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Name: Class: Date:
3. Coding questions asked by the DMEPOS dealer should be checked with the _____.
a. Medicaid office
b. Medicare office
c. DMEPOS dealer
d. PDAC
ANSWER: d
POINTS: 1
DIFFICULTY: Moderate
QUESTION TYPE: Multiple Choice
HAS VARIABLES: False
DATE CREATED: 8/2/2016 1:04 AM
DATE MODIFIED: 8/2/2016 1:05 AM
4. An HCPCS level II code begins with the letter “K.” This signifies that the Medicare administrative contractor
responsible for processing the claim is a _____.
a. primary MAC
b. DME MAC
Copyright Cengage Learning. Powered by Cognero. Page 1
Name: Class: Date:
5. HCPCS level II _____ are attached to any HCPCS level I or II code to provide additional information regarding the
product or service reported.
a. temporary codes
b. permanent codes
c. numbers
d. modifiers
ANSWER: d
POINTS: 1
DIFFICULTY: Moderate
QUESTION TYPE: Multiple Choice
HAS VARIABLES: False
DATE CREATED: 8/2/2016 1:28 AM
DATE MODIFIED: 8/2/2016 1:29 AM
6. Which of the following modifiers may be added to a code for CPT radiology services?
a. -59
b. -25
c. -53
d. -73
ANSWER: a
POINTS: 1
DIFFICULTY: Difficult
QUESTION TYPE: Multiple Choice
HAS VARIABLES: False
DATE CREATED: 8/2/2016 1:30 AM
DATE MODIFIED: 8/2/2016 1:31 AM
POINTS: 1
DIFFICULTY: Difficult
QUESTION TYPE: Multiple Choice
HAS VARIABLES: False
DATE CREATED: 8/2/2016 1:31 AM
DATE MODIFIED: 8/2/2016 1:32 AM
8. The Administrative, Miscellaneous, and Investigational section of HCPCS level II includes codes for all of the
following EXCEPT _____.
a. exercise equipment
b. nonprescription drugs
c. ancillary transportation-related fees
d. noncovered items and services
ANSWER: c
POINTS: 1
DIFFICULTY: Moderate
QUESTION TYPE: Multiple Choice
HAS VARIABLES: False
DATE CREATED: 8/2/2016 1:32 AM
DATE MODIFIED: 8/2/2016 1:34 AM
10. What are used to report product-specific HCPCS codes to obtain reimbursement for biologicals, devices, drugs, and
other items associated with implantable device technologies?
a. Modifiers
b. C codes
c. D codes
d. R codes
ANSWER: b
POINTS: 1
DIFFICULTY: Moderate
Copyright Cengage Learning. Powered by Cognero. Page 3
Name: Class: Date:
11. A patient is prescribed orthopedic shoes. A code to reflect the shoes would be found under the _____ section.
a. Outpatient PPS
b. Medical and Surgical Supplies
c. Prosthetic Procedures
d. Orthotic
ANSWER: d
POINTS: 1
DIFFICULTY: Difficult
QUESTION TYPE: Multiple Choice
HAS VARIABLES: False
DATE CREATED: 8/2/2016 1:43 AM
DATE MODIFIED: 8/2/2016 1:44 AM
12. A patient who is severely diabetic received a below-knee test socket. The code assigned would be found under the
_____ section.
a. Orthotic
b. Medical and Surgical Supplies
c. Outpatient PPS
d. Prosthetic Procedure
ANSWER: d
POINTS: 1
DIFFICULTY: Moderate
QUESTION TYPE: Multiple Choice
HAS VARIABLES: False
DATE CREATED: 8/2/2016 1:45 AM
DATE MODIFIED: 8/2/2016 1:46 AM
13. A patient was supplied with a water pressure mattress. Report code _____.
a. E0181
b. E0186
c. E0187
d. E0194
ANSWER: c
POINTS: 1
DIFFICULTY: Moderate
QUESTION TYPE: Multiple Choice
HAS VARIABLES: False
DATE CREATED: 8/2/2016 1:47 AM
Copyright Cengage Learning. Powered by Cognero. Page 4
Name: Class: Date:
