Medical Billing and Coding Pt3 Flashcards

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1
Q
  1. Where do medical insurance companies summarize the payments they may make for medically necessary medical services?
A

Schedule and benefits

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2
Q
  1. Define preauthorization
A

When we need to go submit and medical procedure

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3
Q
  1. A computerized lifelong health care record for an individual is known as a?
A

EHR

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4
Q
  1. With E/M coding, which type of examination is the most extensive and complete?
A

Comprehensive

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5
Q
  1. 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)

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6
Q
  1. Which type of insurance covers patients who are age 65 and over?
A

Medicare

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7
Q
  1. How would a payer respond to a claim that does not contain at least one diagnosis code?
A

the payer will deny a claim

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8
Q
  1. When is a deductible paid?
A

before benefits begin

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9
Q
  1. The first step in ICD-10-CM coding is to:
A

locate the main term or the alphabetical index

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10
Q
  1. Define the Tabular List. How many chapters are within the list?
A

21 of all disease

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