Acronym's
CMS
Centers for Medicare and Medicaid services
Medicare is administered by
CMS - Centers for Medicare and Medicaid services
what is a dirty claim?
a claim that contains errors, inaccuracies, or missing information, which can lead to delays or denials in payment.
What is Ms. Cindy's Dog's Name
Vader
How do you find a code in the ICD-10-CM
Index then tabular
ESRD
End stage renal disease
Who initially was eligible for Medicare
U.S. citizens 65 and older
what is a clean claim
a claim that is submitted without errors or deficiencies, allowing for prompt and accurate processing and payment.
How many hours a week are you in class?
8
when is the cpt book updated
Jan 1st of every year
NF
Nursing Facility
Who is currently eligible for Medicare
people with ESRD, people with certain disability's under 65, people who are 65 and older
What act made it mandatory to submit electronic claims?
The Administrative Simplification Compliance Act (ASCA)
When is discussion board due
2nd day of the mod by 11:59 pm
when should you consult the guidelines in the ICD-10-CM
every time you abstract/pull from the chart note
PPO
Preferred provider organization
What part of Medicare covers Hospital stays?
Part A
what year was it mandatory to file electronic claims to Medicare?
2003
How do you get a potluck?
85% attendance
who publishes the ICD-10-CM?
the Centers for Medicare & Medicaid Services (CMS) and the National Center for Health Statistics (NCHS)
MSP
Medicare secondary payer
What part of Medicare covers professional services
Part B
when was Medicare first made into legislature?
1965
Why are you taking billing and coding?
answer will vary
Who publishes CPT?
the American Medical Association (AMA)