CODING
What are modifiers?
2-character codes that provides additional information about a service or procedure
How many digits is a NPI number?
10 Digits
What is the term for providing appropriate care for diagnosis?
Medical Necessity
How many parts does Medicare have and what are they?
(4) Part A, B, C, and D
What are the 2 kinds of statutes under workers compensation?
Federal and State
(Get a hint on their next question)
After how many years are you considered and establoshed patient?
3 Years
The act of converting computerized data into a code so that unauthorized users are unable to read it is a security system known as?
Encryption
(Free hint from us)
Which law prohibits self-referrals?
Stark Law
What 10-digit number is required on a claim form to identify a service provider?
NPI
(Free hint from us)
A contract for treatment and the financial responsibility in workers compensation is between which parties?
Physician and Insurance Carrier
Which of these diagnoses is the initial encounter?
Primary diagnosis or Principal Diagnosis
Primary Diagnosis
(1 Extra 'Lupi call')
How many days will it take to process a Medicare claim that is submitted electronically?
14 days
True or False? In a "qui tam" lawsuit, the whistleblower shares in penalty money?
True
What is Americas largest & most complex healthcare institution to ensure active military is healthy?
Military Health System
(MHS)
What type of insurance provides monthly income when an individual is unable to work?
Disability Income Insurance
True or False? If a simple wound repair should be billed as CPT 12001, billing each step separately is unbundling?
True
A method for submitting claims electronically by keying information into the payer system for processing is accomplished through use of:
Carrier Direct Entry
What is the name of the agency in the federal government that safeguards Medicare and Medicaid programs by finding and eliminating fraud, abuse, and waste?
OIG, Office of the Inspector General
(Get an extra minute on your next question)
What is a legally enforced system of Health insurance that insures a country's population against the cost of healthcare?
National Healthcare Insurance
(Can steal 50 points from a team of their choosing)
2 types of federal retirement systems:
1. Civil Service Retirement System (CSRS)
2. Federal Employees retirement system (FERS)
When is Exclusive 1 note used?
When two conditions can't be reported together, they are mutually exclusive
True or False.. When two people have the same birthday the person who's birth year comes first is used as the primary coverage?
False
Indicate whether the following situations are considered fraud or abuse?
A. Billing for service or supplies not provided. (Phantom Bills)
B. Regularly referring to other providers for unnecessary services
C. Changing a date of service
A. Fraud
B. Abuse
C. Fraud
Who signed the Medicare legislation in 1965?
President Lyndon B Johnson
5 types of workers compensation benefits:
1. Medical Treatment
2. Temporary disability indemnity
3. Permanent Disability Indemnity
4. Death Benefits for survivors
5. Rehabilitation Training