AAPC - Medical Terms for Billing & Coding 2023/2024 already passed

AAPC - Medical Terms for Billing & CodingAblation - correct answer Erosive process is performed surgically to eliminate or remove Abuse - correct answer A range of the following improper behaviors or billing practices including, but not limited to: billing for a non-covered service: misusing codes on the claim (i.e., the way the service is coded on the claim does not comply with national or local coding guidelines or is not billed as rendered); or inappropriately allocating costs on a cost report Access - correct answer Your ability to get needed medical care and services Accessibility of Services - correct answer Your ability to get medical care and services when you need them Accessory Dwelling Unit (ADU) - correct answer A separate housing arrangement withing a single-family home. The ADU is a complete living unit and includes a private kitchen and bath Accreditation - correct answer An evaluative process in which a health care organization undergoes an examination of its policies, procedures and performance by an external organization (accrediting body) to ensure that it is meeting predetermined criteria. It usually involves both on and off site surveys Accreditation Cycle for M-C Deeming - correct answer The duration of CMS's recognition of the validity of an accrediting organization's determination that a Medicare + Choice organization (M+CO) is "fully accredited" Accreditation for Deeming - correct answer Some States use the findings of private accreditation organizations, in part or in whole, to supplement or substitute for State oversight of some quality related standards. This is referred to as "deemed compliance" with a standard Accreditation for Participation - correct answer State requirement that plans must be accredited to participate in the Medicaid managed care program Accredited (Accreditation) - correct answer Means having a seal of approval. Being accredited means that a facility or health care organization has met certain quality standards. These standards are set by private, nationally recognized groups that check on the quality of care at health care facilities and organizations. Organization that accredit Medicare Managed Care Plans included the National Committee for Quality Assurance, the Joint Commission on Accreditation of Healthcare Organizations, and the American Accreditation HealthCare Commission/URAC Accredited Standards Committee - correct answer An organization that has been accredited by ANSI for the development of American National Standards Act, Law, Statute - correct answer Term for legislation that passed through Congress and was signed by the President or passed over his veto Activities of Daily Living (ADL) - correct answer Activities you usually do during a normal day such as getting in and out of bed, dressing, bathing, eating, and using the bathroom Actual Charge - correct answer The amount of money a doctor or supplier charges for a certain medial service or supply. This amount is often more than the amount Medicare approved Actuarial Balance - correct answer The difference between the summarized income rate and the summarized cost rate over a given valuation period Actuarial Deficit - correct answer A negative actuarial balance