14. A patient was assessed for a hearing aid. Report code _____.
a. V5008
b. V5010
c. V5266
d. V5241
ANSWER: b
POINTS: 1
DIFFICULTY: Moderate
QUESTION TYPE: Multiple Choice
HAS VARIABLES: False
DATE CREATED: 8/2/2016 1:48 AM
DATE MODIFIED: 8/2/2016 1:49 AM
15. A patient received an injection of morphine sulfate, 10 mg. Report code _____.
a. J2270
b. J2274
c. S0093
d. S0109
ANSWER: a
POINTS: 1
DIFFICULTY: Difficult
QUESTION TYPE: Multiple Choice
HAS VARIABLES: False
DATE CREATED: 8/2/2016 1:50 AM
DATE MODIFIED: 8/2/2016 1:51 AM
16. A 10-year-old patient required sign language services for 30 minutes. Report code(s) _____.
a. T1023
b. T1015
c. T1013
d. T1013, T1013
ANSWER: d
POINTS: 1
DIFFICULTY: Difficult
QUESTION TYPE: Multiple Choice
HAS VARIABLES: False
DATE CREATED: 8/2/2016 1:52 AM
DATE MODIFIED: 8/2/2016 1:52 AM
17. A patient was administered butorphanol tartrate (trade name Stadol NS), nasal spray, 25 mg. Report code _____.
a. J0595
Copyright Cengage Learning. Powered by Cognero. Page 5
Name: Class: Date:
b. J7631
c. J7506
d. S0012
ANSWER: d
POINTS: 1
DIFFICULTY: Difficult
QUESTION TYPE: Multiple Choice
HAS VARIABLES: False
DATE CREATED: 8/2/2016 1:56 AM
DATE MODIFIED: 8/2/2016 1:57 AM
18. The provider transported portable x-ray equipment to the nursing home for the purpose of testing several patients.
Report code _____.
a. R0070
b. R0075
c. R0076
d. Q0092
ANSWER: b
POINTS: 1
DIFFICULTY: Moderate
QUESTION TYPE: Multiple Choice
HAS VARIABLES: False
DATE CREATED: 8/2/2016 2:14 AM
DATE MODIFIED: 8/2/2016 2:15 AM
19. A patient was given a 30-day supply of prenatal vitamins. Report code _____.
a. S0197
b. J1410
c. A9153
d. A9152
ANSWER: a
POINTS: 1
DIFFICULTY: Moderate
QUESTION TYPE: Multiple Choice
HAS VARIABLES: False
DATE CREATED: 8/2/2016 2:15 AM
DATE MODIFIED: 8/2/2016 2:17 AM
20. An outpatient received a disposable topical hyperbaric oxygen chamber. Report code(s) _____.
a. A0422
b. A0422, A4575
c. A4575
d. A4616
Copyright Cengage Learning. Powered by Cognero. Page 6
Name: Class: Date:
