Quiz 1
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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Evaluation and Management | 99201-99499
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Anesthesia | 00100-01999, 99100-99140
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Surgery | 10021-69990
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Radiology | 70010-79999
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Pathology and Laboratory | 80047-89398
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Medicine (excluding Anesthesia) | 90281-99199, 99500-99607
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abstracting | The extraction of specific data from a medical record, often for use in external database, such as a cancer registry
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abuse | Practices that directly or indirectly result in unnecessary costs to the Medicare program
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account number | Number that identifies specific episode of care, date of service, or patient
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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
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activity/status date | Indicates the most recent activity of an item
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actual charge | The amount the provider charges for the health care service
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Administration Simplification Compliance Act (ASCA) | Specifically prohibits any payment by Medicare for services or medically necessary supplies that are not submitted electronically
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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
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Advanced Beneficiary Notice of Noncoverage | Form provided if a provider believes that a service may be declined because Medicare might consider it unnecessary
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aging report | Measures the outstanding balances in each account
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allowable charge | The amount an insurer will accept as full payment, minus applicable cost sharing
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APC grouper | Helps coders determine the appropriate ambulatory payment classification (APC) for an outpatient encounter
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assignment of benefits | Contract in which the provider directly bills the payer and accepts the allowable charge
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auditing | Review of claims for accuracy and completeness
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Created by:
sbogle
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