Anatomy & Physiology Terminology
Insurance & Claims Processing
Billing
CPT/HCPCS Coding
Human Diseases & Pathology
100
Bleeding, Blood Loss
Hemorrhage
100
claims are reviewed and payments decisions are made by payer
What is Aducation?
100
also referred to as Remittance Advice (RA
What is an EOB (Explanation of Benefits)
100

Famous HCPCS add on code in 2024 for continuing focal point for all health care services the patient needs.

What is G2211

100

Disease that spreads from person to person

What is an infectious disease?

200
Inflammation of liver
Hepatitis
200
by law needs to be signed by patient before claim can be processed
Release of Information
200
a business entity that consolidates claims and transmits to the 3rd party payer
What is a clearing house
200

Office new patient EM total time on the date of the encounter for code selection, 60 minutes

What is 99205

200

Causes antibiotic- resistant bacteria

What is overuse of antibiotics

300
The study of disease
Pathology
300
CMS 1500 form filled out without mistakes
What is a clean claim?
300
arrangements made by the patient to allow direct payment to the provider
What is assignment of benefits (AOB)?
300

Office established EM low level of decision making. 

What is 99213

300

Leukaemia

What is blood cancer


400
Right sided paralysis
Hemiplegia
400

can be filled if heath care professional or patient feels claim is wrongfully denied

What is an appeal? (reconsideration)

400
needs to determine which payer is primary or secondary
What is Coordination of Benefits
400

Commercial prolonged service CPT each 15 mins

What is 99417

400

A disease that occurs suddenly and spreads rapidly in an area

What is an epidemic

500
The brain disorder marked by gradual and progressive mental deterioration, personality changes, and impairment of daily function
Alzheimer Disease (AD)
500

Corrected claim resubmission code on a CMS 1500 claim.

What is 7

500
claim approved by AMA council and adopted by all government health care programs
CMS 1500
500

Medicare prolonged service beyond maximum required time of the primary procedure; each additional 15 minutes

What is G2212

500

CLIA (Clinical Laboratory Improvement Amendment) waived test use this modifier. 

What is QW

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