Insurance/ICD
What is the abbreviation for health maintenance organization?
HMO
A provider documents 35 minutes of care rendered to a patient in respiratory failure. What code should be assigned for this service?
99239
What is found within this book?
What is a claim form?
What is used to send to insurance companies.
This form lists the CPT code(s) for an office visit
What is encounter form?
What is a subsequent encounter for Osteoarthritis of both knees with pain and swelling?
What is M17.0
Level II code E/M code for follow up for chronic medical asthma
99212
How many volumes does this have compared to ICD-9-CM?
2 Alpha numeric and Tabular
ICD-9-CM had 3 volumes
A claim form can be sent to an insurance company two ways. What are they?
What is manually (in the mail) and electronically (by computer).
What is adjudication mean?
What is actual processing of a claim.
NP; high complexity @ physician's office; comprehensive hx & exam w/ high complexity MDM
99205
What does the "X" mean when it is highligted in red in the alpha index?
What is a placeholder; can have up to 7 characters
A paper claim form is in this color OCR scannable ink?
What is red.
What 2 reports are requiered in a review of the practice's accountss receivable?
What is insurance and patient aging reports
What is the dx code for long term use of aspirin
What is Z79.82
Document that records CPT code(s) for hospital rounds
Hospital billing sheet
Test offered by the NHA (National Healthcareer Association)
What is CBCS (Certified Billing & Coding Specialist)
This is the name of the universal claim form used to submit outpatient charges.
What is CMS-1500.
What is the purpose of an ABN form?
What is signed consent for Medicare beneficiaries receiving non-covered services before those services are rendered
What is J44.9
Provider documents 120 min critical care Pt in respiratory distress & renal failure
99291, 99292, 99292
What organization chairs the NUCC and approved the new version of the CMS-1500 form?
What is American Medical Association or AMA
This group created and updates the insurance claim forms.
What is NUCC (national uniform claim committee).
Catheter: Starter set
What is A4329