Do you really know Profee
Practicing health care providers in the United States must use/assign this in order to be reimbursed by Medicare, Medicaid programs, or private insurance for patient encounters.
What is E/M or Evaluation and Management
What three things do you need to email into ITAM if there's a frozen CPU?
What is an ticket number, phone number and serial number.
This is the AHIMA certification that takes HIM professionals 4 years of schooling and a testing to obtain
What is a RHIA
The acronym APR DRG stands for
All Patient Refined Diagnosis Related Groups
This allows a person to return home the exact same day
What is SDS or same day surgeries
These facility are required to use a team approach of physicians and mid-level practitioners such as nurse practitioner (NP), physician assistants (PA), and certified nurse midwives to provide services. The entity must be staffed at least 50% of the time with a midlevel practitioner.
What are Rural Health Clinics (RHC)
Do CDI's do concurrent or retrospective DRG reviews?
What is the cert for a certified oncology coder?
What is CHONC?
The acronym ACS stands for
What is the American College of Surgeons
These two specialty can be hard-coded in a CDM
What is Outpatient Ancillary & Injections & Infusions
Name four types of edits
What are LCD, NCD, MUE and NCCI Edits
Maxim's name prior to rebranding under the Maxim name
What is Medcall
When did the U.S transition from ICD-9 to ICD-10
What is Oct. 1st 2015
IP coders have to pick up these three codes when coding medical records
What is Principal Diagnosis, Secondary Diagnosis and Procedure codes (PCS)
In this department the coder usually apply the appropriate ICD-10-CM and/or surgical CPT codes.
What is Emergency Department or ER
Doctors who are specialized in the care of patients in the hospital and are responsible for the H & P, consultations, rounding, critical care and discharge.
What is Profee IP/Hospitalists
How many hours must a coder work in a look back month/period in order to maintain tier 2 full coverage benefits
What is 120 hours (Health, Vision, Dental, non-matching 401K)
This type of coding requires a coder to assign codes for both facility and professional claims
What is single path coding
How many trauma levels are there
What is 5 trauma levels
These are three things that an IVR Coder must assign when coding a medical record
What is ICD-10 CM, Radiological supervision & Interpretation (S&I), and CPT Surgical procedures
These are referred to as National Codes (special 2 codes), and are used to bill for services and supplies such as drugs, ambulance services, prosthetic, canes and crutches.
What is HCPCS
These are 4 Biz Lines outside of MHIS
Travel Max, Locum Tenens/MPR, National Accounts, MGS, RDU Travel, Government
What is Trick Question or None
What is septicemia, cardiovascular disease, heart failure, osteoarthritis, pneumonia, and diabetes
This is the classification system/book used to establish reimbursement for all outpatient cases
What is CPT