medical billing & coding
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| Three, four and five digit codes are considered? | show 🗑
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| Terms indented two spaces to the right below the main term are called? | show 🗑
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| The Neoplasm table found in the Index under main term "Neoplasm" and is organized by anatomic site, what are the categories of neoplasm? | show 🗑
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| show | Index to diseases, table of drugs and chemicals, index to external causes of injuries
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| What does HCPCS stand for? | show 🗑
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| show | five position numeric codes
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| A bullet (.) represents? | show 🗑
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| Evaluation and Management begins with? | show 🗑
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| show | section 77
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| show | medically needy and categorically needy
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| Five types of benefits offered to workers compensation beneficiaries? | show 🗑
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| Champva was created to provide medical benefits to? | show 🗑
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| show | is called the superbill, it is a listing of the diagnosis,procedures,and charges for a patients visit
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| show | means Pain
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| show | means Enlargement
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| show | means inflammation
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| What does -ectomy mean? | show 🗑
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| show | A collection of codes for procedures, supplies,products, and services that may be provided to insurance beneficiaries.
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| show | Five position alpha-numeric codes
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| Level II HCPCS codes starts with? | show 🗑
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| show | evaluation & management, anesthesia, surgery, radiology, pathology & laboratory, medicine, category II codes and category III codes
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| When are category II codes published (CPT)? | show 🗑
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| show | represents services and procedures widely used by health professionals
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| show | supplemental codes used for performance measurements
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| show | temporary codes for emerging technology, services and procedures
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| show | change in the code description since the last edition
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| Two triangular symbols(><) represents? | show 🗑
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| Pathology and Laboratory codes begins with | show 🗑
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| show | 10
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| show | a document provided to a Medicare beneficiary prior to service being rendered and letting them know of his/her responsibility to pay if the claim is denied.
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| show | a regionally managed care program for active duty and retired members.
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| show | is when two insurance companies work together to pay benefits
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| Coinsurance is? | show 🗑
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| What does -emia mean? | show 🗑
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| What does -pathy mean? | show 🗑
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| What does -oma mean? | show 🗑
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| show | means surgical fixation
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| What does -stomy mean? | show 🗑
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| show | means incision
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| What does -plasty mean? | show 🗑
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| What does Hemat mean? | show 🗑
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| What does Hemi mean? | show 🗑
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| What does arth mean? | show 🗑
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| show | means fallopian tube
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| What does my mean? | show 🗑
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| show | means stomach
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| show | means bone
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| What does cardi mean? | show 🗑
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| show | means uterus
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| What does polyp mean? | show 🗑
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| What does ulcer mean? | show 🗑
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| What does multigravida mean? | show 🗑
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| Which fee schedule method is used mostly in reference to fee-for-service reimbursement? | show 🗑
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| A policy that will cover incidents originating on or after the policy retroactive date is known as? | show 🗑
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| show | Physician provider group
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| show | Co-payments
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| HMO's and preferred provider organizations consisting of a network of physicians & hospitals that provide & insurance company or employer with discounts on their services are referred to collectively as? | show 🗑
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| show | Epilepsy
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| show | Preauthorization
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| show | deductible
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| A physician who controls patient access to specialists and diagnostic testing services is called a? | show 🗑
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| show | an evaluation of the quality and efficiency of services provided by a physician
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| Which is the combining form meaning "ear"? | show 🗑
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| A patient lying horizontally on his back is in what position? | show 🗑
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| Which is a combining form, not a prefix or suffix? | show 🗑
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| show | Orthopedist
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| show | the term is "Per"
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| show | adjective suffixes meaning "pertaining to"
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| show | Call the patient's physician to obtain the date of injury
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| What type of claim is any Medicare claim that contains complete, necessary information but is illogical or incorrect? | show 🗑
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| The collection ratio is? | show 🗑
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| show | Disability Insurance
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| What is a policy that covers losses to a third party caused by the insured, by an object owned by the insured, or on premises owned by the insured? | show 🗑
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| What is the organ that secretes hormones, epinephrine and steroids? | show 🗑
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| show | Work cost is the amount of time, intensity of effort, & medical skill required of the physician. Overhead cost represents the practice costs related to the performing of the service. Malpractice cost represents the cost of medical malpractice insurance
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| Code 11 listed on the claim form is for? | show 🗑
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| show | claims made insurance
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| show | reimbursement is directly sent from the payer to the provider
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| show | means the provider agrees to accept what the insurance company approves as payment in full for the claim
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| A deductible is? | show 🗑
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| show | is the cost of the insurance coverage paid annually, semi-annually or monthly by the policy holder before benefits will be paid
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| What is the process of converting diagnosis, procedures, and services into numeric and alphanumeric characters? | show 🗑
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| A document that contains dates of service, list of detailed charges, co-payments and deductibles paid, date insurance was filed, adjustments and account balances is a(n)? | show 🗑
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| Under the RBRVS method of reimbursement, conversion factors could be described as? | show 🗑
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| show | Therapeutic Use
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| Information required to show that insurance was billed should include? | show 🗑
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| What code contains the full description of the procedure for the code? | show 🗑
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| Supplementary classification of external causes of injury and poisoning are codes used to describe the reason or external cause of injury, poisoning and other adverse effect are? | show 🗑
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| Supplementary classification codes used to identify health care encounters that occur for reasons other than illness or injury or to identify patients whose illness is influenced by special circumstances of problems is? | show 🗑
