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Advanced Coding: E/M, Medicine, And Anesthesia

  Anesthesia administered to a normal, healthy patient undergoing an esophageal procedure is coded as

   A. 00500-P1.   B. 00502-P1.   C. 00500-P2.   D. 00506-P1. 

2.   A new patient comes into the doctor’s office for her annual gynecological exam. During the course of the exam, she undergoes a screening cervical cytopathology smear, which is performed by an automated system under the supervision of a physician. What HCPCS code is assigned?

   A. G0185   B. G7869   C. G7452   D. G0147 

3.   A new patient is seen for a home visit that involves a comprehensive history, examination, and medical decision making of high complexity. What code should be assigned?

   A. 99349   B. 99345   C. 99342   D. 99350 

4.   A prolonged evaluation and management service before and/or after direct patient care for one hour is coded as

   A. 99359.   B. 99358.   C. 99361.   D. 99360. 

5.   A 57-year-old patient is admitted to the hospital for a hip arthroscopy procedure. The patient is a normal healthy patient with no systemic disease. What anesthesia CPT code should be assigned?

   A. 01242-P2   B. 01202-P1   C. 01202-P3   D. 01202-P5 

6.   Anesthesia for procedures performed on the larynx and trachea in an 11-month-old child would be assigned to code

   A. 00620.   B. 00625.   C. 00326.   D. 00532. 

7.   A patient returns for a follow-up office visit regarding the repair of her fractured knee. The office visit consists of a detailed history, detailed examination, and medical decision making of moderate complexity. What CPT code is assigned?

   A. 99213   B. 99212   C. 99211   D. 99214 

8.   Intramuscular nonhormonal antineoplastic chemotherapy administration would be assigned to code

   A. 96402.   B. 96405.   C. 96406.   D. 96401. 

9.   Home infusion with specialty drug administration during a 6-hour visit would be assigned what codes?

   A. 99606, 99607 ×3   B. 99601, 99602 ×4   C. 99604, 99605 ×2   D. 99603, 99604 ×2 

10.   A patient is seen for a psychiatric diagnostic evaluation. The physician obtains a complete history of the patient’s mental status and does a complete biological and psychosocial assessment along with a complete physical examination. The physician’s final diagnosis is recurrent episode of severe major depressive disorder, without any psychotic behavior involved. The patient also has a history of psychological trauma. What codes are assigned?

   A. F33.2, Z91.49   B. F33.1, Z91.47   C. F34.2, Z91.49   D. F36.2, Z91.46 

11.   A 17-year-old patient is diagnosed with a severe form of nutritional anemia. What ICD-10-CM code should be assigned?

   A. D45.9   B. D53.9   C. D74.9   D. D65.9 

12.   A 32-year-old patient receives anesthesia for spinal surgery. The anesthesia is complicated by utilization of controlled hypotension. What add-on anesthesia code would be assigned?

   A. 99174   B. 92117   C. 99100   D. 99135 

13.   Nursing facility discharge day management of 19.5 minutes would be assigned to code

   A. 99317.   B. 99319.   C. 99316.   D. 99315. 

14.   A patient is admitted to the hospital for leukemia. She has a comprehensive history, comprehensive examination, and medical decision making of high complexity. What CPT code should be assigned?

   A. 99202   B. 99223   C. 99213   D. 99251 

15.   A service that is rarely provided, unusual, variable, or new may require a

   A. physician’s authorization.   B. patient’s authorization.   C. staged or related procedure.   D. special report. 

16.   A new patient is seen for a prescription refill. During the visit, the physician obtains a problem focused history, problem focused examination, and medical decision making is straightforward. What CPT code should be assigned for this service?

   A. 99214   B. 99215   C. 99213   D. 99201 

17.   A 7-year-old child is brought to the clinic due to recurrent ear infections. The physician performs a bilateral tympanostomy under general anesthesia. What CPT code should be assigned?

   A. 69436-50   B. 69536-50   C. 69426-50   D. 69736-50 

18.   Code 00906 is assigned for

   A. an angioscopy.   B. anesthesia for surgery performed on the bony pelvis.   C. an osteotomy.   D. anesthesia provided for a vulvectomy. 

19.   A 25-year-old patient receives a Hepatitis A vaccination. The vaccine is administered intramuscularly in the clinic. What CPT codes should be assigned?

