CPSS Study Guide Exam 433 Questions with Verified Answers
What does an Excludes1 note mean in ICD-10? - CORRECT ANSWER The code excluded should never
... [Show More] be used.
What is used at the end of an ICD-10 diagnosis code to indicate additional digits are required? - CORRECT ANSWER Dashes
When coding services for eyelids, and the condition affects all four eyelids, separate codes must be assigned for all four eyelids. - CORRECT ANSWER False
In the Alphabetic Index, ______ are used to identify manifestation codes. - CORRECT ANSWER Brackets
In ICD-10, what is meant by a "family" of codes? - CORRECT ANSWER Any 3-character category
The term used in ICD-10 to represent a consequence of a previous disease or injury is: - CORRECT ANSWER Sequela.
What is the maximum number of characters that an ICD-10 code can contain? - CORRECT ANSWER 7
When an Excludes2 note appears in ICD-10, it means: - CORRECT ANSWER 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. - CORRECT ANSWER "X"
What was the biggest change in the structure of ICD-10 that did not exist in ICD-9 codes? - CORRECT ANSWER Laterality
What agency is responsible for oversight and compliance of ICD-10? - CORRECT ANSWER Centers for Medicare and Medicaid Services
For ambulatory surgery coding, always select the diagnosis code from the preoperative diagnosis shown on the operative report. - CORRECT ANSWER False
In ICD-10, the Diseases of Eye and Adnexa are included in Chapter _____. - CORRECT ANSWER 7
In ICD-10, the "A - Initial Encounter," "D - Subsequent Encounter," and "S - Sequela" are always shown as the _____ character. - CORRECT ANSWER 7th
In ICD-10, the term "senile" cataract has been replaced with: - CORRECT ANSWER Age-related cataract
. How is a glaucoma stage reported in ICD-10? - CORRECT ANSWER The stage must be identified by a seventh-character numeric code
In ICD-10, diagnosis codes should be assigned based on the diagnosis shown in the fee slip. - CORRECT ANSWER False
What group is responsible for creating and publishing the ICD-10 codes? - CORRECT ANSWER World Health Organization
In ICD-10, the Tabular List is a list of: - CORRECT ANSWER Codes arranged in chronological order.
The acronym "ICD" in ICD-10 stands for: - CORRECT ANSWER International Classification of Diseases
In most cases, a patient's initial encounter with the practice is: - CORRECT ANSWER By telephone.
Which of the following telephone techniques will help create a positive image for the practice? - CORRECT ANSWER Implementing a two-ring rule. Always make sure the phone is answered before the third ring. Acknowledging the caller by name. Minimizing customer hold time and frequently returning to reassure the caller that he/she has not been forgotten.
If the recipient of a call is on the phone, it is best to alert the recipient that a call is holding, as the call may be expected. - CORRECT ANSWER True
The basic components of effective telephone communication include which of the following: - CORRECT ANSWER Answering the telephone. Transferring calls.Placing calls on hold.
If you call a patient and reach his/her voicemail, it is best to only leave your name and phone number - CORRECT ANSWER False
Which of the following is most important to meet patient demands and be successful in today's highly competitive market? - CORRECT ANSWER Respond to patient questions, concerns, or complaints with a positive and professional attitude
A neutral tone of voice may be perceived to indicate the person is bored, tired, indifferent, detached, or unenthusiastic - CORRECT ANSWER True
Which of the following actions will help you portray a positive image on the telephone? - CORRECT ANSWER Focus on each caller with engaged listening. Use positive language and display kindness over the phone. Replace negative thoughts with positive solutions-oriented ones.
It is best to use which of the following actions if you are on another call when the telephone rings: - CORRECT ANSWER Ask permission of the existing caller to be placed on hold while you answer the other telephone line.
Which of the following are traits of successful telephone staff? - CORRECT ANSWER Putting a smile in one's voice. Being authentic and sincere with all callers
The ciliary processes secrete fluid in the eye, which is called aqueous humor. - CORRECT ANSWER True
With age, the lens becomes thick, hard, and non-transparent, causing impaired sight. What is this condition called? - CORRECT ANSWER Cataract
An area of the retina known as the macula provides the clearest and most detailed vision. - CORRECT ANSWER True
Light enters the interior of the eye through the pupil. - CORRECT ANSWER True
Choose the three layers of the tear film. - CORRECT ANSWER Oily,Watery,Mucin
Which tissue regulates the amount of light entering the eye? - CORRECT ANSWER Cornea
Which tissue is located at the back of the eye and converts light to electric impulses, which are carried to the brain? - CORRECT ANSWER Retina
Impaired drainage of the aqueous humor leads to a rise in intraocular pressure which can damage the retinal nerves. What is this condition called? - CORRECT ANSWER Glaucoma
The sclera is also referred to as which of the following? - CORRECT ANSWER The white of the eye
The following are all true about a subconjunctival hemorrhage except: - CORRECT ANSWER It usually results in loss of vision.
