Billing & Coding
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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| Intentional deception or misrepresentation that an individual knows to be false, result in unauthorized benefits to themselves | Fraud
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| Physician & Healthcare Facilities that render health services | Providers
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| Refers to every service listed in the Medicare Physician's Fee Schedule; the same for all physicians as of 1993 | Limiting Charge
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| Adjudication
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| Composed of numbers and/or letters identifying diagnosis & clinical procedures on claims and encounter forms | Code Sets
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| Patient health record found within a practice management program | Electronic Medical Record
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| This term refers to submitting additional services on a claim that were not performedCo | Upcoding
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| An official publication of all national government changes, especially related to Medicare | Federal Register
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| Reflects physician charges for all procedures provided and/or ordered with offsite facilities | Physician Fee Schedule
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| Used to identify potential discount limit and reflects additional and/or updated procedures | Modifier
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| Considered Hospital Insurance | Medicare Part A
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| Considered Outpatient Insurance | Medicare Part B
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| Formerly considered Medicare + Choice | Medicare Part C
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| Provides prescription drug benefits for Medicare patients | Medicare Part D
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| When was the Medicare Program created | The year of 1965
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Created by:
dorcia.dunn
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