ANSWER: c
POINTS: 1
DIFFICULTY: Difficult
QUESTION TYPE: Multiple Choice
HAS VARIABLES: False
DATE CREATED: 8/2/2016 2:17 AM
DATE MODIFIED: 8/2/2016 2:18 AM
21. Adhesive remover, wipes, any type, each. Assign HCPCS code(s).
ANSWER: A4456
POINTS: 1
QUESTION TYPE: Objective Short Answer
HAS VARIABLES: False
DATE CREATED: 8/3/2016 8:46 AM
DATE MODIFIED: 8/3/2016 8:46 AM
22. Detachable, adjustable height armrest, upper portion, each. Assign HCPCS code(s).
ANSWER: K0018
POINTS: 1
QUESTION TYPE: Objective Short Answer
HAS VARIABLES: False
DATE CREATED: 8/3/2016 8:48 AM
DATE MODIFIED: 8/3/2016 8:48 AM
24. Enteral nutrition infusion pump, with alarm. Assign HCPCS code(s).
ANSWER: B9002
POINTS: 1
QUESTION TYPE: Objective Short Answer
HAS VARIABLES: False
DATE CREATED: 8/3/2016 8:49 AM
DATE MODIFIED: 8/3/2016 8:49 AM
26. Addition, endoskeletal system, below knee, alignable system. Assign HCPCS code(s).
ANSWER: L5910
POINTS: 1
QUESTION TYPE: Objective Short Answer
HAS VARIABLES: False
DATE CREATED: 8/3/2016 8:50 AM
DATE MODIFIED: 8/3/2016 8:50 AM
27. Culture, bacterial, urine, quantitative, sensitivity study. Assign HCPCS code(s).
ANSWER: P7001
POINTS: 1
QUESTION TYPE: Objective Short Answer
HAS VARIABLES: False
DATE CREATED: 8/3/2016 8:50 AM
DATE MODIFIED: 8/3/2016 8:50 AM
28. Methacholine chloride administered as inhalation solution through a nebulizer, per 1 mg. Assign HCPCS code(s).
ANSWER: J7674
POINTS: 1
QUESTION TYPE: Objective Short Answer
HAS VARIABLES: False
DATE CREATED: 8/3/2016 8:51 AM
DATE MODIFIED: 8/3/2016 8:51 AM
29. Assistive listening device, alerting, any type. Assign HCPCS code(s).
ANSWER: V5269
POINTS: 1
QUESTION TYPE: Objective Short Answer
HAS VARIABLES: False
DATE CREATED: 8/3/2016 8:51 AM
DATE MODIFIED: 8/3/2016 8:51 AM
31. Sphere, single vision, plano to plus or minus 4.00, per lens. Assign HCPCS code(s).
ANSWER: V2100
POINTS: 1
QUESTION TYPE: Objective Short Answer
HAS VARIABLES: False
DATE CREATED: 8/3/2016 8:52 AM
DATE MODIFIED: 8/3/2016 8:52 AM
32. Compression burn garment, bodysuit (head to foot), custom fabricated. Assign HCPCS code(s).
ANSWER: A6501
POINTS: 1
QUESTION TYPE: Objective Short Answer
HAS VARIABLES: False
DATE CREATED: 8/3/2016 8:53 AM
DATE MODIFIED: 8/3/2016 8:53 AM
34. Contact lens, gas permeable, bifocal, one lens. Assign HCPCS code(s).
ANSWER: V2512
POINTS: 1
QUESTION TYPE: Objective Short Answer
HAS VARIABLES: False
DATE CREATED: 8/3/2016 8:53 AM
DATE MODIFIED: 8/3/2016 8:53 AM
35. Additive for enteral formula (e.g., fiber). Assign HCPCS code(s).
ANSWER: B4104
POINTS: 1
QUESTION TYPE: Objective Short Answer
HAS VARIABLES: False
DATE CREATED: 8/3/2016 8:54 AM
DATE MODIFIED: 8/3/2016 8:54 AM
POINTS: 1
QUESTION TYPE: Objective Short Answer
HAS VARIABLES: False
DATE CREATED: 8/3/2016 8:54 AM
DATE MODIFIED: 8/3/2016 8:54 AM
38. Positioning seat for persons with special orthopedic needs. Assign HCPCS code(s).
ANSWER: T5001
POINTS: 1
QUESTION TYPE: Objective Short Answer
HAS VARIABLES: False
DATE CREATED: 8/3/2016 8:55 AM
DATE MODIFIED: 8/3/2016 8:55 AM
40. Diabetes outpatient self-management training services, group session (2 or more), per 90 minutes. Assign HCPCS
code(s).
ANSWER: G0109, G0109, G0109
POINTS: 1
QUESTION TYPE: Objective Short Answer
HAS VARIABLES: False
DATE CREATED: 8/3/2016 8:56 AM
DATE MODIFIED: 8/3/2016 8:57 AM
Except for very brief intervals, when the Reading races or some
coursing meeting engaged his attention, Dr. Mitford was rarely to be
found at home, with the result that the “farm” was left very much to
the men, with such supervision as Mrs. Mitford might care, or be
able, to give it. Money was getting scarce at Bertram House and the
Doctor therefore resorted, more than ever, to the Clubs, in the hope
that his skill at cards might once again tempt the fickle Goddess at
whose shrine he was so ardent a votary. Nathaniel Ogle was his
crony and between them they went the round of the gaming-tables
with results which proved that either the Doctor’s powers were on the
wane or that he was being subjected to frequent frauds.
It is a regrettable fact, but must be recorded, that both Mrs. and
Miss Mitford appear to have been fully cognizant of his habits;
whether they knew the extent of his losses, or realized what these
losses meant with regard to their future comfort is a debatable point,
although from what we are able to gather from the scant records at
our command we incline to the belief that Mrs. Mitford was scarcely
capable of either controlling or influencing a husband of Dr. Mitford’s
temperament. Both by birth and upbringing she was absolutely
unfitted for the task. Doubtless she had made her feeble
remonstrances, but these proving of no avail she resigned herself to
a policy of laissez-faire, in the belief, possibly, that whatever
happened, their condition could never be as bad as in the black days
which followed the flight from Lyme Regis and her husband’s
confinement within the King’s Bench Rules. If under similar
conditions a man might claim extenuating circumstances by urging
his wife’s apathy, then Dr. Mitford would assuredly be entitled to our
mercy, if not to our sympathy; but, happily, the world has not yet sunk
so low as to condone a man’s misdemeanours on such a ground, so
that Dr. Mitford stands condemned alone.
