Coding, no not the computer language
This is the classification system used to establish reimbursement for inpatient cases
What is the DRG system
These are the two most common EMR's used in acute care settings nationally.
Who are EPIC and Cerner.
EPIC and Cerner combined have 50% of acute care hospital market share followed by Meditech.
This is what E/M stands for:
What is Evaluation and Management.
This is the AAPC certification for profee orthopaedic coders.
What is COSC (Certified Orthopaedic Surgery Coder)
The file format to be used in an official pass.
What is PDF
ED Coders are sometimes responsible for picking up the administration of a medication via either a slow drip or forced medication via needle and syringe...otherwise known as.
What are injection and infusions.
pre-packaged fluids and electrolytes administered for hydration are also considered an infusion.
This is the Recruitcare status a candidate should be in before being matched to a position
What is Lockdown
CMS regulates two different sets of E/M documentation guidelines for profee coding,what are these two sets of guidelines?
What are 1995 and 1997 E/M Guidelines
Both are acceptable to use for billing. 1995 are more general with less body areas and organ systems specified. 1997 is much more robust and has much greater specificity. Some clients use both (whichever is more advantageous on the encounter) and some use just 1997.
CCVTC is the AAPC specialty credential for this type of coder.
Profee Certified Cardiovascular and Thoracic Surgery coder.
This is the third party company Maxim partners with to book housing arrangements for Travelers.
What is Travelers Haven
There are how many different levels of trauma hospitals in the US?
What are 5 levels
ICD-10 CM is a code set used for all types of claims to specifically identify and capture :
diagnoses
procedures
DRGs
E/M's
What is diagnoses
This is the number of profee E/M levels there are:
What is 5 levels
Level 1 would be for simple visit where no physician services were provided. Level 5 is reserved for the most complex cases.
The CUC credential specific to what profee specialty?
What is urology
This individual signs off on completed HR files, clearing a candidate for start.
Who is Glenda Acosta
This risk model ranks diagnoses into categories that represent conditions with similar cost patterns where higher categories represent higher predicted healthcare costs and in turn higher risk scores.
What is HCC coding model.
Long-term conditions such as diabetes, chronic obstructive pulmonary disease (COPD), chronic heart failure (CHF), and diabetes will “risk adjust,” or fall within an HCC; whereas, acute illnesses and injuries will not because acute conditions are not reliably predictive of ongoing healthcare costs.
HCC risk adjustment model is prospective: it uses health status in a “base year” to predict costs in the following year.
Outside of UCLA, this is our biggest private side client YTD in terms of spread:
Who is Kaiser
Kaiser; $250k
Ardent: $170k
BSF: $160k
MRIs, Ultrasounds, CT scans, X-rays and mammograms all fall under what profee specialty:
What is radiology or diagnostic radiology
This is the AAPC specialty credential for expertise in obstetrics gynecology coding
Certified Obstetrics Gynecology Coder (COBGC)
A remote coder would only ever call the Solution Center for this issue.
What is an outlook password reset
The term ALOS is an acronym measuring what for a hospital and/or coder?
What is the average length of stay.
The overall US acute care hospital ALOS is about 4.5 days at at average cost of over $10k per day.
These are Maxim's two internal 3rd party auditors.
Kelly Lobenberg and Tanya Allgood
All the CPT code range for profee E/M starts with these two digits:
What is 99.
99211 $35.51 office or outpatient visit for the an established patient that may not require the presence of a physician. Change wound bandage, removing stitches, check blood pressure).
99212 $51.73
99213 $71.67
99214 $97.36
99215 $117.36
The CDIP is issued through what organization?
Certified Documentation Improvement Practitioner is through AHIMA
This is the software information database that gives AE's a tool to get valuable insight and contact of clients for prospecting
What is Zoom Info