Reason rule
What is the reason for patients visit is coded first
A payment that is taken away from the existing balance
What is a credit
When completing a claim form what do you need to have on file
What is a copy of the Pt's ins. card
MICR includes the
What is routing number
Which level of HCPCS includes services not listed in CPT
What is Level II
The rule for giving receipts is
What is whenever a patient makes any payment they should be given a receipt.
All charges received for the day are noted on the
What is the day sheet
Middleman for claim filing that assists in formatting the claims correctly
What is a clearinghouse
T/F - It is fine to accept checks that are written for more than the amount due
False
How are office visits coded?
What are primary reason and then in order of importance.
May incur serious fines and penatlies
What is upcoding
Balance
What is the difference between credits and debits
When a provider must accept the medicare amount as full payment it is
What is an assignment
When completing a check stub always
What is bring forward the previous balance
What do ICD codes describe
What is disease/condition
Reducing services to a lower level by the diagnosis code is
What is downcoding
Another name for Pt. account #
What is MRN
We call a payment from someone other than the patient, including insurance payments
What is a third-party reimbursement
Verifying the amount on the statement to what you have logged is called
What is reconciling
Level I HCPCS codes are also known as
What are CPT codes
If you receive a cash payment what should you immediately do?
What is place it in a secure location
Discount given by the provider as a write-off
What is an adjustment
Why is it illegal to make routine waivers of deductibles and co-pays for Medicare recipients
What is:
False claims, goes against anti-kickback statute, and excessive utilization of Medicare services.
Guaranteed and accepted even when a personal check is not
What is a certified check.
What do the G Codes in the HCPCS coding Level 2 system represent?
What are Temporary codes for procedures, services, and supplies