Questions
1. When should an ABN be signed? When a service is not expected to be covered by
Medicare.
2. What are NCD's interpreted LCD
at the MAC level
considered?
3. What is medical billing? Translating medical documentation into codes.
4. What part of Medicare should Part D
be billed for the pain
medication by the pharmacy?
5. The amount on an ABN
should be within how much
of the cost to the patient? $100 or 25% of cost.
6. An entity that processes
non- standard health
information they receive
from another enti- ty into a Clearinghouse.
standard is considered what?
7. What is PHI? Personal Health Information.
8. Intentional billing of Fraud.
services not provided is
considered?
9. What OIG document should a OIG Work Plan. Each year in October.
provider reveiw for potential
problem areas that will
receive special scrutiny in the
upcoming year?
10. What is ABN? Advance Beneficiary Notification
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Questions
11. What is AMA? American Medical Association.
12. What is CPC? Current Procedural Terminology. What was
done into codes.
13. What is ICD-9-CM? International Classification of Disease, 9th Clinical Modi
cation. Why was done in codes.
14. What is HIPAA? Health Insurance Portability and Accountability Act of
1996. Law passed by Congress to improve the
portability and continuity of healthcare coverage.
15. What is OIG? Oflce of Inspector General. Makes sure everyone is
in com- pliance
16. What is CMS? Centers for Medicare & Medicaid Services. Basic
guidelines for private prctice and rules.
17. a-,an- Without, lack of, absent, deficient
18. Ab-,abs- From, away
19. Ad- Near, toward
20. -algia,-algesia Pain
21. Ambi- Both
22. Angio Vessle (blood or lymph)
23. Ano Anus
24. Ante- Before
25. Anti- Against
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Questions
26. Arterio Artery
27. Arthro Joint
28. Asthenia Weakness.
29. Auto- Self
30. Bi- Two, twice
31. Brady- Slow
32. Broncho Bronchus
33. Cardio Heart
34. -cele Tumor, swelling, hernia, sac
35. -centesis Puncture
36. Cephalo Head
37. Chole Gall
38. Cholecysto Gall bladder
39. Choledocho Common bile duct
40. Chondro Cartilage
41. -cide Kill
42. Circum Around
43. -cise Cut
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