chapter 9

Question 1

charge capture

Answer 1

process of recording billable services

Question 2

Charges

Answer 2

amount a provider bills for performed health care services

Question 3

payments

Answer 3

money paid by patients and health plans

Question 4

adjustments

Answer 4

changes to a patients account

Question 5

Addenda

Answer 5

updates to ICD-9-CM

Question 6

Claim scrubber

Answer 6

software that checks claims to permit error correction

Question 7

code linkage

Answer 7

clinically appropriate connection between a provided service and a patients condition or illness

Question 8

Package

Answer 8

combination of services included in a single procedure code

Question 9

bundled code

Answer 9

two or more related procedure codes combined into one

Question 10

global period

Answer 10

days surrounding a surgical procedure when all services relating to the procedure are considered a part of the surgical package

Question 11

correct coding initiative (CCI)

Answer 11

computerized medicare system that prevents overpayments

Question 12

CCI edits

Answer 12

CPT codes combinations that are used by computers to check medicare claims