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Module 3: Billing

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Billing and Coding

1 Quiz
- 3.1 Billing Basics
ICD-10 Codes

1 Quiz
- 3.2 ICD-10 Codes
Timed Codes (8-Minute Rule)

1 Quiz
- 3.3 Timed Codes
Untimed Codes

1 Quiz
- 3.4 Untimed Codes
Modifiers

1 Quiz
- 3.5 Modifiers

Quiz 1 of 5

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3.1 Billing Basics

Module 3: Billing Billing and Coding 3.1 Billing Basics

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Question 1 of 5

1. Question
What does Medicare use as part of their equation when deciding how much to pay for services under the Medicare Physician Fee Schedule?
- Relative Value Units
- Timed Codes
- CPT Codes
- 8-minute rule
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Question 2 of 5

2. Question
How does an OT practitioner select the correct CPT Code?
- Make a guess based on the name of the code
- OTPs can only bill self-care codes and therapeutic exercise codes
- Carefully consider the definition of each CPT code and pick whichever one best matches the intervention
- Pick whatever one your boss tells you to bill – it doesn’t really matter
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Question 3 of 5

3. Question
Who is responsible for defining and maintaining CPT Codes?
- The Centers for Medicare & Medicaid Services
- American Medical Association
- World Health Organization
- American Occupational Therapy Association
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Question 4 of 5

4. Question
How does the MPPR policy affect reimbursement for subsequent “always therapy” CPT codes billed on the same patient during the same day?
- Reimbursement is increased for subsequent CPT codes.
- Reimbursement remains unchanged for subsequent CPT codes.
- Reimbursement is reduced for subsequent CPT codes.
- Reimbursement is completely denied for subsequent CPT codes.
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Question 5 of 5

5. Question
In healthcare, billing is ____ while coding is ____
- translating medical information into standardized codes; creating and submitting claims for reimbursement.
- reviewing and approving insurance claims; translating medical information into standardized code.
- creating and submitting claims for reimbursement; reviewing and approving insurance claims.
- creating and submitting claims for reimbursement; translating medical information into standardized code.
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3.1 Billing Basics

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