A series of letters addressed to him during 1807, to the care of
“Richardson’s Hotel,” or the “Star Office” in Carey Street, convey
some idea of the anxiety which his prolonged absence was
occasioning his wife and daughter at home, while at the same time
they give him tit-bits of domestic news.
“As lottery tickets continue at so high a price, had you not better
dispose of yours, for I am not sanguine with respect to its turning out
a prize, neither is mamma; but consult your better judgment. I think
you have to deal with a slippery gentleman. You would do well to
introduce a rule, that whoever introduces a gentleman should be
responsible for him; that is, supposing that you mean to continue to
play there; though my advice has always been, that you should stick
to Graham’s, where, if you have not an equal advantage, you have
at least no trouble, and know your society. You have always gained
more there, on an average, than with chance players like the Baron,
or at inferior clubs, like the one you now frequent.... I need not say,
my darling, how much we long again to see you, nor how greatly we
have been disappointed when, every succeeding day, the journey to
Reading has been fruitless. The driver of the Reading coach is quite
accustomed to be waylaid by our carriage.” The letter from which this
is an extract is dated February 11, 1807, and begins with a lament
over a caged owl, found dead that morning, and gives news of the
expansion of a hyacinth which “I fear, if you do not hasten to return,
you will lose its fresh and blooming beauty.”
The next letter dated February 15, records the sudden drooping
and destruction of the hyacinth and contains a plea that the Doctor
will not waste money on the purchase of a fur cap for his daughter, a
gift he contemplated making after seeing his kinswoman, Mrs.
Sheridan, in a similar head-dress. “Mrs. Sheridan’s dress is always
singular and fantastic,” continues the letter, “but even if this
masculine adornment be fashionable, the season is so far advanced
that it would be impossible to wear it above a month longer.”
But it must not be thought that these were the only topics touched
upon in the correspondence between father and daughter. Some of
the letters reveal an extraordinary interest in Politics which must,
surely, have been unusual among women a century ago. They also
clearly indicate that the same critical faculty which was applied to
literature by Miss Mitford was also focussed on men and manners.
“What Grattan may be when speaking upon so interesting a subject
as places and pensions, I know not; but when he was brought in last
Parliament to display his powers upon the Catholic question (which
is, I admit, to party men a subject of very inferior importance), the
House was extremely disappointed. If I remember rightly, he was
characterized as a ‘little, awkward, fidgetty, petulant speaker’; and
the really great man who then led the Opposition easily dispensed
with his assistance.... I perfectly agree with you as to the great merit
of Lord Erskine’s very eloquent speech; and, as he was against the
Catholic question, his opinions will have more weight with the
country than those of any other of the ex-ministers. I always thought
Lord Sidmouth a very bad speaker. His sun is set, never, I hope, to
rise again!”
Of Shaw Lefevre she evidently entertained a poor opinion and
appears to have been unable to forgive or forget his supposed
complicity in the plot to bring the Doctor to Reading during Election
time.
“Mr. Lefevre sported some intolerably bad puns, which were, I
suppose, intended for our entertainment; but they did not
discompose my gravity.” This was after a visit he and his wife had
paid to Bertram House, on which occasion he must have had a chilly
reception from one, at least, of the ladies. She continues: “I believe
that he has no inclination to meet you, and was glad to find you were
in town. Little minds always wish to avoid those to whom they are
under obligations, and his present ‘trimming’ in politics must conspire
to render him still more desirous not to meet you, till he has found
which party is strongest. That will, I am of opinion, decide which he
will espouse.... In short, the more I know of this gentleman the more I
am convinced that, under a roughness of manner, he conceals a
very extraordinary pliancy of principles and a very accommodating
conscience. He holds in contempt the old-fashioned manly virtues of
firmness and consistency, and is truly ‘a vane changed by every
wind.’ If he votes with the Opposition to-day, it will only be because
he thinks them likely to be again in power; and it will, I really think,
increase my contempt for him, if he does not do so.” Had poor Mr.
Lefevre been anxious to propitiate his little critic, and had he seen
the concluding sentence of her letter as above, he must surely have
been nonplussed as to the course of conduct necessary to achieve
that end!
During this year it is certain that Miss Mitford began seriously to
think of authorship in the light of something more than a dilettante
pastime and the scribbling of heroic verses to the notable men whom
her father was constantly meeting as he gadded about town.
