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KE Teacher Study
Notes from Black book
| Question | Answer |
|---|---|
| What section under CPT is x-ray? | Radiology |
| DOB format | mm/dd/ccyy |
| What is downcoding? | codesused that doen't match rendering less payment |
| What is upcoding? | manipulation of codes to increase reimbursement |
| What is abuse? | neglecting to refund payment or submitting cliam not medically necessary for payments |
| What is ICD Book volumes | Volume 1 & 2 (outpatient) Volume 3 (inpatient) |
| Taxonomy # | doctor's number must have when dealing with public aid. |
| NPI has how many digits | (10) digits |
| NPPES.com | where doctor's apply for NPI # |
| What is adult age group? | 15-124 |
| What is Pedi. age group | 0-17 |
| What is neonatal age group | newborn |