Video: Every Case Tells a Story| Webinar: ACR/CHEST ILD Guidelines in Practice

An official publication of the ACR and the ARP serving rheumatologists and rheumatology professionals

  • Conditions
    • Axial Spondyloarthritis
    • Gout and Crystalline Arthritis
    • Myositis
    • Osteoarthritis and Bone Disorders
    • Pain Syndromes
    • Pediatric Conditions
    • Psoriatic Arthritis
    • Rheumatoid Arthritis
    • Sjögren’s Disease
    • Systemic Lupus Erythematosus
    • Systemic Sclerosis
    • Vasculitis
    • Other Rheumatic Conditions
  • FocusRheum
    • ANCA-Associated Vasculitis
    • Axial Spondyloarthritis
    • Gout
    • Psoriatic Arthritis
    • Rheumatoid Arthritis
    • Systemic Lupus Erythematosus
  • Guidance
    • Clinical Criteria/Guidelines
    • Ethics
    • Legal Updates
    • Legislation & Advocacy
    • Meeting Reports
      • ACR Convergence
      • Other ACR meetings
      • EULAR/Other
    • Research Rheum
  • Drug Updates
    • Analgesics
    • Biologics/DMARDs
  • Practice Support
    • Billing/Coding
    • EMRs
    • Facility
    • Insurance
    • QA/QI
    • Technology
    • Workforce
  • Opinion
    • Patient Perspective
    • Profiles
    • Rheuminations
      • Video
    • Speak Out Rheum
  • Career
    • ACR ExamRheum
    • Awards
    • Career Development
  • ACR
    • ACR Home
    • ACR Convergence
    • ACR Guidelines
    • Journals
      • ACR Open Rheumatology
      • Arthritis & Rheumatology
      • Arthritis Care & Research
    • From the College
    • Events/CME
    • President’s Perspective
  • Search

Coding Corner Questions: July

Staff  |  Issue: July 2014  |  July 1, 2014

Most Frequently Asked Questions about Coding & Billing Quiz

  1. When can a physician bill for a new patient visit after the initial visit?
    1. The first time the provider is seeing the patient within three years and no one else of the same specialty in the practice has seen the patient within two years
    2. Every 12 months
    3. The first time the provider is seeing the patient within three years, no one else of the same specialty in the practice has seen the patient or if the patient has not seen another partner in the practice of the same specialty in a previous practice within three years
    4. None of the above
  2. Who is allowed to take a patient’s history of present illness?
    1. Physician
    2. Ancillary staff
    3. Physician and ancillary staff
    4. None of the above
  3. How many times can a provider bill for ultrasound guidance during a single visit?
    1. None
    2. Once per 24 hours per patient
    3. No restriction
    4. Two times
  4. When can a nonphysician provider (NPP) bill for an incident-to service?
    1. For an established patient with an established problem
    2. A new patient
    3. For an established patient with a new problem and the physician does not address the new problem
    4. None of the above
  5. If an NPP sees an established patient with a new problem, is it permissible for the physician to simply state in the medical records that they agree with the NPP’s finding?
    1. Yes
    2. No

Click here for the answers.

Share: 

Filed under:Billing/CodingFrom the CollegePractice Support Tagged with:BillingCodingimagingrheumatologistrheumatologyUltrasound

Related Articles

    Medicare Incident-to Billing Rules, Pitfalls

    May 15, 2015

    In today’s busy rheumatology practices, the services of nurse practitioners, physician assistants, occupational therapists and clinical nurse specialists are a great asset for patient flow, as well as increased revenue. As the growth of nonphysician providers (NPPs) in rheumatology practices has evolved, it has become increasingly important to understand the incident-to rules and avoid the…

    How Non-Physician Providers Can Help Your Practice

    November 17, 2017

    New data shows that both private and public rheumatology practices benefit financially by hiring non-physician providers (NPPs). But when should practices hire NPPs?

    Incident-To Guidelines for Nonphysician Healthcare Providers

    June 10, 2012

    Coding and documentation guidelines for billing and documenting nonphysician healthcare provider services.

    Coding Corner Answers: July

    July 1, 2014

    Answers to rheumatologists’ five most common coding and billing questions

  • About Us
  • Meet the Editors
  • Issue Archives
  • Contribute
  • Advertise
  • Contact Us
  • Copyright © 2025 by John Wiley & Sons, Inc. All rights reserved, including rights for text and data mining and training of artificial technologies or similar technologies. ISSN 1931-3268 (print). ISSN 1931-3209 (online).
  • DEI Statement
  • Privacy Policy
  • Terms of Use
  • Cookie Preferences