ICD-10 Coding, Medicare Part B, and Ophthalmology Exam, Exams of Health sciences

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CPSS Ophthalmology Exam (50 Questions)

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Which of the following is hydrophobic? A. Epithelium B. Bowman's Membrane C. Stroma D. Endothelium - A. Epithelium The primary lifting of the upper lid is performed by - The Levator Muscle The structure of the eye that continues to grow throughout life is the - Lens (T/F) The functions of the orbit are to provide protection, support, and attachment of the cranial nerves - False The junction between the cornea and sclera is the - Limbus Name the anatomical structure that gives shape and rigidity to the eyelid - Tarsal Plate The extra ocular muscle the does NOT originate at the annulus of Zinn is the - Inferior Oblique The cranial nerve responsible for afferent pupillary reflex is - CN II The visual pathway begins at the - Retina Accommodation and aqueous production are a function of the - Ciliary Body The aqueous humor exits the anterior chamber through the drainage structure located in the - Angle The structure which does not make up transparent ocular media is the - Iris The posterior chamber is - between the iris and in front of vitreous face The main depressor of the eyelids is - Obicularis The area susceptible to blunt trauma of the orbit is - Orbital Floor The area in the retina that represents the physiologic blind spot is the - Optic Nerve (T/F) The temporal fibers of the optic nerve do not cross, while nasal fibers do cross at the optic chiasm - True

The vascular layer of the eye consists of the - All of the above (Choroid, iris, Ciliary body) What are the layers of the cornea? - Epithelium Bowman's membrane Stroma Descemet's membrane Endothelium The eyeball consists of which of the following layers? - Fibrous, Vascular, and Nerve Name the three layers of the tear film - Mucin, Watery, Oily Notice of Privacy Practices (NPP) must include what? - Description of how the entity discloses PHI What is not an administrative safeguard requirement? - Developing a cost analysis of HIPPA requirements In most practices, the coding of office visits is done by - The provider and/or scribe (T/F) ICD-10 Codes are used to describe procedures and testing performed in the office - False Patients receipts should be used A. Only if requested by the patient B. Only for cash transactions C. To provide immediate receipt for all patients D. To record all payments received by the office on a daily basis - C. To provide immediate receipt for all patinets The daily deposit includes which of the following? - Mail Receipts Which of the following is not a process used by the practice in processing direct deposits from insurance companies, Medicare, and Medicaid? - Include the amounts from direct deposits in the daily deposit What does excludes1 note mean in ICD-10? - The code excluded should never be used When a condition or disease affects both eyes, it is considered to be bilateral. In ICD- 10, what character is used to identify a bilateral service? - 3 In the Alphabetic Index _____ are used to identify manifestation codes - Brackets

In the CMS "Grace Period" guidance, what is meant by a "family" of codes? - And 3- character category The term used in ICD-10 to represent a consequence of a previous disease or injury is - Sequelae What is the maximum number of characters that an ICD-10 code can contain? - 7 When a excludes2 note appears in ICD-10, it means, - the two codes can be reported together In ICD-10 a placeholder ____ is used to allow for future expansion in codes that require seven digits - X What is in ICD-10 that isn't in ICD-9 codes? - Laterality How is glaucoma stage reported in an ICD-10? - The stage must be identified by a seventh-character code (T/F) The general equivalency mappings created by CMS can be used to code claims - False What organization is responsible for creating and publishing the ICD-10 codes? - World Health Organization In ICD-10, the tabular list is a list of - Codes in chronological order Reimbursement for physician services provided under Medicare Part B is paid for by the federal government through contracts with different insurance companies. What are those contracted entities called? - Medicare Administrative Contractors Medicare has an electronic enrollment system to assist providers in completing the enrollment forms more efficiently called the - Provider Enrollment, Chain, and Ownership System How often does Medicare require patients to sign a patient authorization form? - Once per lifetime What figures does Medicare Physician Fee use? - Relative Value Units What is the standard claim form used to submit services to medicare part B? - CMS- 1500 In order to be paid by Medicare, timely claims filing must occur withing - 12 months

When can a physician bill medicare separately post operation? - Diagnostic Tests required to treat the patient What medicare guidelines should be reviewed on a regular basis for updated information? - Local Coverage Determinations Medicare has the right to retrospectively audit medical records for how many years?

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