The following is true of epiphora (excess tearing): - CORRECT ANSWER . It is typically due to dry eyes.
The definition of "triage" is: - CORRECT ANSWER A system establishing the order in which to carry out acts of medical assistance in an emergency.
The most important condition to rule out in a case of painful lid swelling is:The most important condition to rule out in a case of painful lid swelling is: - CORRECT ANSWER Orbital cellulitis.
The following symptoms all warrant same-day evaluation except: - CORRECT ANSWER Itching
In a penetrating injury to the eye: - CORRECT ANSWER Instruct the patient to leave the object in the eye.
Complications of blunt trauma to the eye include all except: - CORRECT ANSWER Hyperopia
All of the following can cause flashing lights, except: - CORRECT ANSWER Uveitis
A "Droopy Eyelid" is not an emergency unless accompanied by: - CORRECT ANSWER Sudden vision loss.
Diplopia.
Pain.
In a chemical splash injury, the first thing you should instruct the patient to do is: - CORRECT ANSWER . Immediately flush out the eye with water for 10-15 minutes.
The following symptoms can be scheduled in the next available time slot except: - CORRECT ANSWER Pain
The following are true of orbital cellulitis, except: - CORRECT ANSWER It is more common than preseptal cellulitis.
If a patient complains of a headache, the following associated symptoms may indicate an emergency, except: - CORRECT ANSWER Long-standing diplopia
Patients complaining of discharge from their eyes in combination with an upper respiratory infection require evaluation for: - CORRECT ANSWER Adenovirus
Mucous discharge may represent all of the following except: - CORRECT ANSWER Viral infection.
The most important condition to rule out in a case of painful lid swelling is: - CORRECT ANSWER Orbital cellulitis
The following statements about double vision are true except: - CORRECT ANSWER Binocular diplopia presents only when a patient has one eye open.
All of the following are examples of alkalis that can cause eye burns, except: - CORRECT ANSWER Battery Acid.
The following is true of blepharospasm except: - CORRECT ANSWER . The patient can be considered legally blind due to eye damage in severe cases
The following are all common causes of lid twitching except: - CORRECT ANSWER Hyperopia
The posterior chamber is: - CORRECT ANSWER Behind the iris and in front of vitreous face.
The eyeball consists of which of the following layers? - CORRECT ANSWER Fibrous layer,Vascular layer,Nerve layer
The temporal fibers of the optic nerve do not cross, while nasal fibers do cross at the optic chiasm. - CORRECT ANSWER True
The extraocular muscle that does NOT originate at the annulus of Zinn is the _____. - CORRECT ANSWER . Inferior oblique
The structure of the eye that continues to grow throughout life is the _____. - CORRECT ANSWER Lens
The aqueous humor exits the anterior chamber through the drainage structure located in the _____. - CORRECT ANSWER . Angle.
Name the anatomical structure that gives shape and rigidity to the eyelid. - CORRECT ANSWER Tarsal plate
The main depressor of the eyelids is: - CORRECT ANSWER Obicularis
The Visual Pathway begins at the _____. - CORRECT ANSWER Retina
The structure which does NOT make up transparent ocular media is the _____. - CORRECT ANSWER Iris.
The area in the retina that represents the physiologic blind spot is: - CORRECT ANSWER Orbital floor
Which of the following is NOT a layer of the cornea? - CORRECT ANSWER Broadman's area
The cranial nerve responsible for AFFERENT pupillary reflex is: - CORRECT ANSWER CN II
The vascular layer of the eye consists of the _____. - CORRECT ANSWER Ciliary body, Iris, Choroid.
Accommodation and aqueous production are a function of the: - CORRECT ANSWER Ciliary Body
The area susceptible to blunt trauma of the orbit is: - CORRECT ANSWER Orbital floor
The primary lifting of the upper lid is performed by _____. - CORRECT ANSWER The levator muscle
The junction between the cornea and sclera is the _____. - CORRECT ANSWER Limbus.
