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MEDICAL BILLING AND CODING PACKAGE BUNDLE PACKAGE Q'S & A'S

Medical Billing and Coding Chapter 1 Manged Care - Answer- a system in which healthcare is monitored. Health care provider contract with a health insurance company. What percentage does physicians and nurses make up? - Answer- 40% of all healthcare providers Solo/private facilities - Answer- The receptionist and medical biller are often cross-trained. Staff may consist of nurse, receptionist and a medical biller and/or office manger. small group practice - Answer- four or five genera...

Medical Billing and Coding Certificate exam Chief Complaint (element 1 of history) - Answer- History of present illness, Review symptom, Past, Family, and Social history History Levels (Element 2 of history) and Examination Levels (Element 3 of History) - Answer- Problem focused, expanded problem focused, detailed, Comprehensive Medical Decision Making Complexity Levels (element 4 of history) - Answer- Straightforward, Low, Moderate, High straightforward - Answer- Min...

MEDICAL TERMINOLOGY - medical billing and coding gastr- - Answer- stomach cardi- - Answer- heart megal- - Answer- enlarged -itis - Answer- inflammation dermat- - Answer- skin plast- - Answer- surgical repair or plastic repair cerebr- - Answer- brain path- - Answer- disease -ectomy - Answer- surgical of all or a part enter- - Answer- intestines ( usually small) -osis - Answer- condition (any) -otomy - Answer- to cut into or make a incision aden- - Answer...

MEDICAL BILLING AND CODING Medical Insurance - Answer- Financial plan (the payer) that covers the cost of hospital and medical care Policyholder - Answer- Person who buys an insurance plan; the insured, subscriber, or guarantor Health Plan - Answer- Individual or group plan that provides or pays for the cost of medical care Benefits - Answer- What a health plan pays for services covered in an insurance policy; listed in the schedule of benefits. Medical Necessity - Answer- Reasona...

MEDICAL CODING TERMINOLOGY 3rd Digit of ICD-10 - Answer- Primary Code or Category 4th Digit of ICD-10 - Answer- Subcategory 5th Digit of ICD-10 - Answer- Sub Classification benign - Answer- Noncancerous tumors Birthday Rule - Answer- How they determine which insurance is primary, secondary, or tertiary Capitation - Answer- Payment method used by many managed care organizations wherein a fixed amount of money is reimbursed to the provider for patients enrolled during a specific ...

MEDICAL CODING 3 suffix - Answer- A syllable placed at the end of a word root word - Answer- the foundation of a medical term; carries the term's meaning Ad- - Answer- to, toward, near dis- - Answer- apart pyret- - Answer- fever Epi - Answer- upon Millileter (mL) - Answer- one-thousandth of a liter Necrosis - Answer- death microscope - Answer- Used to view small objects Adhesion - Answer- An attraction between molecules of different substances; The process of bei...

MEDICAL BILLING & CODING CPT - Answer- CURRENT PROCEDURAL TERMINOLOGY CPT IS PUBLISHED BY - Answer- (AMA) AMERICAN AMERICAN MEDICAL ASSOCIATION CPT HAS SIX SECTIONS - Answer- 1.Evaluation and Management codes starts with . 2. Anesthesia is . 3. Surgery is . 4. Radiology is . 5. Lab/Test is . 6. Medicare is CPT CODES ARE USED FOR - Answer- SERVICE AND PROCEDURES/ ALSO WHERE PATIENT IS GOING AND WHAT DOCTOR IS DOING. CPT - Answer- ONLY HAS 5 DIGITS IN THERE CODE PCP - Answer- Pr...

MEDICAL CODING 2 ICD-9-CM - Answer- International Classification of Diseases, Ninth Revision, Clinical Modification Main terms - Answer- represents diseases, injuries, problems, complaints, drugs, and external causes of diseases or conditions Subterms - Answer- words that are identified under main term Sub-subterms - Answer- indented 3 character spaces from the term above it V-codes - Answer- reports circumstances other than disease or injury Tabular List (3) divisions - Answer...

MEDICAL CODING EXAM 1 What is coding? - Answer- The application of a number of systems used to uniformly document and track health care services delivered. Used for: Billing & reimbursement practice profiling Quality measurement importance of documentation - Answer- required for payment. It provides the justification & support for the procedures and services you render by making the medical necessity of your service clear to the 3rd party Why Code? - Answer- It's how we get pai...