   A. 90632, 90471   B. 90541, 90489   C. 90637, 90472   D. 90672, 90451 

20.   A dark adaptation examination with interpretation and report is assigned to code

   A. 92326.   B. 92284.   C. 92287.   D. 92325. 

FIN 100 WEEK 11 QUIZ

Question 1 

Assume a firm’s production process requires an average of 80 days to go from raw materials to finished products and another 40 days before the finished goods are sold. If the accounts receivable cycle is 70 days and the accounts payable cycle is 80 days, what would the operating cycle be?

110 days

130 days

190 days

270 days

Question 2 

The time between ordering materials and collecting cash from receivables is known as the:

operating cycle

cash conversion cycle

accounts receivable period

term payable cycle

Question 3 

The time between when the firm pays its suppliers and when it collects money from its customers is known as the:

operating cycle

cash conversion cycle

accounts receivable period

clearing cycle

Question 4 

Which of the following is not an advantage of short-term borrowing?

flexibility

establishing continuous relationships   with a bank or financial institution

frequent renewals

lower cost

Question 5 

In June, Erie Plastics had an ending cash balance of $35,000. In July, the firm had total cash receipts of $40,000 and total cash disbursements of $50,000. The minimum cash balance required by the firm is $25,000. At the end of July, Erie Plastics had

an excess cash balance of $25,000

An excess cash balance of $0

required financing of $10,000

required financing of $25,000

Question 6 

A compensating balance on a bank loan effectively ____________ the cost of the loan.

raises

lowers

has no effect on

has an indeterminate effect on

Question 7 

In order to borrow $100,000 for a 10% loan on discount basis, the firm will actually have to borrow:

$110,000

$111,111

$100,000

$90,000

Question 8 

When old short-term debt is replaced by new short-term debt as the old debt comes due, the process is known as:

compensating balance

rolling the debt

fluctuating financing

re-terming

Question 9 

Which of the following short-term sources of funds is available only to the financially strongest concerns?

trade credit

commercial bank loans

finance company loans

commercial paper

Question 10 

If a firm actually sells its accounts receivable, the process is known as:

wholesale financing

pledging

field crediting

factoring

Question 11 

The ratio between the present value of a project’s cash inflows and the present value of its initial investment is called the:

MIRR.

IRR.

PI.

NPV.

Question 12 

Internal rate of return (IRR) and net present value (NPV) methods:

generally arrive at the same   accept/reject decisions

are less sophisticated than the   payback period

cannot make use of the same cash   flows

can be substituted for by the payback   period

Question 13 

Which of the following is not considered a stage in the capital budgeting process?

development

production

implementation

selection

Question 14 

The internal rate of return concept is best explained by which of the following?

rate where NPV is equal to zero

point where initial investment has   been returned

marginal cost of capital

average book value

Question 15 

The payback period concept is best explained by which of the following?

marginal cost of capital

point where initial investment has   been returned

rate where NPV is equal to zero

accounting rate of return

Question 16 

The cost of debt:

is typically higher than the cost of   preferred stock

must be adjusted to an after-tax cost

is higher than the cost of retained   earnings

is the lowest component cost because   corporations can deduct 70 percent of the interest expense

Question 17 

As a general rule, the capital structure that maximizes stock price also:

minimizes the weighted average cost   of capital

maximizes the weighted average cost   of capital

minimizes the required rate of return   on equity

maximizes the cost of debt

Question 18 

The after-tax cost of debt for a firm in the 35% tax bracket with a before-tax cost of debt of 6% is:

6%

2.1%

3.9%

5.8%

Question 19 

Ningbo Shipping has issued preferred stock at its $125 per share par value. The stock will pay a $15 annual dividend. The cost of issuing and selling the stock was $4 per share. The cost of Ningbo Shipping preferred stock is:

7.2%.

12.0%.

12.4%.

15%.

Question 20 

A firm’s mix of debt and equity defines the firm’s:

capital structure

working capital

Finance Data Bank 39160

Last month, Lloyd’s Systems analyzed the project whose cash flows are shown below. However, before the decision to accept or reject the project, the Federal Reserve took actions that changed interest rates and therefore the firm’s WACC. The Fed’s action did not affect the forecasted cash flows. By how much did the change in the WACC affect the project’s forecasted NPV? Note that a project’s projected NPV can be negative, in which case it should be rejected.

Old WACC:

10.00%

New WACC:

12.50%

Year

0

1

2

3

Cash flows

-$1,000

$410

$410

$410

62.Lasik Vision Inc. recently analyzed the project whose cash flows are shown below. However, before Lasik decided to accept or reject the project, the Federal Reserve took actions that changed interest rates and therefore the firm’s WACC. The Fed’s action did not affect the forecasted cash flows. By how much did the change in the WACC affect the project’s forecasted NPV? Note that a project’s projected NPV can be negative, in which case it should be rejected.