The functions of the orbit are to provide protection, support, and attachment of the cranial nerves. - CORRECT ANSWER False
Which of the following is hydrophobic? - CORRECT ANSWER Epithelium
Which of the following statements are true? - CORRECT ANSWER The way you interact with others communicates your respect (or lack thereof) to them.Everyone who works in our office wants and deserves to have respect.a. The fewer interpersonal conflicts we have in our office, the more productive and happier we will be as a staff.
You can say the same exact words and have two different meanings.
What percent of our message is contained in the words we use? - CORRECT ANSWER 7%
If a co-worker said to you, "Quit putting those charts on my part of the counter. You're always crowding my space!" which of the following would be a way of encouraging an Adult-to-Adult interaction? - CORRECT ANSWER I'm sorry, I didn't realize they were in your way. Where do you put the charts you are working on?"
Which of the following would be the Adult response to the accusation, "I can't do my job, because you've never showed me how to enter new patients into the computer like you were supposed to." - CORRECT ANSWER "Let's spend a few minutes this afternoon, and I will train you how to do that."
If a person seems to think they are superior to their co-workers, which life position are they most likely to have? - CORRECT ANSWER I'm not ok, you're ok
Which of the following are reasons that the "I'm ok, you're ok" position is the most productive? - CORRECT ANSWER . It allows us to be in our Adult state of mind most of the time. It allows us to show respect for others.It allows us to give and receive positive strokes.It helps us interact positively with others.
Which of the following describes the relationship between the concepts of Parent, Adult, and Child states of mind, strokes, and life positions? - CORRECT ANSWER The "I'm ok, you're ok" life position allows us to be in our Adult state of mind so that we can give and receive positive strokes and more accurately deal with negative strokes.The "I'm not ok, you're ok" life position tends to lead us to be in our Parent or Child mode and to give negative strokes to others.
The three states of mind are: - CORRECT ANSWER Parent, Adult, Child
Which of the following contain recordings of authoritative pronouncements that we heard as a child? - CORRECT ANSWER Our Parent state of mind
Which of the following contain the recordings of the feelings we had as we experienced events in our life? - CORRECT ANSWER Our Child state of mind
Which of the following allows us to choose how we - CORRECT ANSWER Our Adult state of mind
In our Adult state of mind, we can decide whether to ______, ______ or _____ a critical comment aimed at us. - CORRECT ANSWER Accept, reject or modify
If someone said "You're not the boss of me," which state of mind would they most likely be in? - CORRECT ANSWER The Child
If you heard the following, which state of mind would be reflected? "You shouldn't just sit there waiting to be told what to do next. You need to quit being lazy and help us out." - CORRECT ANSWER The Parent
For human beings, even strokes that are very negative are better than no strokes at all. - CORRECT ANSWER True
OSHA Stands for - CORRECT ANSWER occupational safety and health administration
what is the max amount of time a patient should be left on hold before someone check in with them - CORRECT ANSWER 10 sec
cataract sx requires an overnight stay in a hospital - CORRECT ANSWER false
bifocals lenses are - CORRECT ANSWER lenses with 2 different focal powers
an ASC is an ambulatory sx center - CORRECT ANSWER true
which of following equipment is not commonly used in a laser refractive procedures - CORRECT ANSWER phaco
oculoplastics is an area of specialty for - CORRECT ANSWER ophthalmologist
what is OSHA Primary goal - CORRECT ANSWER protects employees in work place
the difficulty with triaging headaches is that in rare cases, a headache could indicate a life-threatening condition - CORRECT ANSWER true
what common household products is used to kill blood-borne pathogens - CORRECT ANSWER bleach
covered entities under HIPAA include - CORRECT ANSWER health care professionals, health care facilities
medicare will reimburse practices for refractions - CORRECT ANSWER false
which of the following is most likely used to help monitor glaucoma - CORRECT ANSWER visual field
devices used to correct refractive errors are - CORRECT ANSWER glasses and contacts lenses
the number of exemption each employee claims on his/her w-4 form helps determine how much_is withheld from each paycheck - CORRECT ANSWER federal tax
which of the following actions help to portray a positive image on the telephone - CORRECT ANSWER all of the above
in most states, a nonexempt employee is eligible for overtime pay for hours worked in excess of 40hrs per week - CORRECT ANSWER true
