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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| PPO | show 🗑
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| show | modifier 51 exempt
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| plus sign + indicates | show 🗑
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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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| show | policy that pays benefits in the event policyholder becomes incapable of working.
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| HIPAA is an Acronym for | show 🗑
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| Chief Complaint CC | show 🗑
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| CPT | show 🗑
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| modifier -57 | show 🗑
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| modifier -78 | show 🗑
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| show | procedure or service provide during post-operative period - not associated w/initial procedure.
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| show | Supplemental Codes for Performance Measures
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| Level 3 Codes | show 🗑
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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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| show | uniformed services members retirees and their families
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| show | Provider only provided the professional component
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| show | multiple procedures
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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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| show | National codes for physicians and non physician service not found in the CPT level 1
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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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| show | free or low cost health insurance through the state
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| show | Medical Insurance
Medically necessary services and supplies.
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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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| show | refers to the base amount that is treated as a standard or most common charge for a particular medical service when rendered in a particular geographic area.
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| Parentheses ( ) | show 🗑
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| show | Represents a new procedure or service code added since the previous edition of the manual.
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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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| HMO | show 🗑
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| show | For durable medical equipment for use in home
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| show | Are listed in the CPT manual because they are used by all different specialties
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| Guidelines are found | show 🗑
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| Review of Symptoms ROS | show 🗑
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| History of present Illness (HPI) | show 🗑
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| show | Listed under associate and stand alone codes
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| Modifiers | show 🗑
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