CPC Exam with Complete Solution
Abstractor - hospital employee who converts documented procedurs and diangoses into medical codes Abuse - coding practices that lead to improper reimbursement by error because they do not meet medical necessity, ex. changing diagnosis to be covered by insurance Accreditation - an examination process the healthcare facility goes through to evaluate the facilities policies, procedures, and performance to meet higher standards. Accredited - Having seal of approval after being evaluated and demonstrating quality standards Act/ Law/ Statute - Legislation passed through Congress and signed by President or passed over his veto Actual Charge - The amount the provider charges for medical services or supplies. Not always paid in full. Additional Benefits - Health care services not covered by Medicare and are offered through the Medicare Advantage Organization for no additional premium. The benefits must equal the ACR (Adjusted Community Rating
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- December 29, 2023
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