ICD-9
ICD-10
CPT Coding
Insurance Fraud
Compliance
100
What indicates a new code in the ICD-9?
A bullet
100
NCHS stands for?
National Center for Health Statistic
100
What is the four levels of decision making with E/M?
Straightforward, Low complex, Moderate Complex, High complex
100
Insurance fraud is often committed with the ____ system?
Medicare
100
Without this plan medical offices may be at risk for liability issues.
Compliance
200
NOS stands for?
Not otherwise specified
200
When a code contains a 1 when the source system must be linked to more than one code in the target system to be valid is called?
Combination
200
Codes that report changes from the usual use of the code?
Modifiers
200
Medicare uses what system to help prevent over payment for procedures?
Correct coding Initiative
200
Who provides compliance guidance for fraud prevention and detection?
The Health & Human Services Office of Inspector General (OIG)
300
Which family of diagnostic codes is mandatory when coding the use of drugs?
E codes
300
When there is no similar code from one coding system to the other is called?
No map
300
The CPT manual is composed of six chapter into which all codes and descriptions are categorized. These chapters are called?
Sections
300
The most frequent kind of fraud is?
False statements or misrepresentations
300
The plan demonstrates to the staff how to?
Locate and correct errors
400
Certain sub-terms are called?
Connecting words
400
I-10 was issued in 1993 by?
World Health Organization (WHO)
400
A range is indicated by a?
Hyphen
400
What is receiving or paying money in order to influence the referral of a medicaid patient?
Kick back
400
In staff meeting they discuss how to avoid erroneous or?
Fraudulent conduct
500
It consists of four digit codes that provide more information or specificity?
Subcategories
500
The fourth field is the scenario field and the fifth field is the?
Choice list
500
CPT stands for?
Current Procedural Terminology
500
What is using a higher-level code than the level of service provided in order to receive increased reimbursement?
Upcoding
500
Who set the bar for compliance?
HIPAA
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