Modifiers
The Letter "C"
RHC
Complete the Lyric
ACRONYMS (again)
100
Significant, Separately Identifiable Evaluation and Management Service by the Same Physician or Other Qualified Health Care professional on the same Day
What is 25?
100
A form used to bill to the insurance company
What is a claim?
100
This Place of Service is used for RHC.
What is 72?
100
They see me postin' ________.
What is remits?
100
ATB
What is aged trial balance?
200
Item or Service Expected to Be Denied as Not Reasonable and Necessary. Used to report an ABN was not issued for a service
What is GZ?
200
Standardized codes for reporting medical services, procedures, and treatments performed for patients by the medical staff
What is CPT?
200
This revenue code is used for a clinic visit by member to RHC
What is 521?
200
_____, _____, whatcha gonna do? Whatcha gonna do when they come for you?
What is bad debt?
200
CAC
What is Certified Application Counselor?
300
Drug amount discarded/not administered to any patient
What is JW?
300
This occurs when the primary insurance plan automatically sends a claim on to the secondary insurance plan
What is crossover claim?
300
Name two separately payable services on the same day in a RHC
What are Welcome to Medicare PX, office visit, behavioral health visit?
300
________ for life!
What is Tricare?
300
VFC
What is vaccines for children?
400
Used for physician services rendered by non-physician
What is GF?
400
Software used to analyze claims for errors before submission
What is a claim scrubber?
400
Pneumovax is billed on this type of bill
What is a roster bill on cost report?
400
_____, _____!
What is refresh, refresh?
400
CPT
What is Current Procedural Terminology?
500
This modifier is used on a claim with a mental health DX for a LISW (Kris or Sue Marvin)
What is AJ?
500
This regulates laboratory testing and requires clinical laboratories to be certificated by their state as well as the CMS before they can accept human samples for diagnostic testing
What is CLIA?
500
Name the modifier and CPT/HCPCS that goes on the first line of every claim for Medicare and Medicaid, respectively.
What are CG (Medicare) and T1015 (Medicaid)?
500
And it's bad, bad ____ _____ , the baddest boss in the whole dang town
Who is Renita Brown?
500
CARES
What is compassion, accountability, respect, excellence, and service?