the following symptoms can be scheduled in the next available time slot except - CORRECT ANSWER pain
a patient desiring to have a change in glasses whose only complaint is difficulty with near vision should be scheduled - CORRECT ANSWER next available appt
a patient with complaints of blurred vision for about three months should be scheduled - CORRECT ANSWER next available appt
which government department enforces medicare rules and regulations - CORRECT ANSWER centers for medicare and medicaid services
od - CORRECT ANSWER right
bid - CORRECT ANSWER twice a day
ha - CORRECT ANSWER headache
QID - CORRECT ANSWER four times a day
qd - CORRECT ANSWER once a day
qhs - CORRECT ANSWER at night
Pt - CORRECT ANSWER patient
os - CORRECT ANSWER left eye
R/O - CORRECT ANSWER rule out
ou - CORRECT ANSWER both eyes
an eye care professional licensed to fabricate and dispense eye glasses is an - CORRECT ANSWER optician
a routine eye exam is likely to be covered under major medical insurance - CORRECT ANSWER false
the world meaning to enlarge or cause to expand is - CORRECT ANSWER dilate
the word meaning currently happening - CORRECT ANSWER occurring
a physician and surgeon who specializes in treatment and surgery of the eye is an - CORRECT ANSWER ophthalmologist
patient registration process are normally completed - CORRECT ANSWER upon check in
in most cases the patients initial encounter with the practice is - CORRECT ANSWER by telephone
The primary goal of the ophthalmic practice should be to: - CORRECT ANSWER Provide quality medical eye care for patients
Which of the following are characteristics of a winning team? - CORRECT ANSWER All of the above
A team is a group of people who work together in an ophthalmic practice. It is automatically a team because all of the team members are employed by the practice. - CORRECT ANSWER False
Ethical treatment of patients depends on fair treatment of patients without regard to race, religion, financial status, sex, or ethnicity. - CORRECT ANSWER True
The financial success of the practice depends on: - CORRECT ANSWER All of the above.
Which of the following IS NOT a responsibility for a staff member in providing quality customer service? - CORRECT ANSWER Interrupt patients when they talk too long because the practice is running behind
When dealing with unhappy patients, always apologize, even if you do not agree with their point of view. - CORRECT ANSWER True
When communicating with patients, openly express your feelings, even if they are negative. - CORRECT ANSWER False
Many patients change physicians because of dissatisfaction in their treatment by the physician and/or staff members. - CORRECT ANSWER True
Which of the following are examples of excellent customer service? - CORRECT ANSWER Smile, make eye contact, and address patients by name.
Be a good listener.
Be courteous.
The person at checkout never has to balance receipts collected to a patient payment log. This work is done by the data entry staff member who posts charges and payments. - CORRECT ANSWER False
Superbills or encounter forms are most commonly used to: - CORRECT ANSWER Record diagnosis and procedural codes
Patient receipts should be used: - CORRECT ANSWER To provide an immediate receipt for all patients.
A "clean claim" expedites the payment process because it: - CORRECT ANSWER Has no obvious errors and can be processed quickly by the insurance company without claim resubmission.
It is ideal for only one staff member to be responsible for all collection processes in the practice. - CORRECT ANSWER False
In most practices the coding of office visits is done by: - CORRECT ANSWER The provider and/or scribe
ICD-10 and CPT codes must correspond because: - CORRECT ANSWER Payers will deny payments if diagnosis and procedure codes do not match.
The responsibilities of checkout DO NOT include which of the following? - CORRECT ANSWER Retrieving the patient's chart from storage
ICD-10 codes are used to describe procedures and testing performed in the office. - CORRECT ANSWER False
It is ideal for audits to take place after the claims have been submitted so that extra time and effort will not be required to correct them and, hopefully, the mistakes will not be recognized. - CORRECT ANSWER False
When coding errors are identified, the auditor should: - CORRECT ANSWER Use the errors as a training opportunity to improve coding accuracy
The staff member auditing charts focuses on which of the following areas - CORRECT ANSWER All of these
End-of-the-day responsibilities for the data entry clerk include which of the following? - CORRECT ANSWER Balancing totals for payments posted into the practice management system with receipt totals and patient log amounts
At the conclusion of each encounter, the patient should: - CORRECT ANSWER Stop at the checkout desk to determine payment status.
