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Quiz 1

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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Term
Definition
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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