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Mrdical Coding > Exam > Flashcards

Exam Flashcards

1
Q

CMS-HCC stand for? Что означает

A

Centres for Medicare and Medicaid services Hierarchical Condition Category

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2
Q

Active compliance plan benefits:

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

NOT a benefit of an active compliance plan

A

Eliminates risk of an audit

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4
Q

Neurotransmitters

A

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

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5
Q

Interneurons

A

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

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6
Q

Function of thyroid gland

A

Is secrets hormones regulating body metabolism and blood calcium

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7
Q

Blood in pleura cavity ( легкие)

A

Hemothorax

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8
Q

Pain in the ear

A

Otalgia

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9
Q

What does ICD 10 -Cm for

A

International classification of Desease 10 Revision, Clinical Modification

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10
Q

Eye strain

A

Напряжение глаз

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11
Q

Acute respiratory failure as a SECONDARY diagnosis

A

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

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12
Q

Medicare part A

A

Inpatient hospital

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13
Q

Medicare part B

A

Outpatient hospital

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14
Q

Medicare part C

A

Combine

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15
Q

Medicare part D

A

Drug

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16
Q

NCD

A

National Coverage Determination
Explain when Medicare will pay

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17
Q

MAC

A

Medicare administrative Contractor
Interpretiring national policies into regional

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18
Q

LCD

A

Local Coverage Determinations

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19
Q

ABN

A

Advance Beneficiary Notice
When Medicare may not cover the procedure

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20
Q

None Medicare payers may not recognize the ABN

A
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21
Q

ABN %noncovered service

A

100$ or 25%

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22
Q

HIPAA

A

Health Insurance Portability and Accountability Act of 1996

23
Q

HITECH

A

Health Information Technology for Economic and Clinical Health Act
ARRA 2009

24
Q

Compliance plan

A

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

25
Q

OIG

A

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

26
Q

OIG Work Plan

A

What may be happened

27
Q

AMA

A

American Medical Association

28
Q

APC

A

Ambulatory Payment Classification

29
Q

APM

A

Advanced Alternative Payment Models

30
Q

ARRA

A

American Recovery and Reinvestment Act 2009

31
Q

ASC

A

Ambulatory Surgical Centers

32
Q

CDT

A

current dental terminology

33
Q

CMS

A

Centers for Medicare and Medicaid Services

34
Q

CMS-HCC

A

Centers for Medicare and Medicaid Services Hierarchial Condition Category

35
Q

CPC

A

Certified Professional Coder

36
Q

CPT

A

Current Procedural Terminology 1966

37
Q

EHR

A

Electronic Health Record

38
Q

EIN

A

Employer Identification Number

39
Q

HCPCS

A

Healthcare Common Provedure Coding System

40
Q

HHS

A

Department of Health and Human Services

41
Q

HMO

A

Health Maintenance Organisation

42
Q

ICD-10-CM

A

International Classification of Disease, Tenth Revision, Clinical Modification

43
Q

MS-DRG

A

Medical Severity-Diagnosis Related Group

44
Q

MIPS

A

Merit-Based Incentive Payments System

45
Q

NP

A

Nurse Practitioner

46
Q

NPI

A

National Provider Identifier

47
Q

OCR

A

Office for Civil Rights
Responsible for enforcing HIPAA

48
Q

PA

A

Physician Assistant

49
Q

PHI

A

Protected Health Information

50
Q

PPACA

A

Patient Protection And Affordable Care Act

51
Q

TPO

A

Treatment, payment and healthcare operations

52
Q

Leukocytosis

A

Increase White blood cells

53
Q

-Stomy

A

Creation a hole, opening

Mrdical Coding (6 decks)

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