(CORRECT ANSWERS)
E Codes - correct answer For durable medical equipment for use in home
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Chief Complaint (CC) - correct answer The reason the patient came to see the physician.
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Past, Family and Social History (PFSH) - correct answer Consists of patients personal experiences with
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illnesses, surgeries, and injuries; Information of illnesses predominant in family; Patients educational
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background, occupation, marital status and other factors q q q q q q
Add on Codes - correct answer Used for procedures that are always performed during the same operative
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session, as another surgery in addition to the primary service/procedure and is never performed separately.
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What act mandated the reporting of ICD-9-CM diagnosis codes? - correct answer The Medicare Catastrophic
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Coverage Act of 1988 q q q
Electronic Data interchange (EDI) - correct answer Transmitting electronic medical insurance claims from
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providers to payers using the necessary information systems is called
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Medical Ethics are - correct answer Standards of conduct based on moral principals. Acting within ethical
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behavior boundries means carrying out one's responsibilities with integrity, decency, respect, honesty,
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competence, fairness and trust. q q q
, Three Components for E*M Codes - correct answer 1.History
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2.Physical Exam q q
3.Medical Decision-Making q
Guidelines are Found? - correct answer At the beginning of each section and used to provide specific coding
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rules for that section.
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Co-payment - correct answer A fixed fee collected at the time of the patients visit.
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Review Linkage Protocol - correct answer Appropriateness of Codes, Payers rules about linkage,
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Documentation to support codes, Compliance with regulation and guidelines q q q q q q q q
What is confidentiality? - correct answer Involves restricting patient information access to those with proper
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authorization and maintaining the security of patient information. q q q q q q q
What are the names of the three tables that appear in the Index to Diseases? - correct answer Hypertension
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Neoplasm Table of Drugs and Chemicals q q q q q
Level 2 codes - correct answer National codes for physician and non-physician service not found in the CPT
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Level 1 q
Inpatient - correct answer A/An ___________ is a person admitted to a hospital or long-term care
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facility(LTCF) for treatment with the expectation that the patient will remain in the hospital for a period of 24
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hours or more. q q
HIPAA is an acronym for - correct answer Health Insurance Portability and Accountability Act of 1996.
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Life Cycle of a Claim - correct answer Submission, Processing, Adjudication, Non-covered, Unauthorized,
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Medical Necessity Checks, Payment / RA / ERA
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Level 1 codes - correct answer Codes found in the CPT manual
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