CPC Exam (Newest Update)
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Terms in this set (134)
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)
Adjudication Health Insurance Claims process at the insurance
company
Adjusted Average Per Capita Cost Estimate of how much Medicare will spend in a
(AAPCC) year for an average beneficiary
Questions and Detailed Answers | 100% Verified
Correct | Grade A+ | Already Passed.
Practice questions for this set
Learn 1 /7 Study with Learn
Terms in this set (134)
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)
Adjudication Health Insurance Claims process at the insurance
company
Adjusted Average Per Capita Cost Estimate of how much Medicare will spend in a
(AAPCC) year for an average beneficiary
