CBCS

CBCS The centers for medicare and medicaid service (CMS) is an administration within the ____ - department of health and human services A health care practioiner is also called a health care - provider the process of assigning diagnoses, procedures, and services using numeric and alphanumeric characters is called - coding If a health insurance plan's prior approval requirement are not met by providers - payment of the claim is denied which coding system is used to report diagnoses and claims - ICD-10-CM The CPT coding system is published by the - AMA National codes are associated with blank and are used to report procedures, services, and supplies not classified in CPT - HCPCS level II Which report is sent to the patient by the payer to clarify the results of claims processing? - a explanation of benefits A remittance advice contains - payment information about a claim Which type of insurance guarantees repayment for financial losses resulting from an employee's act or failure to act - bonding Physicians and other healthcare professionals purchase __________insurance to protect them from liability relating to claims arising from patient treatment - medical malpractice The administrative agency responsible for establishing rules for Medicare claims processing is called the - Centers for Medicare and Medicaid Services (CMS) Patients with health insurance may require blank for treatment by specialist and documentation of post treatment reports - prior approval The principles of right and good conduct are known as - ethics Matching ICD-10-CM diagnosis codes to CPT and HCPCS level II procedure and service codes on a claim submitted for a patient encounter ensures that services and procedures are reasonable and necessary for the diagnosis or treatment of an illness or injury. This concept is called __________. - medical necessity Which is submitted to the payer requesting reimbursement for physician and/or outpatient claims - CMS-1500 claim form