Medical Billing/Code
Help!
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| How many steps are in the Revenue Cycle? | - 10
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| What are the first 3 main steps in the Revenue Cycle? | - Preregister Patients, Establish financial responsibility, Check in patients.
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| - AP | - Accounts Payable
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| - AR | - Accounts Receivable
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| - CDHP | - Consumer Driven Health Plan
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| - EHR | - Electronic Health Record
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| - HIT | - Health Information Technology
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| - HMO | - Health Maintenance Organization
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| - MCO | - Managed Care Organization
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| - PMPM | - Per Member Per Month
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| - PMP | - Practice Management Program
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| - PPO | - Preferred Provider Organization
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| - PCP | - Primary care Physician
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| What are the 3 main knowledge requirements MA's should know? | - Knowledge medical insurance, reimbursement options, and EHR systems
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| Who is reliable on handling the CASH FLOW through the financial success | - The revenue Cycle
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| _____ _____ specialist help ensure financial success. | - Medical Insurance Specialist
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| _____ _____ is a written policy stating the terms of an agreement between ________ (a individual) and a ______ ______ (an insurance company). | 1. Medical Insurance 2. Policyholder 3. Health Plan
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| Health plans provide _________ (payments for medical services). | - Benefits
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| Health plans are often referred to as _________. | - payers
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| - Describe this term... (Third-Party Payer) | 1. is a government agency or private organization insuring or paying for healthcare on behalf of beneficiaries
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| Medical coder does four thing? What are they? | Billing, Coding, Reimbursement, and Data Inserts
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| What is CPT? | Current Procedure Terminology
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| What is ICD-10-PCS? | This type of coding is for Inpatient coding
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| CDT? | Current Dental Terminology
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| AAPC? | American Academy of Professional Coders
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| Where can Medical Coders work? | Provider offices, Hospitals, Private companies, Home, Insurance companies, vendors, Law Specters, etc
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| Professional Coding? | is coding for provider specialists - Provider based services.
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| Inpatient Coding? | like coding for inpatient coding such as hospitals
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| Where does the icd-10-cms start? |
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| What is office of inspector general? | has the task of detecting healthcare fraud and abuse for enforcing all laws relating to them
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| What is Fraud? | intentional deceptive act to obtain a benefit: Financial gain.
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| What is abuse? | Action that improperly uses another persons resources
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| Encryption? | A method of scrambling transmitted data so they cannot be deciphered without the use of a confidential process or key.
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| PHI cannot be released without? | authorization for treatment, payment and healthcare operations.
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