Coding 3 final exam study guide Quizzes & Answers

the battery in a pacemaker is called a ____________ - ANSWER generator What is the first thing you need to look at when coding a CABG? - ANSWER identify whether an artery or vein or both are being used identify how many bypass grafts are being done What is harvesting? - ANSWER taking a healthy vessel from somewhere in the body (saphenous vein is often used) How many codes should be reported for combined arterial-venous grafting? - ANSWER 2--the appropriate arterial graft code and the appropriate combined arterial-venous graft add-on code When is the TC modifier used in radiology? - ANSWER when only the technical component is being billed when the technical and professional portions are in one procedure code Ipsilateral - ANSWER situated or appearing on the same side, affecting the same side of the body contralateral - ANSWER pertaining to, located on, or affecting the same side of the body antegrade - ANSWER Extending or moving forward retrograde - ANSWER moving backward; against normal flow What is NCD and what does it do? - ANSWER 1. National Coverage Determinations 2. Explains when Medicare will pay for items or services 3. sets the extent to which Medicare will cover specific services on a national level What is the LCD? - ANSWER 1. Local Coverage Determinations 2. decision by an MAC whether to cover a service locally What is Preclaims Submission responsible for in the revenue cycle? - ANSWER Responsible for collecting the patient's and responsible parties' information completely and accurately to determine: 1. Appropriate financial class (Medicare, Medicaid, etc.) 2. Educating patient as to ultimate financial responsibility for services 3. Collecting waivers when appropriate 4. Verifying data prior to procedures/services being performed and su