Medical Billing Test Chapter 1-3
American Medical Billing Association (AMBA)
created the CMRS certification 10 years ago to demonstrate the billing professionals credibility
and dedication to advancement of their career through education knowledge and skills.
American Academy Of Professional Coders (AAPC)
organization of professionals dedicated ti educating physician- based coders
National Healthcare Association (NHA)
organization that specializes in the certification of healthcare professionals, including coders.
Certified Professional Biller (CPB)
is a proctored exam it contains 200 multiple choice questions and they have 5 hours and 40
mins to complete exam
Certified Medical Reimbursement Specialist (CMRS)
a certification offered by the american medical billing association. the exam is administered
online through a secure login and contains over 800 questions.
Certified Billing and Coding Specialist (CBCS)
a certification offered by the national health-career association. responsible for assigning
medical diagnoses and procedures on a patients record and then submitting them to the
insurance payer
Military Treatment Facility (MTF)
a place where Tricare members receive medical treatment
ICD-9-CM
International Classification of Diseases 9th Revision:
are used to report diagnoses, signs, and symptoms of a patients illness or disease
ICD-10-PCS
are used in the hospitals for procedures
HCPCS
, a coding system used to report procedures, services,supplies,medicin, and durable medical
equipment.Comprised of CPT (level1) (level2) codes
CPT
codes used to report services and procedures. These are Level 1 codes under HCPCS. 5 digit
numeric codes
Fee Schedule
a list of allowed amounts for all services and procedures payable by the insurance company
American Medical Billing Associations Exam
AAPC Certification
200 multiple choice questions and has 5 hours and 40 mins to complete the exam
Who regulates Medicare and Medicaid?
CMS
Deductible Plan
the amount the patient is responsible to pay before any reimbursement is issued by the
insurance company . usually associated with indemnity traditional or commercial plans
Indeminity Plan
a type of insurance plan in which reimbursement is made at 80 percent of the allowed amount.
The patient is then responsible to pay the remaining 20 percent
Managed Care Plan
a health insurance plan that includes financing, management , and delivery of health care
services.
In Network Plan
medical care sought from participating providers within a managed care plan
Tricare Prime
the only tricare plan offering coverage for active duty service members. Retired members may
also select this plan
Tricare Standard
American Medical Billing Association (AMBA)
created the CMRS certification 10 years ago to demonstrate the billing professionals credibility
and dedication to advancement of their career through education knowledge and skills.
American Academy Of Professional Coders (AAPC)
organization of professionals dedicated ti educating physician- based coders
National Healthcare Association (NHA)
organization that specializes in the certification of healthcare professionals, including coders.
Certified Professional Biller (CPB)
is a proctored exam it contains 200 multiple choice questions and they have 5 hours and 40
mins to complete exam
Certified Medical Reimbursement Specialist (CMRS)
a certification offered by the american medical billing association. the exam is administered
online through a secure login and contains over 800 questions.
Certified Billing and Coding Specialist (CBCS)
a certification offered by the national health-career association. responsible for assigning
medical diagnoses and procedures on a patients record and then submitting them to the
insurance payer
Military Treatment Facility (MTF)
a place where Tricare members receive medical treatment
ICD-9-CM
International Classification of Diseases 9th Revision:
are used to report diagnoses, signs, and symptoms of a patients illness or disease
ICD-10-PCS
are used in the hospitals for procedures
HCPCS
, a coding system used to report procedures, services,supplies,medicin, and durable medical
equipment.Comprised of CPT (level1) (level2) codes
CPT
codes used to report services and procedures. These are Level 1 codes under HCPCS. 5 digit
numeric codes
Fee Schedule
a list of allowed amounts for all services and procedures payable by the insurance company
American Medical Billing Associations Exam
AAPC Certification
200 multiple choice questions and has 5 hours and 40 mins to complete the exam
Who regulates Medicare and Medicaid?
CMS
Deductible Plan
the amount the patient is responsible to pay before any reimbursement is issued by the
insurance company . usually associated with indemnity traditional or commercial plans
Indeminity Plan
a type of insurance plan in which reimbursement is made at 80 percent of the allowed amount.
The patient is then responsible to pay the remaining 20 percent
Managed Care Plan
a health insurance plan that includes financing, management , and delivery of health care
services.
In Network Plan
medical care sought from participating providers within a managed care plan
Tricare Prime
the only tricare plan offering coverage for active duty service members. Retired members may
also select this plan
Tricare Standard
