What is it?
Amount that a patient is expected to pay for office visits
What is copay
created to assist the indigent?
what is medicaid
PAR
what does ICD-10 represent?
what is the diagnosis
What does CPT represent?
what is the procedures and services
Percentages of shared responsibility between policy holder and insurance company
What is coinsurance
created to assist those 65 years and older?
what is Medicare
What is RBRVS used to determine?
The allowed amount for Medicare charges.
How many digits can an ICD-10 be?
How many digits are CPT codes?
5
Amount of money that a patient must pay out of pocket before the insurance company will pay claims
What is deductible
Federal program administered by CMS
what is Medicare
reviews individual cases to ensure that medical care services are medically necessary
What is utilization review
Who established the ICD-10s?
Who established the CPT
Who is the AMA
The amount of money that a provider accepts a payment in full when contracted with insurance
What is allowed amount
State administered program
What is Medicaid
Collecting important information from the health record
What is abstracting
When coding you should start looking in what portion of the manual first?
what is the alphabetic listing
The Tabular listing in the CPT manual has how many sections?
What is 6
When payment to provider is limited to a specific number per patient regardless of the number of visits a patient has.
what is capitation
What part of Medicare covers ambulatory or outpatient expenses?
what is part B
payment arrangement for healthcare providers, the provider is paid a set amount for each enrolled person assigned to them, per period of time
what is capitation
What letter is used for new diseases of uncertain etiology
what is U
Category II codes of the CPT manual are used for what purpose?
what is performance measurement.