Week 13- Medical Coding Flashcards
Modifier
helps further explain a procedure code w/o changing its definition
E&M codes (evaluation and management codes)
99202-99499, reps services provided by a physician or other healthcare professional
HCPCS codes
represent non physician services like transportation and DME’s
Where should an MA never code from?
The Alpha Index
Where should codes be verified?
The tabular list
reimbursement on a lower code level than submitted
downgrading
reimbursement on a higher code level than submitted for a higher fee (fraudulent)
upcoding
unique ID # for covered healthcare providers
NPI (national provider identifier)
used to document procedures and services in an Outpatient level
CPTs (curren procedural technology)
identifies the type of disease or symptom the patient is experiencing
ICD-10-CM (International Classification of Diseases)
Types of ICD-10 codes used when person who may or may not be experiencing sick encounters health services for some specific reason?
Z codes
Evaluation and Management codes range from
99201 to 33499
a routing or encounter form is also known as a
Superbill
Example of a third party reimbursement ?
Insurance company pays for the visit
who is responsible for assigning ICD10 codes to a patient?
Physician
