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What are Category I Codes?

• A.Temporary codes for data collection purposes that are assigned an alphanumeric identifier with a letter in the last field (e.g., 0001T) these codes are located after the Medicine section, and will be archived after five years unless accepted for placement within Category I sections of CPT.
• B.Procedures/ services identified by a five digit CPT code and descriptor nomenclature; these codes are traditionally associated with CPT and organized within six sections.
• C.Optional performance measurement tracking codes that are assigned an alphanumeric identifier with a letter in the last field (e,g.,1234A); these codes will be located after the medicine section; their use is optional.

CAT stands for Computerized Axial Tomography.

• A.TRUE
• B.FALSE

Which of the following suffixes refers to out?

• A.en
• B.end, endo
• C.ex
• D.infra

What does AMA stand for?

• A.American Management Association
• B.American Medical Association
• C.American Military Association

Allowable Charge

• A.Adopted by Medicare in 2008 to reimburse hospitals for inpatient care provided to Medicare beneficiaries; expanded original DRG system (based on intensity of resources) to add two subclasses to each DRG that adjusts Medicare inpatient hospital reimbursement rates for of mortality (ROM) (likelihood of dying); each subclass, in turn, is subdivided into four areas: (1) minor, (2) moderate, (3) major, (4) extreme.
• B.The Maximum amount the payer will reimburse for each procedure or service, according to the patients policy.
• C.See limiting charge; maximum fee a physician may charge.
• D.DRG system adapted for use by thirdparty payers to reimburse hospitals for inpatient care provided to nonMedicare beneficiaries (e.g. Blue Cross Blue Shield, commercial health plans, TRICARE); DRG assignment is based on intensity of resources.