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FINAL REVIEW

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