CCA EXAM PREP Domain 2 Reimbursement Methodologies Already Passed

CCA EXAM PREP Domain 2 Reimbursement Methodologies Already Passed 2nd step in reimbursement process Code assignment 1st step in reimbursement process Documentation - medical/ financial record 3rd step in reimbursement process Claim preparation 4th step in reimbursement process Claim to payer(s) 5th step in reimbursement process Claim review 6th step in reimbursement process Claim resolution What are the 2 types of outpatient coding situations 1. Coding for physicians 2. Coding for facilities What does medical biller use as foundation for determining who should receive bills and who has responsibility for payment? Demographic information When is demographic information collected Front office during pre-regristration CDM stands for Charge Description Master List of all supplies, services, equipment, usage fees for patient care Charge Description Master Coders perform the coding on procedures that vary from patient to patient. Soft Coding Done by CDM. Automatically assigns codes based on a unique identifier number of routine services Hard coding - CPT/HCPCS procedure code - Charge descripition - Revenue Code - Charge - Department code - Charge Code - Charge