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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 5 of 5

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3.5 Modifiers

Module 3: Billing Modifiers 3.5 Modifiers

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Question 1 of 5

1. Question
What modifier does Medicare require when an occupational therapy assistant provides a service to a Medicare Part B beneficiary?
- CO
- CQ
- GO
- KX
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Question 2 of 5

2. Question
Medicare utilizes the KX modifier on claims to indicate which of the following answers?
- It signifies the patient has reached their OT therapy cap and now requires a special appeals process.
- It signifies that OT services still meet coverage criteria and that evidence is documented in the note.
- To indicate that an ABN was issued to the patient.
- It is used to indicate than an OT Provided the service.
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Question 3 of 5

3. Question
What happens to payment when a CO modifier is used on Medicare Part B Claims?
- Nothing – payment stays the same, this is a clerical code.
- Payment is reduced for the codes it is applied to.
- Payment is increased for the codes it is applied to.
- Payment is determined based on a chart review.
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Question 4 of 5

4. Question
Which modifiers are used to indicate telehealth services?
- CO & GO
- 59
- 95 & GT
- KX
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Question 5 of 5

5. Question
What is the primary purpose of modifiers?
- To give additional information on a claim
- To be more confusing
- To get paid more
- To reduce therapy payment
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3.5 Modifiers

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