Medical Billing and Coding Pt3 Flashcards
1
Q
- Where do medical insurance companies summarize the payments they may make for medically necessary medical services?
A
Schedule and benefits
2
Q
- Define preauthorization
A
When we need to go submit and medical procedure
3
Q
- A computerized lifelong health care record for an individual is known as a?
A
EHR
4
Q
- With E/M coding, which type of examination is the most extensive and complete?
A
Comprehensive
5
Q
- List the steps of the Revenue Cycle
A
10 steps
Scheduling/registration (front end), patient encounter ( front end), charge entry/coding (back end), claims processing (back end), insurance collection/follow up (back end)
6
Q
- Which type of insurance covers patients who are age 65 and over?
A
Medicare
7
Q
- How would a payer respond to a claim that does not contain at least one diagnosis code?
A
the payer will deny a claim
8
Q
- When is a deductible paid?
A
before benefits begin
9
Q
- The first step in ICD-10-CM coding is to:
A
locate the main term or the alphabetical index
10
Q
- Define the Tabular List. How many chapters are within the list?
A
21 of all disease
