COC EXAM STUDY GUIDE WITH COMPLETE
SOLUTION
APC - answerAMBULATORY PAYMENT CLASSIFICATION
CDM - answerCHARGE DESCRIPTION MASTER
CMS - answerCENTERS FOR MEDICARE AND MEDICAID SERVICES
OPPS - answerOUTPATIENT PROSPECTIVE PAYMENT SYSTEM
OCE - answerOUTPATIENT CODE EDITOR
ACS - answerAMERICAN COLLEGE OF SURGEONS
ASC - answerAMBULATORY SURGICAL CENTER
CAH - answerCRITICAL ACCESS HOSPITAL
CORF - answerCOMPREHENSIVE OUTPT REHAB FACILITY
CPT - answerCURRENT PROCEDURAL TERMINOLOGY
HCPCS - answerHEALTHCARE COMMON PROCEDURE CODING SYSTEM
AHA - answerAMERICAN HOSPITAL ASSOCIATION
, MS-DRG - answerMEDICARE SEVERITY DIAGNOSIS RELATED GROUP
general supervision - answerphysician must be immediately available; does not
have to be in the room
direct supervision - answerService is under physician's control; provider must be
directly available and on campus.
personal supervision - answerprovider must be in the room during service
Not included in APC reimbursement (may be billed out separately from
hospital): (6) - answer*doctor and anesthesiologist fees
*durable medical equipment (DME)
*prosthetic devices
*ambulance services
*outside lab services
*certain drugs and biologicals
DME - answerDURABLE MEDICAL EQUIPMENT
Residents - answerlicensed physician, two - five years training
Fellows - answerphysicians obtaining additional training
hard coding - answercoding within the charge master
SOLUTION
APC - answerAMBULATORY PAYMENT CLASSIFICATION
CDM - answerCHARGE DESCRIPTION MASTER
CMS - answerCENTERS FOR MEDICARE AND MEDICAID SERVICES
OPPS - answerOUTPATIENT PROSPECTIVE PAYMENT SYSTEM
OCE - answerOUTPATIENT CODE EDITOR
ACS - answerAMERICAN COLLEGE OF SURGEONS
ASC - answerAMBULATORY SURGICAL CENTER
CAH - answerCRITICAL ACCESS HOSPITAL
CORF - answerCOMPREHENSIVE OUTPT REHAB FACILITY
CPT - answerCURRENT PROCEDURAL TERMINOLOGY
HCPCS - answerHEALTHCARE COMMON PROCEDURE CODING SYSTEM
AHA - answerAMERICAN HOSPITAL ASSOCIATION
, MS-DRG - answerMEDICARE SEVERITY DIAGNOSIS RELATED GROUP
general supervision - answerphysician must be immediately available; does not
have to be in the room
direct supervision - answerService is under physician's control; provider must be
directly available and on campus.
personal supervision - answerprovider must be in the room during service
Not included in APC reimbursement (may be billed out separately from
hospital): (6) - answer*doctor and anesthesiologist fees
*durable medical equipment (DME)
*prosthetic devices
*ambulance services
*outside lab services
*certain drugs and biologicals
DME - answerDURABLE MEDICAL EQUIPMENT
Residents - answerlicensed physician, two - five years training
Fellows - answerphysicians obtaining additional training
hard coding - answercoding within the charge master
