A report that gives the details of a processed claim
What is an EOB
100
The meaning of UCR acronym
What is Usual, reasonable and customary
100
CPT stands for this
What is Current Procedural Terminology
100
Medicare serves this set of people. (Be specific)
What is those 65 and older.
200
Two digit code attached to the main code to indicate an altered service or procedure
What is the modifier
200
Medical malpractice is considered to be this type of insurance
What is liability
200
Another term for a compound fracture
What is open fracture
200
Another term for encounter form
What is superbill
200
The percentage of health care costs paid by patients for services rendered.
What is coinsurance.
300
An organization that performs centralized claims processing for providers and health plans
What is a clearinghouse
300
A program responsible for providing health services to subscribers in a given geographical area for a fixed fee
What is an HMO
300
A medical condition that was diagnosed and /or treated within a specified period of time immediately preceding an enrollee's effective date of coverag
What is pre-existing
300
The financial source document used by health care providers to record treated diagnoses and services rendered to the patient during the current encounter
What is CMS 1500 form
300
These beneficiaries would be eligible for CHAMPVA
What is survivors of veterans who died in the line of duty
400
Most accurate place to code a neoplasm from
What is the pathology report
400
Group health insurance may be available through this type of entity.
What are employers.
400
Another word for disease
What is morbidity
400
Medicare non PAR physicians may elect to accept assignment on this basis.
What is case by case.
400
Linking an ICD-10-CM code with CPT codes on a claim demonstrates this.
What is medical necessity
500
Code combinations that cannot be reported together on the same claim
What is edit pairs
500
The maximum number of ICD-10 does that can be entered on the CMS1500
What is 12
500
This is a legal proceeding during which a party answers questions under oath but not in open court
What is deposition
500
The Federal Register is published with this frequency.
What is daily
500
The basic difference between fraud and abuse is this.