Payment
What is Electronically
Name of the claim form used to bill for Professional entities
CMS 1500 or HCFA
HIPPA
What is the Health Insurance Portability & Accountability Act
What is the Name of Ms. Cindy's Dog?
Vader
What Mod are we in
150 - Medical Billing and Insurance Coding
This requires providers to submit claims electronically
What is the Administrative Simplification Compliance Act (ASCA)
Color of the Claim form you can mail in
What is red
ASCA
Administrative simplification compliance act
How Long has Ms. Cindy been coding?
since 2019
How do you look up a Dx code?
Index, tabular
Entities have to file electronically unless they have a waiver on file with whom?
Medicare Administrative Contractor (MAC)
max number of Dx you can put on a claim form
12
MAC
Medicare Administrative Contractor
How often are you to be in class
Every Monday and Wednesday for Labs
70010-79999 in the CPT book
What is radiology (nuclear med and diagnostic ultrasound)
accounts receivable managements systems or computerized medical billing systems.
The organization that maintains guidelines and policies for the CMS 1500
NUCC or The National Uniform Claim Committee
CPT
Current Procedural Terminology
What does not give attendance
Homework
What year did TCS regulation take effect
2003
What code sets can be used on a CMS 1500
ICD-10-CM, CPT, HCPCS, CDT
What gives the status of insurance claims with payment details for one or more beneficiaries.
electronic remittance advise (ERA) or remit
ICD-10-CM
International Classification of Diseases 10 Clinical Modification
How to get a potluck
Have 80% attendance or higher
HIPPA governs how a _______ is required to handle health information.
What is a covered entity