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Billing & Coding

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
Intentional deception or misrepresentation that an individual knows to be false, result in unauthorized benefits to themselves   Fraud  
Physician & Healthcare Facilities that render health services   Providers  
Refers to every service listed in the Medicare Physician's Fee Schedule; the same for all physicians as of 1993   Limiting Charge  
  Adjudication  
Composed of numbers and/or letters identifying diagnosis & clinical procedures on claims and encounter forms   Code Sets  
Patient health record found within a practice management program   Electronic Medical Record  
   
This term refers to submitting additional services on a claim that were not performedCo   Upcoding  
An official publication of all national government changes, especially related to Medicare   Federal Register  
Reflects physician charges for all procedures provided and/or ordered with offsite facilities   Physician Fee Schedule  
Used to identify potential discount limit and reflects additional and/or updated procedures   Modifier  
Considered Hospital Insurance   Medicare Part A  
Considered Outpatient Insurance   Medicare Part B  
Formerly considered Medicare + Choice   Medicare Part C  
Provides prescription drug benefits for Medicare patients   Medicare Part D  
When was the Medicare Program created   The year of 1965  


   






 
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Created by: dorcia.dunn