Ace the Test
Centers for Medicare & Medicaid Services (CMS) - 🧠ANSWER ✔✔An
administrative agency within the Department of Health and Human
Services (DHHS) that oversees Medicare, Medicaid, and other government
programs. Formerly known as the Health Care Financing Administration
(HCFA)
American Academy of Professional Coders (AAPC) - 🧠ANSWER ✔✔The
professional association for medical coders providing ongoing education,
certification, networking and recognition, with certifications for coders in
physicians' offices and hospital outpatient facilities
,American Health Information Management Association (AHIMA) -
🧠ANSWER ✔✔One of the four co-operationg parties for ICD-9-CM.
Professional association for over 38,000 Health Information Management
Professionals throughout the country
Board of Advanced Medical Coding (BAMC) - 🧠ANSWER ✔✔An
organization of coders, clinicians, and compliance professionals dedicated
to the evaluation, recognition, and career advancement of professional
medical coders within physician practices, facility and post-acute settings
Board of Advanced Medical Coding (BMAC) - 🧠ANSWER ✔✔provides
specialty certification for::
Anesthesia/Pain Management, Cardiology, Dermatology,
Facility Outpatient/ Ambulatory Surgical Center, Family Practice/Pediatrics,
Gastroenterology, General Surgery, Obstetrics/Gynecology,
Ophthalmology, Orthopedics, Radiology, Urology
Health Insurance Portability and Accountability Act (HIPAA) - 🧠ANSWER
✔✔Mandates regulations that govern privacy, security, and electronic
transactions standards for health care information
, insurance fraud - 🧠ANSWER ✔✔intentional, deliberate misrepresentation of
information for profit or to gain some unfair or dishonest advantage
Health Insurance Association of America (HIAA) - 🧠ANSWER ✔✔An
agency providing statistics and resources for public health information
which includes diseases, pregnancies, aging, and mortality.
insurance abuse - 🧠ANSWER ✔✔inconsistent activities considered
unacceptable business practice
Omnibus Budget Reconciliation Act (OBRA) - 🧠ANSWER ✔✔A federal law
outlining numerous areas of healthcare, establishing guidelines and
penalties
tools of the trade for coders - 🧠ANSWER ✔✔current: ICD-9-CM manual
issued every October, CPT manual issued every January, HCPCS manual
issued every January, medical dictionary w/ supplement for medical
abbreviations and acronyms, carrier bulletins, newsletters, and websites
Healthcare Common Procedure Coding System (HCPCS) - 🧠ANSWER
✔✔coding system that consists of CPT and national codes (level II), used
to identify procedures, supplies, medications (except vaccines), and
equipment. pronounced hick picks.
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