Show:
CPT - A
CPT - B
Insurance - A
Insurance - B
Extra
100
What does CPT stand for?
What is Current Procedural Terminology
100
What are specific coding information found in each section.
What are guidelines.
100
What is a premium?
What is money paid to keep insurance policy in force
100
Maximum amount of money third party payers will for procedure
What is allowed amount / allowed charge
100
What are and explain the parts of Medicare.
What is Part A - Hospital / Part B - Medical / Part C - Medicare Advantage / Part D - Rx Drug
200
CPT are ________ characters in length.
What is 5
200
How many sections are in the CPT manuel?
What is 6
200
What is the purpose of health insurance?
What is to help offset the cost of medical expenses.
200
What is a participating provider?
What is physician who enters into contract with an insurance company and agrees to certain regulations.
200
Indicates modifying terms and descriptions following the main description.
What is the semicolon
300
What are two character codes that provide additional information to CPT codes?
What are modifiers
300
Codes that cannot be used alone.
What is an add on code
300
What is the Medicaid program?
What is health insurance for the medically indigent .
300
Health insurance for militart dependents and retired military personnel.
What is TRICARE
300
What is utilization review.
What is review of individual cases by a committee to make sure services are medically necessary.
400
Category codes that are experimental and end with the letter T?
What is category III code
400
Unlisted procedures are located where in the CPT manuel?
What is the guidelines and end of the subsection/subheading.
400
What is an EOB?
What is a document that explains how expenses were paid or denied after provider submission.
400
Who is eligible for Medicare.
What is 65 and older, blind and disabled, and those on ESRD
400
Name and describe the 3 types of Referral
What is Regular / Urgent / STAT
500
What accompanies a claim when using unlisted procedure codes?
What is a special report.
500
Place these in order A - category B - subsection C - section D - subheading
What is C - B - D - A
500
What is a capitation plan.
What is providers are paid for each patient regardless if patient sees the provider or not.
500
What is group coverage?
What is coverage for multiple people under single plan issued to the employer
500
Name the six sections of CPT.
What is E&M, Anesthesia, Medicine, Surgery, Path & Lab, and Radiology