Study Guide Flashcards
What term means increased growth?
Hypertrophy
What is another name for an encounter form?
Superbill
Where is a CMS-1500 or HIPAA837P claim used?
Physsician’s office
The global package includes which of the following?
Preoperative visit
Which claim is submitted first?
Primary
When a patient’s debt is eliminated by a court of law, what process has taken place?
Bankruptcy
If an unlisted CPT code or miscellaneous HCPCS code is assigned, besides a cover letter and certificate of medical necessity, what should be included with the claim to explain the service and fee?
Special report
If a claim is rejected, what will need to be done?
Resubmission
What is the full title of the HCPCS manual?
Healthcare Common Procedure Coding System
According to HIPAA, which is a covered entity?
Health plans, Healthcare providers and Clearing houses
What is the amount established by the payer for a service that the participating physician agrees to accept as payment in full?
Allowed amount
Which organization works to better coordinate patient care?
ACO - Accountable Care Organizations
Which HIPAA provision requires access to Healthcare portability and renewability?
Title I
