NHA CBCS Review
E Codes - Answer -For durable medical equipment for use in home
Chief Complaint (CC) - Answer -The reason the patient came to see the physician.
Past, Family and Social History (PFSH) - Answer -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
Add on Codes - Answer -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.
What act mandated the reporting of ICD-9-CM diagnosis codes? - Answer -The Medicare Catastrophic
Coverage Act of 1988
Electronic Data interchange (EDI) - Answer -Transmitting electronic medical insurance claims from
providers to payers using the necessary information systems is called
Medical Ethics are - Answer -Standards of conduct based on moral principals. Acting within ethical
behavior boundries means carrying out one's responsibilities with integrity, decency, respect, honesty,
competence, fairness and trust.
, Three Components for E*M Codes - Answer -1.History
2.Physical Exam
3.Medical Decision-Making
Guidelines are Found? - Answer -At the beginning of each section and used to provide specific coding
rules for that section.
Co-payment - Answer -A fixed fee collected at the time of the patients visit.
Review Linkage Protocol - Answer -Appropriateness of Codes, Payers rules about linkage,
Documentation to support codes, Compliance with regulation and guidelines
What is confidentiality? - Answer -Involves restricting patient information access to those with proper
authorization and maintaining the security of patient information.
What are the names of the three tables that appear in the Index to Diseases? - Answer -Hypertension
Neoplasm Table of Drugs and Chemicals
Level 2 codes - Answer -National codes for physician and non-physician service not found in the CPT
Level 1
Inpatient - Answer -A/An ___________ is a person admitted to a hospital or long-term care facility(LTCF)
for treatment with the expectation that the patient will remain in the hospital for a period of 24 hours or
more.
HIPAA is an acronym for - Answer -Health Insurance Portability and Accountability Act of 1996.
Life Cycle of a Claim - Answer -Submission, Processing, Adjudication, Non-covered, Unauthorized,
Medical Necessity Checks, Payment / RA / ERA
Level 1 codes - Answer -Codes found in the CPT manual
E Codes - Answer -For durable medical equipment for use in home
Chief Complaint (CC) - Answer -The reason the patient came to see the physician.
Past, Family and Social History (PFSH) - Answer -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
Add on Codes - Answer -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.
What act mandated the reporting of ICD-9-CM diagnosis codes? - Answer -The Medicare Catastrophic
Coverage Act of 1988
Electronic Data interchange (EDI) - Answer -Transmitting electronic medical insurance claims from
providers to payers using the necessary information systems is called
Medical Ethics are - Answer -Standards of conduct based on moral principals. Acting within ethical
behavior boundries means carrying out one's responsibilities with integrity, decency, respect, honesty,
competence, fairness and trust.
, Three Components for E*M Codes - Answer -1.History
2.Physical Exam
3.Medical Decision-Making
Guidelines are Found? - Answer -At the beginning of each section and used to provide specific coding
rules for that section.
Co-payment - Answer -A fixed fee collected at the time of the patients visit.
Review Linkage Protocol - Answer -Appropriateness of Codes, Payers rules about linkage,
Documentation to support codes, Compliance with regulation and guidelines
What is confidentiality? - Answer -Involves restricting patient information access to those with proper
authorization and maintaining the security of patient information.
What are the names of the three tables that appear in the Index to Diseases? - Answer -Hypertension
Neoplasm Table of Drugs and Chemicals
Level 2 codes - Answer -National codes for physician and non-physician service not found in the CPT
Level 1
Inpatient - Answer -A/An ___________ is a person admitted to a hospital or long-term care facility(LTCF)
for treatment with the expectation that the patient will remain in the hospital for a period of 24 hours or
more.
HIPAA is an acronym for - Answer -Health Insurance Portability and Accountability Act of 1996.
Life Cycle of a Claim - Answer -Submission, Processing, Adjudication, Non-covered, Unauthorized,
Medical Necessity Checks, Payment / RA / ERA
Level 1 codes - Answer -Codes found in the CPT manual
