Medicare Preventive Services for Coders PCA

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Question 1 of 10

1. Question
Why is it important for coders to navigate unique permissions and restrictions specific to Federally Qualified Health Centers (FQHCs) for preventive services?
- To complicate coding procedures
- To ensure compliance with FQHC regulations
- To avoid preventive service coding
- To ignore all other coding guidelines
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Question 2 of 10

2. Question
Where should participants go to access evolving guidelines and regulatory information related to Medicare preventive services?
- www.codinghelp.com
- www.hhs.gov
- www.cms.gov
- www.hrsa.gov
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Question 3 of 10

3. Question
What financial benefit do Federally Qualified Health Centers (FQHCs) receive for providing Medicare preventive services?
- 100% Physician Fee Schedule payment
- 34% enhanced PPS payment
- 50% enhanced PPS payment
- There is no financial benefit to FQHCs for providing Medicare preventive services
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Question 4 of 10

4. Question
Why is it important for clinicians to accurately document and qualifying Medicare preventive services?
- To support coding and billing for these services as appropriate
- To avoid billing preventive CPT codes 99381-99397
- To increase out-of-pocket expenses for patients
- To allow the clinician to pop their head in during a prevention visit to check on their patient's golf game and allow their ancillary staff to conduct the visit and free up the clinician to see more important patients
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Question 5 of 10

5. Question
Which HCPCS code is associated with the “Welcome to Medicare” visit?
- 99381-99397, based on the patient's age and if they are new or established
- G0439
- G0438
- G0402
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Question 6 of 10

6. Question
What is the primary purpose of Medicare Annual Wellness Visits (MAWV)?
- To gather information and help the patient maintain optimal health
- To avoid the use of CPT codes 99381-99397 for Medicare patients
- To minimize patient involvement in their own preventive care
- To make the patient come into the office at least once a year
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Question 7 of 10

7. Question
Choose the one component that is NOT a minimum requirement for the Health Risk Assessment:
- Patient payment at time of service
- Demographic data
- Psychosocial risks
- Instrumental activities of daily living
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Question 8 of 10

8. Question
What is needed to bill for code G0101: Screening Pelvic and Clinical Breast Exam under Medicare?
- General exam requirements, co-insurance is waived, and may be billed as a stand-alone visit
- Specific exam requirements, co-insurance is not waived, and may be billed as a stand-alone visit
- Specific exam requirements, co-insurance is waived, and may be billed as a stand-alone visit
- General exam requirements, co-insurance is waived, and may not be billed as a stand-alone visit
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Question 9 of 10

9. Question
According to Medicare guidelines for first-listed preventive diagnosis coding, which code should be listed first?
- Z00.00
- Z00.01
- Z00.8
- The diagnosis representing the greatest level of clinician work during the encounter
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Question 10 of 10

10. Question
When reviewing opioid use during the IPPE/AWV, what is needed for a patient with a current opioid prescription? (Select all that apply)
- No review of opioid use is needed during the IPPE/AWV
- Evaluate their pain severity and current treatment plan
- Provide information on non-opioid treatment options
- Review their potential Opioid Use Disorder (OUD) risk factors
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Medicare Preventive Services for Coders PCA

Medicare Preventive Services for Coders PCA

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