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Foundations of Cochlear Implants: Billing and Coding for a Successful Clinic

View Course Details Please note: exam questions are subject to change.


1.  Which coding system may be used by audiologists to document and bill for services provided?
  1. HCPCS
  2. CPT
  3. ICD-10 Procedure Code
  4. Both A and B
2.  Which CPT code modifier is affected by the NCCI edits?
  1. -22 increased procedural service
  2. -52 reduced services
  3. -59 distinct procedure unrelated to primary procedure
  4. -76 repeat procedure
3.  What is the terminology when a procedure or service with a specific CPT code is included as part of a more extensive procedure?
  1. Bundling
  2. Unbundling
  3. Unlisted code
  4. Modifier
4.  No specific CPT code exists that precisely describes a Baha processor fitting. What other statement below is also true?
  1. Because no CPT code exists, you cannot bill for a processor fitting
  2. Using an unlisted CPT code to report professional services is common when no specific CPT code exists
  3. One can select and bill any CPT code that approximates the service of fitting a Baha processor
  4. All of the above
5.  Medicare is a federally funded program. Which statement is also true?
  1. Medicare has a national policy that outlines who is eligible for a cochlear implant
  2. Medicare's National Coverage Determination does not follow the FDA's labeling for a cochlear implant
  3. Commercial insurance companies always follow Medicare's coverage criteria for an implantable hearing device
  4. A and B
6.  Medicare's National Coverage Determination on Cochlear Implants states which of the following?
  1. The candidate's minimum age at which they're eligible for a cochlear implant
  2. Covers treatment of bilateral pre or post-linguistics, sensorineural, moderate-to-profound hearing loss
  3. The candidate's maximum age at which they're eligible for a cochlear implant
  4. All of the above
7.  The joint federal and state health insurance program for persons with limited income is called?
  1. Medicaid
  2. Health Maintenance Organization
  3. Accountable Care Organization
  4. Medicare Advantage Plan
8.  When an audiologist signs a formal contract with a commercial health insurer company, the audiologist becomes a:
  1. Preferred provider
  2. Participating provider
  3. Contracted provider
  4. All of the above
9.  The document health insurers provide to its members outlining what services may or may not be covered is often called a:
  1. Remittance Advice
  2. Uniform Glossary
  3. Summary of Benefits & Coverage
  4. None of these
10.  A pre-determination of benefits includes the following steps:
  1. Confirm if individual has the specific benefit coverage and meets medical necessity criteria
  2. Confirm individual's birthdate
  3. Confirm individual's Medicare number
  4. All of these

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