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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.

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  
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