Old WACC:

8.00%

New WACC:

8.50%

Year

0

1

2

3

Cash flows

-$1,000

$410

$410

$410

63.Ehrmann Data Systems is considering a project that has the following cash flow and WACC data. What is the project’s MIRR? Note that a project’s projected MIRR can be less than the WACC (and even negative), in which case it will be rejected.

WACC:

8.75%

Year

0

1

2

3

Cash flows

-$1,000

$450

$450

$450

64.Ingram Electric Products is considering a project that has the following cash flow and WACC data. What is the project’s MIRR? Note that a project’s projected MIRR can be less than the WACC (and even negative), in which case it will be rejected.

WACC:

14.75%

Year

0

1

2

3

Cash flows

-$800

$350

$350

$350

65.Malholtra Inc. is considering a project that has the following cash flow and WACC data. What is the project’s MIRR? Note that a project’s projected MIRR can be less than the WACC (and even negative), in which case it will be rejected.

WACC:

10.00%

Year

0

1

2

3

4

Cash flows

-$1,175

$300

$320

$340

$360

66.Hindelang Inc. is considering a project that has the following cash flow and WACC data. What is the project’s MIRR? Note that a project’s projected MIRR can be less than the WACC (and even negative), in which case it will be rejected.

WACC:

13.25%

Year

0

1

2

3

4

Cash flows

-$850

$300

$320

$340

$360

67.Stern Associates is considering a project that has the following cash flow data. What is the project’s payback?

Year

0

1

2

3

4

5

Cash flows

-$750

$300

$310

$320

$330

$340

68.Fernando Designs is considering a project that has the following cash flow and WACC data. What is the project’s discounted payback?

WACC:

10.00%

Year

0

1

2

3

Cash flows

-$950

$500

$500

$500

69.Masulis Inc. is considering a project that has the following cash flow and WACC data. What is the project’s discounted payback?

WACC:

10.00%

Year

0

1

2

3

4

Cash flows

-$700

$525

$485

$445

$405

70.Tesar Chemicals is considering Projects S and L, whose cash flows are shown below. These projects are mutually exclusive, equally risky, and not repeatable. The CEO believes the IRR is the best selection criterion, while the CFO advocates the NPV. If the decision is made by choosing the project with the higher IRR rather than the one with the higher NPV, how much, if any, value will be forgone, i.e., what’s the chosen NPV versus the maximum possible NPV? Note that (1) “true value” is measured by NPV, and (2) under some conditions the choice of IRR vs. NPV will have no effect on the value gained or lost.

WACC:

6.75%

0

1

2

3

4

CFS -$1,100

$550

$600

$100

$100

CFL

-$2,700

$650

$725

$800

$1,400

71.A firm is considering Projects S and L, whose cash flows are shown below. These projects are mutually exclusive, equally risky, and not repeatable. The CEO wants to use the IRR criterion, while the CFO favors the NPV method. You were hired to advise the firm on the best procedure. If the wrong decision criterion is used, how much potential value would the firm lose?

WACC:

7.75%

0

1

2

3

4

CFS -$1,025

$380

$380

$380

$380

CFL

-$2,150

$765

$765

$765

$765

72.Sexton Inc. is considering Projects S and L, whose cash flows are shown below. These projects are mutually exclusive, equally risky, and not repeatable. If the decision is made by choosing the project with the higher IRR, how much value will be forgone? Note that under certain conditions choosing projects on the basis of the IRR will not cause any value to be lost because the one with the higher IRR will also have the higher NPV, so no value will be lost if the IRR method is used.

WACC:

15.25%

0

1

2

3

4

CFS -$2,050

$750

$760

$770

$780

CFL

-$4,300

$1,500

$1,518

$1,536

$1,554

73.Moerdyk& Co. is considering Projects S and L, whose cash flows are shown below. These projects are mutually exclusive, equally risky, and not repeatable. If the decision is made by choosing the project with the higher IRR, how much value will be forgone? Note that under certain conditions choosing projects on the basis of the IRR will not cause any value to be lost because the one with the higher IRR will also have the higher NPV, i.e., no conflict will exist.

WACC:

11.50%

0

1

2

3

4

CFS -$1,025

$650

$450

$250

$50

CFL

-$1,025

$100

$300

$500

$700