When should an ABN be signed? ~CORRECT ANSWER~✓✓When a service is
not expected to be covered by Medicare.
What are NCD's interpreted at the MAC level considered? ~CORRECT
ANSWER~✓✓LCD
What is medical billing? ~CORRECT ANSWER~✓✓Translating medical
documentation into codes.
What part of Medicare should be billed for the pain medication by the pharmacy?
~CORRECT ANSWER~✓✓Part D
The amount on an ABN should be within how much of the cost to the patient?
~CORRECT ANSWER~✓✓$100 or 25% of cost.
An entity that processes nonstandard health information they receive from another
entity into a standard is considered what? ~CORRECT
ANSWER~✓✓Clearinghouse.
What is PHI? ~CORRECT ANSWER~✓✓Personal Health Information.
,Intentional billing of services not provided is considered? ~CORRECT
ANSWER~✓✓Fraud.
What OIG document should a provider reveiw for potential problem areas that will
receive special scrutiny in the upcoming year? ~CORRECT ANSWER~✓✓OIG
Work Plan. Each year in October.
What is ABN? ~CORRECT ANSWER~✓✓Advance Beneficiary Notification
What is AMA? ~CORRECT ANSWER~✓✓American Medical Association.
What is CPC? ~CORRECT ANSWER~✓✓Current Procedural Terminology. What
was done into codes.
What is ICD-9-CM? ~CORRECT ANSWER~✓✓International Classification of
Disease, 9th Clinical Modification. Why was done in codes.
What is HIPAA? ~CORRECT ANSWER~✓✓Health Insurance Portability and
Accountability Act of 1996. Law passed by Congress to improve the portability
and continuity of healthcare coverage.
What is OIG? ~CORRECT ANSWER~✓✓Office of Inspector General. Makes
sure everyone is in compliance
, What is CMS? ~CORRECT ANSWER~✓✓Centers for Medicare & Medicaid
Services. Basic guidelines for private prctice and rules.
a-,an- ~CORRECT ANSWER~✓✓Without, lack of, absent, deficient
Ab-,abs- ~CORRECT ANSWER~✓✓From, away
Ad- ~CORRECT ANSWER~✓✓Near, toward
-algia,-algesia ~CORRECT ANSWER~✓✓Pain
Ambi- ~CORRECT ANSWER~✓✓Both
Angio ~CORRECT ANSWER~✓✓Vessle (blood or lymph)
Ano ~CORRECT ANSWER~✓✓Anus
Ante- ~CORRECT ANSWER~✓✓Before
Anti- ~CORRECT ANSWER~✓✓Against
Arterio ~CORRECT ANSWER~✓✓Artery
not expected to be covered by Medicare.
What are NCD's interpreted at the MAC level considered? ~CORRECT
ANSWER~✓✓LCD
What is medical billing? ~CORRECT ANSWER~✓✓Translating medical
documentation into codes.
What part of Medicare should be billed for the pain medication by the pharmacy?
~CORRECT ANSWER~✓✓Part D
The amount on an ABN should be within how much of the cost to the patient?
~CORRECT ANSWER~✓✓$100 or 25% of cost.
An entity that processes nonstandard health information they receive from another
entity into a standard is considered what? ~CORRECT
ANSWER~✓✓Clearinghouse.
What is PHI? ~CORRECT ANSWER~✓✓Personal Health Information.
,Intentional billing of services not provided is considered? ~CORRECT
ANSWER~✓✓Fraud.
What OIG document should a provider reveiw for potential problem areas that will
receive special scrutiny in the upcoming year? ~CORRECT ANSWER~✓✓OIG
Work Plan. Each year in October.
What is ABN? ~CORRECT ANSWER~✓✓Advance Beneficiary Notification
What is AMA? ~CORRECT ANSWER~✓✓American Medical Association.
What is CPC? ~CORRECT ANSWER~✓✓Current Procedural Terminology. What
was done into codes.
What is ICD-9-CM? ~CORRECT ANSWER~✓✓International Classification of
Disease, 9th Clinical Modification. Why was done in codes.
What is HIPAA? ~CORRECT ANSWER~✓✓Health Insurance Portability and
Accountability Act of 1996. Law passed by Congress to improve the portability
and continuity of healthcare coverage.
What is OIG? ~CORRECT ANSWER~✓✓Office of Inspector General. Makes
sure everyone is in compliance
, What is CMS? ~CORRECT ANSWER~✓✓Centers for Medicare & Medicaid
Services. Basic guidelines for private prctice and rules.
a-,an- ~CORRECT ANSWER~✓✓Without, lack of, absent, deficient
Ab-,abs- ~CORRECT ANSWER~✓✓From, away
Ad- ~CORRECT ANSWER~✓✓Near, toward
-algia,-algesia ~CORRECT ANSWER~✓✓Pain
Ambi- ~CORRECT ANSWER~✓✓Both
Angio ~CORRECT ANSWER~✓✓Vessle (blood or lymph)
Ano ~CORRECT ANSWER~✓✓Anus
Ante- ~CORRECT ANSWER~✓✓Before
Anti- ~CORRECT ANSWER~✓✓Against
Arterio ~CORRECT ANSWER~✓✓Artery