MEDICAL CODING Healthcare Common Procedure Coding System (HCPCS) - Answer- Codes used for Medicare and Medicaid. CMS-1500 - Answer- Paper claim for physician services. CMS-1450 - Answer- Paper claim for hospital services. Mutually Exclusive Edits - Answer- Identifies code pairs unlikely to be performed on the same patient on the same day. HCPCS - Answer- Healthcare Common Procedure Coding System - Answer- Evaluation and management service. 00100-01999 - Answer- CPT-Anesthes...

ANTIMICROBIAL THERAPY AND DISCOVERY Alexander Flemming discovered - Answer- penicillin Antibiotics are - Answer- chemicals produced by bacteria and fungi that inhibit or kill other microbes broad spectrum antimicrobials - Answer- affect a wide range of bacteria important for acute diseases affect microbiota can leave host predisposed for other infections narrow spectrum antimicrobials - Answer- -affect limited range -requires identification of pathogen, testing for sensitivity -...

The Discovery of Antibiotics The most active period of research into antibiotics was: - Answer- A) The 1920s B) The 1950s C) The 1970s D) The 1990s B) The 1950s What did Duchesne use molds to treat? - Answer- A) Anthrax B) Typhoid C) Strep D) Cholera B) Typhoid Sulfa powder was carried by Allied troops in WWI. - Answer- A) True B) False B) False Fleming was the first to isolate penicillin. - Answer- A) True B) False A) True The origin of sulfa drugs was bacteri...

L3 - Antibiotic discovery Before penicillin - Answer- Paul Ehrlich - 'magic-bullet' for treatment 1904: Systematic, large scale search for drugs active against syphilis - found compound 606 (arsphenamine derivative, salvarsan) - unknown mechanism Systematic search style later used by Bayer in discovery of Sulfa drugs (1932) and release of prontosil (1936) Discovery of penicillin (dawn of the antibiotic age) - Answer- 1928: Accidental discovery by Flemming BUT... Low yie...

Antibiotic Discovery and Targets What are the two types of antibiotics and how are they different? - Answer- - Bacteriostatic antibiotics: block bacterial growth - Bacteriocidal antibiotics: kill bacteria Give examples of bacteriostatic antibiotics - Answer- - Tetracyclines - Sulphonamides - Chloramphenicol Give an example of a bacteriocidal antibiotic - Answer- Penicillins Describe the circumstances leading to the discovery of penicillin - Answer- - It was discovered by Ernest Du...

ANTIBIOTIC DISCOVERY Definition of antibiotic - Answer- A chemical of natural /synthetic origin which inhibits microorganisms within a host organism and an acceptable toxicity profile on the host Example of an antimicrobial that isn't an antibiotic - Answer- Bleach- not an antibiotic because its toxicity profile on host isn't acceptable What is the Waksman Platform, used in the 1940s-1960s golden era of antibiotic discovery - Answer- Systematic screening of soil samples against ba...

ANTIBIOTIC DISCOVERY What were the leading causes of death before 1930 - Answer- tuberculosis, pneumonia, and gas gangrene (in WWI) what microorganism causes gangrene? What is its habitat and what are its distinguishing features - Answer- Clostridium perfringens -anaerobic, endospore forming -soil/enteric microorganism -causes myonecrosis to muscle tissue -produces gas and exotoxin (alpha toxin) -WWI ()= gas gangrene caused lots of deaths what scientist was in search of the univers...

Employee Registration Manual: GA Pest Control Exam Why was the Federal Insecticide, Fungicide, and Rodenticide Act (FIFRA) created? - Answer- to regulate the registration and labeling of pesticides. What government agency oversees the implementation of the FIFRA? - Answer- The EPA- Environmental Protection Agency What does the Endangered Species Act (1973) have to do with pest control? - Answer- ensure that using registered pesticides would not harm Endangered Species Tolerance level...

Georgia Pest Control Registration Exam GSPCC - Answer- Georgia Structural Pest Control Commission GDA - Answer- Georgia Department of Agriculture FIFRA - Answer- Federal Insecticide, Fungicide, and Rodenticide Act 1947 Regulate the registration and labeling of pesticides. Amended in 1972 to include classification systems for types of pesticides and created requirements for: -Certification of applicators authorized to apply pesticides -Safety of workers using pesticides -Protection ...

GA PEST EXAM anticoagulant - Answer- prevents blood clotting anticoagulant - first generation - Answer- generally require bait consumption over several feedings (days) in order to get lethal dose anticoagulant - second generation - Answer- lethal after single ingestion FIFRA - Answer- Federal Insecticide, Fungicide, and Rodenticide Act FQPA - Answer- Food Quality Protection Act of 1996 Carries the same enforcement weight as the actual label provided on the pesticide container -...