Incorrect use of CPT codes can result in lost revenues and possible fines. - CORRECT ANSWER True
The acronym "EOB" represents: - CORRECT ANSWER Explanation of benefits
EOBs are used by: - CORRECT ANSWER Posting/Billing staff
Which of the following information is used in compiling the daily balance sheet? - CORRECT ANSWER All of these
When processing payments received from insurance companies via mail, it is important to: - CORRECT ANSWER All of these
When checks are received and cannot be applied to a patient's account because of lack of information (unapplied cash), the practice: - CORRECT ANSWER Deposits the check in the "unapplied cash" account and calls the issuing agent of the check to identify the correct patient
Direct remittance is an option provided by some practice management systems in which a Medicare check can be downloaded directly into the practice management system and automatically posts payments to specific patient accounts. - CORRECT ANSWER True
The daily deposit includes which of the following? - CORRECT ANSWER Mail receipts
In large practices, the posting of all payments usually is the responsibility of one person in the billing department. - CORRECT ANSWER False
Maximizing practice collections is the responsibility of the entire staff. - CORRECT ANSWER True
Which of the following is not a process used by the practice in processing direct deposits from insurance companies, Medicare, and Medicaid? - CORRECT ANSWER Include the amounts from direct deposits in the daily deposit
All checks received by mail should be processed within 24 hours of receipt. - CORRECT ANSWER True
Lockbox arrangements with banks are helpful to some practices in order to: - CORRECT ANSWER Provide security for checks and rapid deposit of funds
EOBs should be: - CORRECT ANSWER Stored for future reference based on practice policy or local regulations
Daily backup tapes are used to protect data in case of power failure or other damage to stored data. - CORRECT ANSWER True
How many staff members are responsible for compiling all of the daily work that has been processed into a single balance sheet? - CORRECT ANSWER One staff member
Which of the following forms is not usually requested during the registration process? - CORRECT ANSWER Patient's credit score
In multi-physician practices, the appointment scheduler can schedule the patient for an appointment with any physician for any reason. - CORRECT ANSWER False
Patient registration processes are normally completed: - CORRECT ANSWER Upon check-in.
It is important to follow scheduling templates when scheduling patient appointments in order to: - CORRECT ANSWER Control the schedule so that patients are seen efficiently and in a timely manner.
If the patient registers without noting a ZIP code, this most likely means: - CORRECT ANSWER Possible future delays in receiving payment from the patient if it is not obtained
Registration information should be: - CORRECT ANSWER Routinely reviewed for each patient upon arrival
If the patient arrives for an appointment without necessary insurance authorization: - CORRECT ANSWER An attempt is made to obtain the authorization, so that the patient can be seen.
The appointment process is relevant to effective collections because: - CORRECT ANSWER Patients must be scheduled with the correct physician and for the correct reason.
Scheduling patient appointments by documenting the appointment in a computerized practice management system offers the advantage of efficient integration with human resources. - CORRECT ANSWER False
The patient's chart usually is prepared prior to the patient's visit. - CORRECT ANSWER True
The patient registration form usually is completed upon arrival to the office and requests which of the following information? - CORRECT ANSWER All of the above
When scheduling a patient for an appointment, which of the following data should be documented? - CORRECT ANSWER Patient's full address with ZIP code
It is important to confirm patient appointments prior to the scheduled appointment in order to: - CORRECT ANSWER Limit the number of no-shows and last-minute cancellations
Credit balances on accounts in which the patient cannot be located: - CORRECT ANSWER Must be forwarded to the state, subject to disposition as unclaimed property.
Refunds due to Medicare/Medicaid should be: - CORRECT ANSWER Paid within 60 days of overpayment.
Ideally, the patient and applicable payer should be billed for services: - CORRECT ANSWER As soon as possible
In recent years, billing processes have become: - CORRECT ANSWER More reliant on automated processes.
Within the practice information system, patient statements usually are divided by: - CORRECT ANSWER Alphabetical order of last names
Cash management is a term referring to - CORRECT ANSWER Appropriate safekeeping of practice revenue.
Electronic processing of claims greatly increases the speed of payment from third-party payers. - CORRECT ANSWER True
Primary responsibility for effective policy implementation rests on: - CORRECT ANSWER The billing supervisor.
When a practice receives checks for insufficient funds, the practice often adds bank processing fees to the amount owed by the patient. - CORRECT ANSWER True
Unless unusual circumstances dictate otherwise, patients with outstanding accounts should receive a statement: - CORRECT ANSWER . Once per month.
Which of the following information is required for claims processing? - CORRECT ANSWER . All of these
Financial assessment of accounts receivable performance should be: - CORRECT ANSWER Measured monthly within the practice. [Show Less]