Study Guide Flashcards
Which is the length of time that records are kept?
Retention
Which method is used to obtain authorization for a specific medical procedure?
Precertification
If a patient’s encounter form indicated cystitis, what does this mean?
Inflammation of the bladder
What type of fracture is the result of a disease?
Pathologic
Which is the common billing practice today that is required for Medicare and Medicaid claims?
Electronic Claim Submission
What is it called when a change is made in a patient’s account, positive or negative, such as a write off?
Adjustment
What is a rubber band-like muscle around the opening of the bladder to the urethra?
Sphincter
If a patient with an HMO is treated by a non-member physician, it is called ________?
Out of Network
Which CPT codes consider three factors, including history, examination and medical decision making?
(E&M) Evaluation and Management
What is used with a CPT code to provide additional explanation of a particular procedure or service?
Modifier
What is a residual condition, or a condition that remains or results from an acute illness?
Sequela
Medicare uses the Medicare Physician Fee Schedule based on which of the following?
RBRVS - Resource-Based Relative Value Scale
A crosswalk between deleted codes and corrected codes in the CPT manual is called ________?
Renumbered Citations
Determining primary and secondary payer for a patient with two insurance coverages is a process of coordination of ________?
Benefits
Which HIPAA provision is aimed at preventing fraud and abuse?
Title II
