CertReview1 3/10 Word Scramble
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Term | Definition |
Evaluation and Management | 99201-99499 |
Anesthesia | 00100-01999, 99100-99140 |
Surgery | 10021-69990 |
Radiology | 70010-79999 |
Pathology and Laboratory | 80047-89398 |
Medicine (excluding Anesthesia) | 90281-99199, 99500-99607 |
abstracting | The extraction of specific data from a medical record, often for use in external database, such as a cancer registry |
abuse | Practices that directly or indirectly result in unnecessary costs to the Medicare program |
account number | Number that identifies specific episode of care, date of service, or patient |
accounts receivable department | Department that keeps track of what third-party payer the provider is waiting to hear from and what patients are due to make a payment |
activity/status date | Indicates the most recent activity of an item |
actual charge | The amount the provider charges for the health care service |
Administration Simplification Compliance Act (ASCA) | Specifically prohibits any payment by Medicare for services or medically necessary supplies that are not submitted electronically |
administrative services only (ASO) contract | Contract between employers and private insurers under which employers fund the plans themselves, and the private insurers administer the plans for the employer |
Advanced Beneficiary Notice of Noncoverage | Form provided if a provider believes that a service may be declined because Medicare might consider it unnecessary |
aging report | Measures the outstanding balances in each account |
allowable charge | The amount an insurer will accept as full payment, minus applicable cost sharing |
APC grouper | Helps coders determine the appropriate ambulatory payment classification (APC) for an outpatient encounter |
assignment of benefits | Contract in which the provider directly bills the payer and accepts the allowable charge |
auditing | Review of claims for accuracy and completeness |
Created by:
sbogle
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