Doubtless the haunting fear of impending disaster had much to do
with this, though possibly she conveyed no hint to her parents as to
the real cause of her diligence. “We go out so much that my work
does not proceed so fast as I could wish” is the burden of a letter she
wrote towards the end of May, “although,” she adds, “I am very
happy I have seen Lord Blandford’s, my darling, as I should, if I had
not, always have fancied it something superior.”
Lord Blandford’s was the estate known as “Whiteknights Park,” still
existing on the southern heights overlooking Reading. During the
twelfth century the land maintained a house which was attached to
the Hospital for Lepers founded by Aucherius, the second Abbot of
Reading Abbey. It was purchased in 1798 by the Marquis of
Blandford (subsequently Duke of Marlborough) who spent a
considerable sum in having the grounds laid out in the landscape
style. Miss Mitford was not only disappointed but severely criticised
the whole scheme, whilst of the lake she wrote: “and the piece of
water looks like a large duck pond, from the termination not being
concealed.” With the perversity of her sex—and it was a habit from
which she was never free—her later descriptions of the place are
quite eulogistic and she refers to
“These pure waters, where the sky
In its deep blueness shines so peacefully;
Shines all unbroken, save with sudden light
When some proud swan majestically bright
Flashes her snowy beauty on the eye;”
During this period she was also busily occupied in transcribing the
manuscripts of her old friend and governess, Fanny Rowden, and
was most anxious for the success of that lady’s recently-published
poem entitled The Pleasures of Friendship. With an excess of zeal
which ever characterized her labours for those she loved, she was
continually urging her father to try and interest any of his friends who
might be useful, and to this end suggested that the poem be shown
to Thomas Campbell and to Samuel Rogers. Of Samuel Rogers she
confesses that she can find no merit in his work, except “polished
diction and mellifluous versification,” but at the same time records
her own and her mother’s opinion that Miss Rowden’s poem is a
“happy mixture of the polish of Rogers and the animation of
Campbell,” with whose works it must rank in time.
With the exception of a short period during the year 1808 the
Doctor was still to be found in London. This exception was caused
by the Reading Races at which the Doctor was a regular attendant.
On this particular occasion young William Harness, son of Mrs.
Mitford’s trustee and then a boy at Harrow, was of the party. He went
in fulfilment of an old promise, but the pleasure of his visit was
considerably lessened by the fact that he noticed how greatly altered
was the Mitford’s mode of living. It is recorded in his Life that “a
change was visible in the household; the magnificent butler had
disappeared; and the young Harrow boy by no means admired the
Shabby Equipage in which they were to exhibit themselves on the
race-course.”
No hint of this state of things is to be found in the letters of the
period, nor can we trace even the vestige of a murmur in them from
the mother and daughter who must have been torn with anxiety.
Here and there, however, there is a suspicion of disappointment at
the long absence of the Doctor and his failure to fulfil promises of
certain return. Nearly every letter contains some phrase indicative of
this, such as: “I hope Mr. Ogle will not long detain you from us”;
“Heaven bless you, my beloved! We long for your return, and are
ever most fondly,” etc.; or,—“I have myself urged a request to be
favoured with the second canto [of Miss Rowden’s poem] by your
worship’s return; which felicity, as you say nothing to the contrary, we
may, I presume, hope for on Thursday”; to which was added, by way
of reminder of their many disappointed attempts to meet him in
Reading, “but you must expect, like all deceivers, not to be so
punctually attended to this time as before.”
Miss Mitford was never the one to sit about the house, crying and
moping over wreckage, the naturally corollary to which would have
been an upbraiding of the wrecker, and from such an outrageous
action—she would have so considered it—she ever refrained. Rather
she preferred to apply herself more strenuously to her literary work
wherein she might not only absorb herself but be laying the
foundation of a career which, in time, she trusted might resuscitate
their diminished fortunes and ensure a regular competence.
Her most ambitious effort, at this period, was, as she described it
when submitting it to her father in London, “a faint attempt to embalm
the memory of the hero of Corunna.” This, we are given to
understand, was written under “mamma’s persuasions,” although the
writer considered it far above her powers. “I fancy I am more than
usually dissatisfied,” she goes on to write, “from the comparison I
cannot avoid making between these and the exquisitely beautiful
performance I have lately been engaged in examining,” a kindly
reference of course to Miss Rowden’s work.
The poem is dated February 7, 1809, is entitled “To the Memory of
Sir John Moore,” and is signed “M. R. M.” It consists of thirty-four
lines, too long to quote here, but we cannot refrain from giving the
concluding stanzas because, in view of subsequent events, they
have a peculiar literary significance:—