AAPC Official CPC Certification Study Guide Notes(Notes, definitions and questions from AAPC CPC Study Guide Medical Coding Prep)Graded A+

CMS will accept the ____________ for either a "potentially non=covered" service or for a statutorily excluded service - Answer CMS-R-131 CMS-R-131 - Answer ABN form or Advance Beneficiary Notice which explains to the patient why Medicare may deny the particular service or procedure. CPT - Answer Current Procedural Terminology CY 2013 Conversion Factor - Answer $25.0008 Commercial (non-Medicare) may develop their own medical policies which do not follow Medicare guidelines and are specified in - Answer private contracts between the payer and practice or provider DRG - Answer Diagnosis Related Group Does Medicare Part B generally require a yearly deductable and copayment? - Answer yes E/M OR E&M - Answer Evaluation and Management EHR - Answer Electronic Health Record Formula for Calculating Facility Payment amounts - Answer [(Work RVU * Work GPCI) + (Transitioned Facility PE RVU * PE GPCI) + (MP RVU * MP GPCI