Certification study guide for NHA CBCS Exam Questions And Answers

Certification study guide for NHA CBCS Exam Questions And Answers Medical Ethics - ANS Standards of conduct based on moral principals. Acting within ethical behavior boundaries means carrying out one's responsibilities with integrity, decency, respect, honesty, competence, fairness and trust. Compliance Regulations - ANS Most billing related cases are based on HIPAA and the False Claims Act. HIPAA is an acronym for - ANS Health Insurance Portability and Accountability Act of 1996. Category 1 CPT codes - ANS Medical Procedures. Category 2 CPT codes - ANS Supplemental Codes for Performance Measures. Category 3 CPT codes - ANS Emerging Technologies. Add on Codes - ANS Used for procedures that are always performed during the same operative session, as another surgery in addition to the primary service/procedure and is never performed separately. Anesthesia is found - ANS 00100-01999, . Evaluation and Management (E&M) codes - ANS Are listed first in the CPT manual because they are used by all the different specialties. Brackets - ANS Used to enclose synonyms, alternative wording or and explanatory phrase. Bullets - ANS Represents a new procedure or service code added since the previous edition of the manual. Chief Complaint (CC) - ANS The reason the patient came to see the physician. Circle with a line through it () - ANS Exemption from modifier 51. CPT - ANS Used to report services and procedures by physicians. E&M codes - ANS Guidelines are found - ANS At the beginning of each section and used to provide specific coding rules for that section. History (HX) - ANS The set of information the physician gathers from the patient concerning his/her past. History of Present Illness (HPI) - ANS A chronological account of the development of the complaint from the first sign or symptom that the patient experienced to the present. Indented Codes - ANS Listed under associate and stand alone codes. E Codes - ANS For durable medical equipment for use in home. Level 1 codes - ANS Codes found in the CPT manual. Level 2 codes - ANS National codes for the physician and non-physician service not found in the CPT Level 1. Level 3 codes - ANS Used locally or regionally and have been eliminated by the CMS since the implementation of HIPAA. The List of Modifiers is found where in the CPT - ANS Appendix A and in the front of the book. Modifier 50 - ANS Bilateral procedure. Modifier 24 - ANS Attach to E/M service code when service is provided during postoperative period to indicate that the service is not part of postoperative care and not included in the Surgical Package. Modifier 26 - ANS Provider only provided the professional component. Modifier 51 - ANS Used more than one procedure during the same surgical episode. Modifier 57 - ANS Modifier 57 is used on E/M services the day before or day of major surgery when the initial decision to perform the surgery is identified. Modifier 78 - ANS Physician must return to Operating Room to address complication stemming from initial procedure. Modifier 79 - ANS Procedure or service provided during postoperative period not associated with initial procedure. Modifiers - ANS Reporting indicators that indicate that the procedure or service has been altered by specific circumstance but has not changed in it's definition of code. Parentheses - ANS Used to enclose supplementary words, non-essential modifiers. Past, Family and Social History (PFSH) - ANS Consists of patients personal experiences with illnesses, surgeries, and injuries; Information of illnesses predominant in family' Patients educational background, occupation, marital status and other factors. Pathology and Laboratory - ANS . Plus sign indicates () - ANS Add on codes. Radiology - ANS . Review of Symptoms (ROS) - ANS Inventory of the constitutional symptoms regarding the various body systems. Stand Alone Codes - ANS Contain full description to the procedure for a code. Sideways triangle means ( ▶️ ) - ANS Change in wording between triangles. Bullet means - ANS New procedure