study for CBCS Test
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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| private payer vs commercial payer | show 🗑
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| show | most billing related cases are based on HIPAA & the False Claims Act
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| show | Standards of conduct based on moral principals.
Acting w/n ethical behavior boundaries means carrying out ones responsibilities w/ integrity, decency, respect, honesty, competence, fairness and trust
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| show | care is paid for as recieved instead of in advance in form of a schedule
more flixibility-out of network
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| show | modifier 51 exempt
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| show | add on codes
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| show | consists of pts personal experiences w/ illnesses, surgeries, and injuries.
Info of illness predominant in family
pts educational background occupation
marital status
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| Disability Ins | show 🗑
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| HIPAA is an Acronym for | show 🗑
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| show | the reason the pt came to see the doctor
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| CPT | show 🗑
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| show | used on E/M services
the day before or day of major surgery when the initial decision to perform the surgery is identified.
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| modifier -78 | show 🗑
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| modifier -79 | show 🗑
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| show | Supplemental Codes for Performance Measures
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| show | used locally or regionally and have been eliminated by CMS since the Implementation of HIPAA
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| Add on codes | show 🗑
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| sideways triangle means | show 🗑
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| Brackets [ ] | show 🗑
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| TRICARE | show 🗑
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| show | Provider only provided the professional component
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| modifier - 51 | show 🗑
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| CHAMPVA | show 🗑
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| show | Appendix A and the front of the book
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| show | Codes found in CPT Manual
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| Level 2 Codes | show 🗑
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| Stand Alone codes | show 🗑
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| show | bilateral
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| modifier - 24 | show 🗑
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| show | History
Physical Exam
Medical Decision Making
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| Medicare Part D | show 🗑
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| Who is the payor of last resort | show 🗑
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| show | The set of info the dr gathers fr pt concerning the past
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| Medicaid | show 🗑
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| Medicare Part B | show 🗑
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| show | Hospital Insurance
Most $0 premium
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| category 1 CPT codes | show 🗑
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| show | New Procedure Code
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| Category 3 CPT codes | show 🗑
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| show | The Payment amount for each service pd under the physician fee schedule is the product of 3 factors; a nationally uniform relative value for service; geographic adjustment factor(GAF)
a nationally uniform conversion factor for the service.
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| show | job benefit that provides $ & services to employees that are injured or become sick on the job
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| Usual Customary and Reasonable | show 🗑
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| Parentheses ( ) | show 🗑
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| Bullets | show 🗑
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| Group Health Plans | show 🗑
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| Indemnity Insurance | show 🗑
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| POS Point of Service | show 🗑
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| show | Health Maintenance Organization
combining a range of coverage in a group basis. a group of Doctors or other medical professionals offer care through HMO for a flat monthly rate w/no deductibles.
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| show | For durable medical equipment for use in home
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| Evaluation and Management (E&M codes) | show 🗑
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| show | At the beginning of each section and used to provide specific coding rules for that section.
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| show | Inventory of the constitutional symptoms regarding the various body systems
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| show | A chronological account of the development of the complaint from first sign/symptom that pt experiences to the present
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| show | Listed under associate and stand alone codes
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| Modifiers | show 🗑
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To hide a column, click on the column name.
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You may also shuffle the rows of the table by clicking on the "Shuffle" button.
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