FINAL REVIEW
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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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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