DIAGNOSTIC CODING
The diagnosis listed first in submitting insurance claims for patients seen in a physician’s office is the
What is the primary diagnosis?
The name of the book used in the physician’s office to code procedures
What is Current Procedural Terminology (CPT) ?
Insurance claims transmitted electronically are usually paid in
What is 2 weeks or less?
A listing of outstanding accounts that have not been paid is referred to as
What is an aging report?
The abbreviation for Medicare Physician Fee Schedule
What is MPFS?
Tenth Revision, Clinical Modification (ICD-10-CM), was published by the World Health Organization in
What is 1992?
The key components that determine an evaluation and management code are documented by
Who is the physician?
A transmission report which identifies the most common reasons for claim denial is the
What is rejection analysis report?
Delinquent claims are claims that have not been paid
What is within 30–45 days of the service date?
NCCI is the abbreviation for
What is National Correct Coding Initiative?
Diagnostic codes on an insurance claim explain
What is the reason for the visit
What is the patient’s condition that was treated during the visit
What is the patient disease
These are all included in_________________ both postoperative visits in and out of the hospital and digital block or topical anesthesia.
What are global surgery policy and a surgical package?
An online transaction concerning the status of an insurance claim is called a/an
What is electronic remittance advice (ERA)?
The maximum dollar value that the insurance company assigns to each medical service is referred to as
What is allowed amount?
OPPS is the abbreviation for
What is outpatient prospective payment system?
In locating a diagnosis, look up the main term, which is the
What are the disease and injury?
The largest section in the CPT book is the
What is the surgery section?
___ allows third-party payers to deposit funds into the physician’s bank account automatically and eliminates the need for personal handling of checks.
What is Electronic funds transfer (EFT)?
The document together with the payment voucher that is sent to a physician who has accepted assignment of benefits is referred to as an
What is an EOB?
NCD's stands for
What is national coverage determinations?
Codes that are used principally by tumor or cancer registries are
What are neoplasm codes?
Grouping codes that are related to a procedure is called
What is bundling?
Data that is made unintelligible to unauthorized parties is referred to as
What is encrypted?
An insurance claim for a service that has been bundled with other services would be
What is denied?
RBRVS
What are resource-based relative value scale?