no! in this case, just bill for estim because it’s gonna get you more money

Question 34

what is the code for 15 min of LMT massage?

Answer 34

97124

Question 35

what is the code for LAc manual therapy?

Answer 35

97140

Question 36

what is the code for heat lamp?

Answer 36

97026

Question 37

what is the modifier for a significant, separately identifiable E/M service by the same physician on the same day?

Answer 37

25

Question 38

what are the telemedicine codes for video chat and what times do they represent?

Answer 38

99421 - 5-10 min
99422 - 11-20 min
99423 - 21 min or more

Question 39

what modifier do we use for an audiovisual call?

Answer 39

95

Question 40

what is the place of service code for telemedicine

Answer 40

02

Question 41

what are the telemedicine phone call codes and what times do they represent?

Answer 41

99441 - 5-10 min
99442 - 11-20 min
99443 - 21 min and up

Question 42

_______________ is the personal injury protection component of required auto insurance in the state of NY

Answer 42

no fault