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| show | Synovial joint
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| show | Epidermis, dermis, subcutaneous
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| The ICD-9 manual is updated? | show 🗑
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| show | sub-terms
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| show | history, physical exam, medical decision making
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| show | Centers for Medicare and Medicaid services (CMS)
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| show | clean, dirty, invalid, rejected
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| A "clean claim" means? | show 🗑
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| show | time, counseling, and nature of presenting problem
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| show | malignant, benign and unspecified
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| In the CPT manual, a triangle in () means? | show 🗑
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| What are the 3 key components of an E/M code? | show 🗑
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| show | cross it out with a single line, initial & date it and neatly write the correct information
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| Intentionally deceiving or misrepresenting by either provider or beneficiaries to obtain payment for services is referred to? | show 🗑
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| If a patient has seen a physicians partner 24 months ago then the patient would be considered a? | show 🗑
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| In the ICD-9CM volume 2, a subterm that is contained within parenthesis () indicate? | show 🗑
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| The term "carcinoma in situ" refers to? | show 🗑
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| Peer review is an evaluation of? | show 🗑
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| In the CPT, what does the (+) symbol represent? | show 🗑
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| show | a disease, injury or condition
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| show | index to diseases, table of drugs and chemicals, index to external causes of injury (E codes)
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| The neoplasm table has six subcategories, they are? | show 🗑
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| show | Volume 2
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| show | means New Codes
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| What does HCPCS stand for? | show 🗑
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| Within HCPCS, how many levels are there? | show 🗑
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| HCPCS are? | show 🗑
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| show | 5 position numeric codes
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| Level II HCPCS codes are? | show 🗑
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| CPT manual is composed of how many sections? | show 🗑
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| The organization that initiated the development of the ICD codes is? | show 🗑
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| show | New Patient
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| show | Explanation of Benefits (EOB)
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| show | MM/DD/YYYY
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| show | An itemized statement
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| ICD-9-CM is the? | show 🗑
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| Those who qualify for Medicaid include all of the following, except? | show 🗑
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| A respirator used by a Medicare patient is an example of? | show 🗑
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| show | Serivce and procedure based
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| show | Medicaid
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| What is a pre-existing condition? | show 🗑
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| All of the following are correct regarding add-on codes, except? | show 🗑
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| show | Churning or performing several diagnostic tests when only a few are necessary
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| A disease or procedure named for the person who discovered it is called a/an? | show 🗑
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| when coding for Durable Medical Equipment, you would use this book to code from? | show 🗑
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| show | Correct Coding Initiatives
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| show | Standards of conduct
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| show | A policy that covers the deductible and co-payments typically not covered under Medicare
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| show | Reciprocity
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| The act that was passed to protect individuals who stop to render aid to an accident victim is called? | show 🗑
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| show | an employer ID number (EIN)
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| show | Therapeutic
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| show | Capitation
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| show | the main term in Volume 2
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| Under the RBRVS method of reimbursement, conversion factor could be described as? | show 🗑
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| show | A word root and an "o"
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| show | HIPPA
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| show | colostomy
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| show | The False Claim Act
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| show | Centers for Medicare and Medicaid Services (CMS)
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| What does hysterectomy mean? | show 🗑
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| A physician who studies the nervous system is known as? | show 🗑
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| show | describe the reason or external cause of injury, poisoning, and other adverse effect
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| Free moving joints surrounded by capsules? | show 🗑
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| show | Epidermis, dermis, subcutaneous
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| show | Index to diseases, table of drugs and chemicals, index to external causes of injury
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| show | Stand-alone codes
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| Block 24J, on the CMS-1500 contains? | show 🗑
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| show | E codes
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| show | reimbursement is directly sent from the payer to the provider
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| show | the provider agrees to accept what the insurance company approves as payment in full for a claim
🗑
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| show | claims made insurance
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| show | clean claims
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| Nutrient rich blood is returned back to the atrium through the? | show 🗑
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| The maxilla, cranium, and axille is all part of the? | show 🗑
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| Interneurons connect senssory and motor neurons within the? | show 🗑
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| What modifier would be used when the same procedure is performed on a mirrored part of the body? | show 🗑
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| When physicians, hospitals and other healthcare providers contract with one or more HMO's or directly with an employer to provide care, this is called? | show 🗑
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| show | HMO
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| Charges a higher premium in exchange for more flexibility? | show 🗑
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| show | Claims made insurance
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| Under Medicare's RBRVS schedule, a procedure's relative value consists of what elements? | show 🗑
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| show | place of service
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| show | changes in the text or definition between the triangles
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| circle with slash represents exemption from? | show 🗑
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| What is the organ that secretes hormones, epinephrine and steroids? | show 🗑
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| show | asymptomatic
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| A Otorhinolaryngolist specializes in the diagnosis and treatment of the? | show 🗑
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| What are the 4 various terms used to describe the state of submitted forms? | show 🗑
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| A Medicare claim that contains complete and necessary information but is illogical or incorrect is? | show 🗑
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| HCFA became the? | show 🗑
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| show | subterms
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| Clinic College has a contract with health net, therefore, they are considered? | show 🗑
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| Indented codes are? | show 🗑
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| show | Modifiers
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| Information required to show that insurance was billed should include? | show 🗑
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| show | Protection against loss of monies caused by failure through error or unintentional omission on the part of the individual or service
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| show | Locate the code in the alphabet Index and then cross-reference the code in Volume I
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