Mod H Unit 2 Word Scramble
|
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Question | Answer |
Part _____ of Medicare helps pay for physician and outpatient charges | B |
The Medicaid program is administered by the | CMS |
There are ______ parts to the Medicare Program | 4 |
Individuals who receive medical assistance because their income falls within the poverty or FPL guidelines or as a result of SSI eligibility are considered | Categorically Needy |
The act that provides for a federal system of old age, survivors, disability, and hospital insurance is the | FICA |
When a Medicaid beneficiary has no other health care coverage, the type of claim to be submitted is called a | Medicaid Simple Claim |
A federal insurance program, established in 1966, for people 65 years old and older and certain other qualifying individuals is | Medicare |
The act that established quality standards for all laboratory testing to ensure safety, accuracy, reliability, and timeliness is | CLIA |
Part _____ of Medicare helps pay for prescription drugs | D |
Medicare payments can be automatically deposited into a provider’s designated bank account using | Electronic Funds Transfers |
The duration of time during which a Medicare beneficiary is eligible for Part A benefits for inpatient hospital or skilled nursing facility charges is called | Benefit Period |
There are _______ levels to the Medicare appeals process | 5 |
Medicare Part D began in | 2006 |
Beneficiaries who are not satisfied with the amount of a claim reimbursement may file a | Appeal |
Insurance coverage that is typically primary to Medicare includes | Group, Workers Comp, Automobil liability |
The legal obligation of other insurance policies/programs to pay all or part of the expenditures for patients eligible for Medicaid is called | Third Party Liability |
The acronym for the federal-state cash assistance program for poor families, typically headed by a single parent is | TANF |
The time limit for filing Medicaid claims | Varies by state |
Under what federal act was the Medicaid program established | Social Security |
One common method for verifying Medicaid eligibility is to use a | Automated voice response |
In 1972, federal law established the supplemental security income (SSI) program, which provides assistance to | qualified age/disabled poor |
What qualifies under federally approved optional services for which federal funding is available | diagnostic services |
Under federal statutes, which of the following groups is eligible in all states for assistance through the Medicaid program | categorically needy |
In January of 1999, the Balanced Budget Act (BBA) of 1997 went into effect expanding the role of private plans to include | managed care organization |
Is Medicaid always the payer of last resort | YES |
Section 2 of Volume 2 of the ICD-9-CM Manual consists of | TABLE OF DRUGS/CHEMICALS |
The definition of a diagnosis is | presence of illness/determination of care |
Nonessential modifiers are | terms in parentheses following main terms |
Morbidity is the presence of illness or disease, whereas mortality is | deaths that occure from disease |
What modifies main terms describing different sites, the cause or origin of disease, and different clinical types | essential modifiers |
The part of the ICD-9 manual that serves as a basic foundation for diagnostic coding and aids in assigning diagnostic codes correctly | introductory pages |
An eponym is | disease, procedure,or syndrom, named after who discovered it |
What would the instructions below indicate to the health insurance professional?_______________________________________ 330 rebral degenerations usually manifest in childhood,Use additional code to identify, Associated mental retardation | additional codes should be used |
Codes representing external causes of injury and poisoning are referred to as | E codes |
The main term for acute depressive reaction | reaction |
Transforming verbal descriptions of a diagnosis into numbers or a combination of alphanumeric characters is referred to as | coding |
The Supplementary Classification of External Causes of Injury and Poisoning are referred to as | E codes |
Most ICD-9-CM manuals use a specific type of coding in Volume 1 to alert the coder to special edits and important issues, which is called | color coding |
Terms such as aftercare, examination, and problem with are indicators that what type of code is needed | V code |
There are three types of codes in Volume 1 of ICD-9-CM. What are they | 5 digit manifestation codes |
The typeface used for main terms in the Alphabetic Index (Volume 2) and all codes and titles in a tabular list is | Boldface |
The external causes of adverse effects resulting from ingestion or exposure to drugs or other chemical substances can be found in the | table of drugs and chemicals |
The determination of the nature of a cause of disease,” is a definition for | diagnosis |
The Alphabetic Index to Diseases contains two tables, which are | conditions/ diseases |
The “CM” in ICD-9-CM stands for | clinical modification |
The updated volume of the ICD-9-CM is published | annually |
Physicians and outpatient clinics use the _______________ diagnosis, while the ______________ diagnosis is used by hospitals and institutional facilities | primary/principle |
When more than one otherwise individually classified disease is combined with another disease and one code is assigned for both, a _____________ code is assigned | combination |
When an individual who is not sick visits the medical facility for a specific purpose, such as receiving a vaccination, which codes are used | V code |
If a patient's condition has not been specifically diagnosed, the health insurance professional must code the | signs & symptoms |
Created by:
pdeal
Popular Medical sets