6
This managed care plan establishes a network of providers to perform services
What is PPO?
There are these many ICD-10 codes
What is 70,000?
This ICD convention means not elsewhere classified
What is NEC?
A spouse born in Jan is primary to the spouse born in Oct due to this
What is birthday rule?
Code this type of Dm if it is unknown
What is type 2?
There are this many chapters in ICD 10
What is 21?
This person often acts as a biller/coder in an office
What is MA?
The tabular list is mainly organized by these
What are body systems?
How you should treat MCARE pt
What is same as private ins pts?
Billing data should always be typed/entered this way
what is in all caps?
This is when you request a procedure to be approved for payment
What is preauthorization?
This type of gap ins is NOT apart of Medicare's resource-based relative value scale
What is medi-gap?
The alphabetic index is organized alphabetically by this
What is disease/conditions?
This is a fixed monthly payment a provider receives to treat a pt no matter how many times seen
What is capitation?
This is when you call an ins(3rd party payer) to get the amount they will pay for a procedure
What is predetermination?
Codes for burn injuries are in ch 19 and range from ___ to ___
What is S00-T88?
If a child was born with a cleft palate, use this chapter/code range
what is ch 17/Q00-Q99?
ICD ch 9 is for circulatory diseases and the codes range from ____ to _____
What is I00-I99
What codes can be used to code a sports or pre-employment physical
What are Z codes(Z00-Z99)
This MCARE benefit allows terminally ill pts to be taken to a facility for care
What is respite care?
This convention indicates that the term following it further define/specify a code
What is INCLUDES?
This exclusion let's you use the excluded code and original code if the pt has both conditions
what is EXCLUDES2?
The terms seen after this convention modify the term(s) within it
What is a brace {}?
When looking up a disease in the alpha index the word see means this
What is check another category?
This ICD-10 book is used by hospitals
What is ICD-10-PCS?