Rules & Regs
What does the OIG release annually and identifies areas they will focus on for review and investigations they believe are the most vulnerable programs for possible fraud/abuse?
Where are the CPT modifiers found?
Where can you find the Table of Drugs and Chemicals?
Alphabetic Index of the ICD-10-CM codebook
What are Mutually Exclusive Edits?
Two procedure codes which cannot reasonably be performed together based on code definitions or anatomical sites
Where is the radius is located?
What does modifier -52 mean?
Reduced Services
What codes can never be a primary ICD-10-CM code?
External Cause Codes
Which law prohibits individuals or entities from knowingly and willfully offering, paying, soliciting or receiving remuneration to induce referrals of items or services covered by Medicare, Medicaid or any other federally funded program? a. False Claims Act ?
What does the acronym HCPCS stand for?
Healthcare Common Procedure Coding System
What does the 7th character S indicate in Chapter 19 of ICD-10-CM?
Sequela.
What form does a Medicare patient sign when services are expected not to be covered?
What is modifier for Unusual procedural services are greater than the usual listed service?
What does Exclude 2 indicate?
Can code both condition if they both exist .
These services are performed by a non-physician practitioner and can be billed to Medicare under the physicians NPI number. The supervising physician must be present in the office and supervise the non-physician practitioner. Billing these type of services is called?
What does the suffix "-stenosis" mean?
What is the largest lymphatic organ and it filters and stores blood?
What modifier is for Significant, separately indentifiable E/M service by same physician on the same day of procedure or other service?
What does Exclude 1 indicate?
Not coded here.
(code excluded should never be used at the same time as the code above the excludes1 note)