Exam

Question 1

CMS-HCC stand for? Что означает

Answer 1

Centres for Medicare and Medicaid services Hierarchical Condition Category

Question 2

Active compliance plan benefits:

Answer 2

1. Increase accuracy of provider documentation
2. Fewer billing mistakes
3. Faster, more accurate payment of claims

Question 3

NOT a benefit of an active compliance plan

Answer 3

Eliminates risk of an audit

Question 4

Neurotransmitters

Answer 4

Chemicals which relay, amplify and modulate signals between a neuron and another cell

Question 5

Interneurons

Answer 5

99% all neurons . Integration. Sensory information and motor activity

Question 6

Function of thyroid gland

Answer 6

Is secrets hormones regulating body metabolism and blood calcium

Question 7

Blood in pleura cavity ( легкие)

Answer 7

Hemothorax

Question 8

Pain in the ear

Answer 8

Otalgia

Question 9

What does ICD 10 -Cm for

Answer 9

International classification of Desease 10 Revision, Clinical Modification

Question 10

Eye strain

Answer 10

Напряжение глаз

Question 11

Acute respiratory failure as a SECONDARY diagnosis

Answer 11

When it occurs after admission ( если возникает после госпитализации или присутствует при поступлении но не как основной диагноз)

Question 12

Medicare part A

Answer 12

Inpatient hospital

Question 13

Medicare part B

Answer 13

Outpatient hospital

Question 14

Medicare part C

Answer 14

Combine

Question 15

Medicare part D

Answer 15

Drug

Question 16

NCD

Answer 16

National Coverage Determination
Explain when Medicare will pay

Question 17

MAC

Answer 17

Medicare administrative Contractor
Interpretiring national policies into regional

Question 18

LCD

Answer 18

Local Coverage Determinations

Question 19

ABN

Answer 19

Advance Beneficiary Notice
When Medicare may not cover the procedure

Question 20

None Medicare payers may not recognize the ABN

Question 21

ABN %noncovered service

Answer 21

100$ or 25%

Question 22

HIPAA

Answer 22

Health Insurance Portability and Accountability Act of 1996

Question 23

HITECH

Answer 23

Health Information Technology for Economic and Clinical Health Act
ARRA 2009

Question 24

Compliance plan

Answer 24

All providers offices should have
Benefits: faster, more accuracy payment of claims;
Fewer billing mistakes
Diminished chances of a payer audit

Question 25

OIG

Answer 25

Office of Inspector General A government agency asked to protect the integrity of HHS program

Question 26

OIG Work Plan

Answer 26

What may be happened

Question 27

AMA

Answer 27

American Medical Association

Question 28

APC

Answer 28

Ambulatory Payment Classification

Question 29

APM

Answer 29

Advanced Alternative Payment Models

Question 30

ARRA

Answer 30

American Recovery and Reinvestment Act 2009

Question 31

ASC

Answer 31

Ambulatory Surgical Centers

Question 32

CDT

Answer 32

current dental terminology

Question 33

CMS

Answer 33

Centers for Medicare and Medicaid Services

Question 34

CMS-HCC

Answer 34

Centers for Medicare and Medicaid Services Hierarchial Condition Category

Question 35

CPC

Answer 35

Certified Professional Coder

Question 36

CPT

Answer 36

Current Procedural Terminology 1966

Question 37

EHR

Answer 37

Electronic Health Record

Question 38

EIN

Answer 38

Employer Identification Number

Question 39

HCPCS

Answer 39

Healthcare Common Provedure Coding System

Question 40

HHS

Answer 40

Department of Health and Human Services

Question 41

HMO

Answer 41

Health Maintenance Organisation

Question 42

ICD-10-CM

Answer 42

International Classification of Disease, Tenth Revision, Clinical Modification

Question 43

MS-DRG

Answer 43

Medical Severity-Diagnosis Related Group

Question 44

MIPS

Answer 44

Merit-Based Incentive Payments System

Question 45

NP

Answer 45

Nurse Practitioner

Question 46

NPI

Answer 46

National Provider Identifier

Question 47

OCR

Answer 47

Office for Civil Rights Responsible for enforcing HIPAA

Question 48

PA

Answer 48

Physician Assistant

Question 49

PHI

Answer 49

Protected Health Information

Question 50

PPACA

Answer 50

Patient Protection And Affordable Care Act

Question 51

TPO

Answer 51

Treatment, payment and healthcare operations

Question 52

Leukocytosis

Answer 52

Increase White blood cells

Question 53

-Stomy

Answer 53

Creation a hole, opening