Healthcare Coding Quiz

Questions and Answers

What is the primary difference between a 504 Plan and an IEP?

An IEP focuses on providing accommodations while a 504 Plan focuses on specialized instruction.

A 504 Plan emphasizes general education while an IEP emphasizes specialized education. (correct)

An IEP is designed for students who do not require modifications.

A 504 Plan is for students with learning disabilities only.

Which type of code requires the therapist to remain in constant attendance with the patient?

Timed codes (correct)

CPT codes

Untimed codes

ICD-10 codes

What does FAPE stand for, and what does it ensure for students?

Full Academic Participation in Education; Guarantees education for all students regardless of abilities.

Federal Assistance Programs for Education; Provides financial aid to all students.

Free Access to Public Education; Ensures all students receive public education.

Free and Appropriate Public Education; Ensures students with disabilities receive necessary education without cost. (correct)

What distinguishes ICD-10 codes from CPT codes?

ICD-10 codes classify diseases and conditions, whereas CPT codes are for billing services provided. Signup and view all the answers

Which of the following statements about the Rehabilitation Act of 1973 is true?

It prohibits discrimination based on disability for programs receiving federal funding. Signup and view all the answers

What is a key difference between IEPs and 504 Plans regarding the type of educational support provided?

IEPs require specialized instruction, while 504 Plans provide general accommodations. Signup and view all the answers

Which law mandates the provision of a Free Appropriate Public Education (FAPE) to eligible children with disabilities?

Individuals with Disabilities Education Act (IDEA) Signup and view all the answers

What is the primary focus of an Individualized Education Program (IEP)?

To create a legally binding document for teaching methods and assessment. Signup and view all the answers

What does the term 'Least Restrictive Environment' (LRE) refer to in special education?

It ensures that students with disabilities are educated in general education classrooms as much as possible. Signup and view all the answers

Which group of children are eligible for Early Intervention Services under Part C?

Infants and toddlers from birth to age 3. Signup and view all the answers

Study Notes

Codes

ICD-10 Codes: Used primarily for diagnosing various medical conditions.
CPT Codes: Essential for billing healthcare services such as therapeutic exercises and group treatment.
Timed Codes: Require continuous therapist presence with patients, billed in 15-minute increments using Rule of 8.
Untimed Codes: Can involve either attended or unattended services, billed at a flat rate, regardless of time spent.

FAPE (Free and Appropriate Public Education)

Guarantees students with disabilities access to necessary educational services at no cost to families.

504 Plan (Section 504 of the Rehabilitation Act)

Provides necessary accommodations for students with disabilities to enable academic success, such as extended testing time and preferential seating.
Enforced to prevent discrimination against students with disabilities in federally funded educational programs.

Rehabilitation Act of 1973

Prohibits discrimination based on perceived or actual disabilities in schools receiving federal funds.
Forms the foundational framework for the later Americans with Disabilities Act (ADA).

IEP (Individualized Education Program)

Developed under IDEA for students needing specialized instruction, focusing on specific educational goals and services.
Requires documented disabilities affecting school performance, covering 1 of 13 specified disabilities.

Comparison: 504 Plan vs. IEP

Focus: 504 Plans ensure accessibility while IEPs provide specialized instruction and services.
Eligibility: IEPs necessitate a disability impacting educational performance; 504 Plans only require a disability affecting participation in general curriculum.
Legal Framework: IEPs are mandated by IDEA and involve structured support, whereas 504 Plans are based on civil rights law offering accommodations without specialized instruction.
Distinction: 504 Plans operate under the Rehabilitation Act; IEPs and early intervention strategies are governed by IDEA.

IDEA (Individuals with Disabilities Education Act)

Established to ensure access to FAPE and special education for eligible children with disabilities.
Covers individuals with mental or physical impairments impacting school performance, leading to tailored educational programs.

Early Intervention Services (Part C)

Targeted for infants and toddlers (ages 0-3), potentially including therapy services to address developmental delays.

Encompasses a variety of supports, including specialized instruction, therapy services (speech, occupational, physical), counseling, and psychological support.

Least Restrictive Environment (LRE)

Requires that children with disabilities are educated alongside their non-disabled peers as much as possible.

Department of Veteran Affairs (VA)

Provides care to veterans who served in active military, naval, or air services and were not dishonorably discharged.
Combat veterans qualified for cost-free care for service-related conditions for five years following discharge.
Nexus of Evidence: Essential documentation connecting current medical conditions to military service, includes medical and service records.
Compensation and Pension Examination: Evaluates the medical nexus between a veteran's condition and their military service for benefits determination.

Description

Test your knowledge on ICD-10 and CPT codes in healthcare billing and diagnosis. This quiz covers timed and untimed codes as well as the principle of Free Appropriate Public Education (FAPE) in relation to therapy services. Enhance your understanding of coding practices used in therapy settings.