ARI
The use of this company for ARI precertification depends on the customers state of Residence
EVICORE
This is defined as the prevention, diagnosis and treatment of a wide variety of conditions, disorders, and diseases affecting the teeth, gums and maxi facial (jaw, Face0 region of the body
Dentistry
These are considered Key Attributes of Consumable Medical Supplies
Are usually disposable in nature
Cannot with stand repeated use by more than one individual
Are Primarily and customarily use to serve a medical purpose
Generally are not useful to a person in the absence of illness or injury
This is defined as a persons condition with regard to their Psychological and emotional Well-being.
Mental Health
These services offer Health Care professionals beyond what they see and how they patient presents their symptoms.
Laboratory Services
This is the One View Network Id for Evicore/Med Solutions.
What is NW355
These 7 are considered the different types of dentistry.
General Dentistry
Endodontics
Oral Surgery
Orthodontics
Periodontics
Pedodontics
Prosthodontics
These are examples of Consumable Medical Supplies.(Name 4)
Diabetic Testing Strips
Colostomy Bags, Gauze, Medical Tapes, Cotton Balls, Antiseptics, Alcohol, Bandages,.
This is defined as any disorder other than one induced by alcohol or drug abuse, that impairs perception, memory, emotional equilibrium, thought or behavior, it could be genetic, Congenital, or acquired as a result of Physical, Psychological, chemical or social factors.
Mental illness
Health conditions not being seen at surface level, Not visually seeing Blood count or cholesterol levels, Blood and urine providing more evidence of diseases and can provider more definitive evidence a patient has conditions such as diabetes or hyperlipidemia.
Reasons to do conduct blood work
This is the network Id for Evicore in Facets.
NATMSI000001
Thinking of the structure of the mouth, there are 2 of these in every mouth.
Arches
This type of equipment is not disposable in nature and can withstand repeated use by more than one person.
Durable Medical Equipment
These are common MH/SA Health Care Professionals
Social workers, Psychologists, Psychiatrists, Counselors, Board Certified behavior Analyst, Behavioral Health Therapist, Pastoral Counselor
These CPT codes fall in the range of 8000
Lab CPT codes
These are different types of ARI. I am looking for 4
MRI, MRA, CAT, PET scans
Again thinking of the structures of the mouth there are 4 of these and yes they can All be done the Same day!
Quadrants
Name some examples of Durable medical Equipment. DME. (looking for 4)
Crutches, Hospital Beds, Wheel Chairs, Respirators,
CPAP machines, Portable Oxygen, Insulin Pumps, Hearing Aids.
This is defined as one chemically dependent upon Drugs, Alcohol or both.
Substance Abuse.
These services fall with in the 70000 Range for CPT codes
Radiology Services including ARI
ARI scans can take place in the following places.
IP facility, OP Facility or office.
Name the 2 Arches and the Four Quadrants of the mouth.
Upper Arch: Maxilla
Lower Arch: Mandible
Quadrants:
Upper Right
Upper Left
Lower Right
Lower Left
These are Artificial Substitutes worn on or attached to the outside of the body to replace a miss part.
External Prosthetic Appliances (EPA)
This was put into law in 2010, it requires that all health plans that offer MH/SA benefits to cover them oat the same level as the medical benefits. This means plans are not required to covered MH/SA however if it does a visit limit or dollar maximum can no longer be applied ot the MH/SA inpatient or outpatient care unless the same limit is in place for the medical benefits. This applies to ALL group health plans regardless of funding type.
The Mental Health Parity Act
This is a 2 part question and answer.
This includes both radiological and lab services. There will be times when the customer is billed with the same CPT code twice, with the different modifier for each.
This includes charges made by the provider who interprets the technical component.
Technical Component
Professional Component