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Mental Health
(COB)
Codes
Surgery
Systems
100
These three common healthcare professional are typically used for mental health treatment.
What is social worker, psychologists, psychiatrists, counselors, board certified behavior analysts, behavioral health therapist, and pastoral counselor.
100
Primary, Secondary, and Tertiary are part of what.
What is COB?
100
This consists of one letter and four numbers.
What is HCPC code?
100
This defined as a medical procedure which involves cutting or other invasive techniques.
What is Surgery?
100
This is the system that we use to take phone calls.
What is I-C Desktop?
200
This requires authorization at all times.
What is Inpatient
200
John has Cigna Health Insurance thru his employer. His wife, Sally, has Aetna insurance and added John to her plan. John is the Employee on the Cigna plan, and the dependant on the Aetna plan. If John had to receive medical treatment, Cigna would be primary and Aetna would be secondary. What rule would John have?
What is Rule Number One?
200
This consists of five numbers.
What is CPT Code?
200
This is any surgery that improves or repairs the outward appearance of the patients body and is not medically necessary.
What is Cosmetic Surgery?
200
This is the system that we use to look up the procedure and diagnosis codes.
What is Leap Code explorer?
300
These customers may seek mental health services from specialists or hospitals, doctors must be qualified.
What is Indemnity?
300
These usually do not apply to COB for medical insurances.
What is Tricare, Student Insurance, Medicaid, Dental HMO, IFP, Workers Compensation?
300
This is the only facility that uses revenue codes.
What is a Hospital?
300
This may be defined as surgery performed on abnormal formations of the body caused by birth defects, disease, or trauma. This may be considered medically necessary. Mostly to improve function.
What is Reconstructive Surgery?
300
This is the system that we use to look for payer phone numbers.
What is P-Track?
400
This type of therapy that usually consists of sessions that are typically 3 hours long, 4-5 times per week.
What is Intensive Outpatient Therapy?
400
This means who is primary or deemed responsible.
What is Court Decree?
400
Does this code require Pre certification. A0999
What is Yes?
400
This is known as ambulatory surgery, or day surgery.
What is Outpatient Surgery?
400
This is the system that we use to look up the correspondents sent in to Cigna.
What is File Net?
500
This is required by law that it has to be covered at the same level as medical benefits.
What is Parity Act?
500
There is John and Jane. They have one child, Sally. John's birthday is 09/29/1974 and Jane's birthday is 02/14/1975. If there is no court decree and John and Jane are married. Subsequently, John and Jane divorce and remarry. John marries Kate and Jane marries Tom. Sally lives with Jane and Tom. If all four adults provide coverage for Sally, what is the order it will go?
What is Jane, Tom, John, and Kate?
500
What codes can be used for Autonomic Nerve Function Testing.
What is 95921, 95922, 95923, 95924, and 95943?
500
A surgical procedure covered by Cigna when medically necessary to treat to acute spinal fracture and spinal tuberculosis.
What is Lumbar fusion?
500
This system is used for eligibility, benefits, claims for proclaim/dental customers.
What is One view?