Modifiers
Medical Terminology
Anatomy
CPT Categories
Surgical Procedures
100
This modifier is one way to un-bundle codes but has a history of overuse and abuse. Overuse of this modifier could trigger an investigation by payers.
What is modifier -59?
100
This word part refers to the renal pelvis, where filtered urine collects before passing to the ureters.
What is pyel/o?
100
What is anatomy?
What is the structure of our bodies.
100
What is a claim form?
What is used to send to insurance companies.
100
This is the color scrubs you must wear in the medical billing and coding program?
What is wine.
200
Aside from the guidelines in CPT and those set out by payers, these national rules help define which codes are bundled together. You can download a copy of them from the CMS website.
What are the NCCI Edits?
200
Epistaxis
What is a nosebleed?
200
This is the term for the fingers attached to your hand?
What is phalanges.
200
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).
200
This is the name of the program chair for the medical billing and coding program?
What is Jeannine Wieland.
300
DAILY DOUBLE!! *Do not answer in the form of a question* A patient has a polyp of the transverse colon that has both a biopsy and snare treatment performed. The patient also has a sigmoid lesion that is treated with an ablation. Code this encounter (you don't actually need codes, just which services are reported).
The snare excision on the transverse colon polyp and the sigmoid lesion ablation are both reported. The biopsy cannot be reported since it is a lower value wRVU service and was directed at the same site as the snare excision. Because the ablation was directed at a different site it can be reported separately.
300
Ecchymosis
What is bruising?
300
This chamber sits between the lungs and notably contains the heart. It sits roughly midline, substernal within the chest.
What is the mediastinum?
300
A paper claim form is in this color OCR scannable ink?
What is red.
300
Who do you speak to about help with finding a job?
What is Career Services.
400
What is the term used for an individual that pays the premiums for an insurance policy?
Policyholder
400
This suffix means disease.
What is -pathy.
400
What is another term for patella?
What is kneecap.
400
This is the name of the universal claim form used to submit outpatient charges.
What is CMS-1500.
400
This is completed at the end of your program to showcase your skills and what you learned and is unpaid.
What is externship.
500
What is SCHIP?
State insurance that covers children
500
Eructation
What is burping?
500
What is another term for trunk?
What is chest.
500
This group created and updates the insurance claim forms.
What is NUCC (national uniform claim committee).
500
Where do you go to get textbooks?
What is the bookstore.
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