Show:
Definitions
Acronyms
Legal-eaze
Fraud or Abuse
Characteristics
100
The language of the health care industry.
What is medical terminology?
100
CPC
What is Certified Professional Coder?
100
This gives legal authority over an individual's personal and medical decisions.
What is Guardianship of the Person?
100
Fraudulent Diagnoses
What is Fraud?
100
Is ready to work at the beginning of the shift; completes tasks within assigned deadlines.
What is Reliable?
200
The process of documenting medical information as numeric codes.
What is medical coding?
200
Failure to remove a malignant tumor is an example of this category of malpractice.
What is Nonfeasance?
200
Medical Coding errors such as upcoding.
What is Fraud?
200
Works or has worked on group projects; interested in learning overall office workflow.
What is Cooperative?
300
This is the legal description of employer liability.
What is "respondeat superior"?
300
CMS
What is Centers for Medicare and Medicaid Services?
300
HIPAA consists of these two sets of standards.
What is Privacy & Security
300
Billing Medicare for services covered by another insurance program.
What is Abuse?
300
Initiates work assignments; organizes work area
What is Self-motivated?
400
This process involves successful completion of a professionally recognized exam.
What is certification?
400
CPT
What is Current Procedural Terminology?
400
This phrase means an individual should appear in court and bring records within the scope of his or her responsibility.
What is "subpoena duces tecum"?
400
Billing for Services Not Rendered such as equipment or hospital visits.
What is Fraud
400
Speaks clearly with eye contact; asks questions; describes goals' answers questions directly.
What is Assertive/Confident?
500
Transforms information into a form that is unreadable by unauthorized users.
What is encryption?
500
HIPAA
What is Health Insurance Portability and Accountability Act
500
These three federal agencies investigate fraud and abuse under the HIPAA Fraud and Abuse Control Program.
What is Office of the Inspector General (OIG), Federal Bureau of Investigation (FBI), and the Department of Justice (DOJ).
500
Excessive referrals to other health care practitioners.
What is Abuse?
500
Adheres to insurance billing guidelines; refrains from negative comments about current and previous coworkers and employers.
What is Ethical?