Insurances
Medical Terminology
Billing Guidelines
Admin Codes
HIPAA
100

This Medi-Cal program offers coverage for obstetric care.

What is Comprehensive Perinatal Services Program (CPSP)?

100

The meaning of cephalgia.

What is headache?

100

This is what constitutes a billable visit for an FQHC to Medicare.

What is a Face-to-face encounter between the patient and a FQHC qualified provider?

100

This code is used for the initial vaccination rendered via intramuscular route

What is 90471?

100

This is what HIPAA stands for

What is
Health Insurance Portability and Accountability Act
(of 1996)

200

This is the age in which one becomes eligible for Medicare unless disabled.

What is 65?

200

Pre-fix that means after, or following, or behind.

What is "post-?"

200

This modifier is used to denote a significant, separately identifiable evaluation and management [E/M] service by the same physician on the same day of the procedure or other service. 

what is 25?

200

This code is used for administration of a pneumococcal vaccine to a Medicare patient

What is G0009?

200

This rule assures that individuals health information is properly protected while allowing the flow of health information needed to provide and promote high quality health care and to protect the public's health and well being.

What is the
Privacy Rule?

300

This code is used to bill Medi-Cal for a medical visit at an FQHC.

What is T1015?

300

Common term used for an acute increase in the severity of a problem, illness, or bad situation.

What is exacerbation?

300

This modifier indicates a state supplied vaccine.

What is SL?

300

This code is for the initial administration of a vaccine via oral or intranasal route.

What is 90473?

300

You should always do this before leaving your computer

What is:

Turn off your screen(s)?

Lock your computer?

400

9938_ and 9939_ CPT codes have to be converted to one of these codes prior to billing Medicare.

What are:
G0402?
G0438?
G0439?

400

A blood vessel, bladder and an airway have this in common.

What is they are all smooth muscles that contract involuntarily? 

400

This modifier is used for vaccines rendered to high risk patients.

What is SK?

400

CPT code 90460 is used for this...

What is counseling per toxoid/component of an immunization and administration by a physician to a child?

400

This regulatory agency is responsible for enforcement of the regulations

Who are:

Office of Civil Rights (OCR)?

Office of Inspector General (OIG)?

500

This billable provider must always have a supervisor in order to submit claims.

What is Physician's Assistant [PA]?

(ANP or CRNFA would work as well)

500

To "Sternutate" means this.

What is sneeze?

500

This is always required in order to submit an Evaluation and Management [E/M] CPT code to any insurance.

What is medical necessity?

500

Any non-immunization vaccine requires an administration code. When this is done via intramuscular route, the code is this.

What is 96372?

500

This is an example of when it's appropriate to release PHI without authorization.

What is when medical care providers release information to other providers and entities who are participating in the patient's care, and to businesses that provide services for those providers?