Study Guide

Question 1

Which are codes that can be used for performance measurement?

Answer 1

Category II codes

Question 2

Which reimbursement method is based on a group of physicians within a geographic area?

Answer 2

UCR - Usual, Customary and Reasonable

Question 3

What is a billing method where patient statements are sent out at specific points in the month to a certain group of patients?

Answer 3

Cycle

Question 4

Which block on the claim form is used to enter diagnosis codes?

Answer 4

21

Question 5

What document, sent to the patient and sometimes the provider, shows the services, charges and reimbursement, but has been mostly replaced with an electronic version?

Answer 5

EOB - Explanation of Benifits

Question 6

Similar to unlisted codes found within the CPT manual, which codes are used for the HCPCS manual when there is no code that describes the service or supply?

Answer 6

Miscellaneous codes

Question 7

Which code set is most commonly used by Medicaid?

Answer 7

HCPCS

Question 8

What is the act of one physician, providing medical services to another provider, free of charge?

Answer 8

Professional courtesy