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FINAL REVIEW

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
ICD-10 CM   Diagnosis Coding  
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CPT   Procedure Coding  
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HCPCS   Drugs, durable medical equipment, codes that begin with letter  
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HCFA 1500   Standardized billing form  
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PHI   Any patient information that should be private  
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HIPAA   Privacy Law  
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Fraud   Intentional misrepresentation for monetary gain  
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Abuse   Action that results in unnecessary costs - misusing codes, billing for services that were not medically necessary  
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CMS   Medicare & Medicaid (Government Program Administer)  
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MAAC   Maximum Actual Allowable Charge  
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DHHS   Department of Health and Human Services  
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NEC   not elsewhere classified (other specified condition)  
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NOS   not otherwise specified (unspecified condition)  
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Sequela   late effect of condition  
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underdosing   taking less of a medication than what is prescribed  
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Key Components to E/M Coding   History, exam, medical decision making  
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First degree burn   redness  
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Second degree burn   blistering  
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Third degree burn   full thickness skin loss  
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50 modifier   bilateral  
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Consultation codes must have   request, render, report  
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51 modifier   multiple procedures  
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I&D done with needle   aspiration  
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endoscopy   instrument introduced into body for view of internal parts  
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Created by: kducey
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