Term
| Current Procedural Terminology |
|
Definition
|
|
Term
| American Medical Association |
|
Definition
|
|
Term
|
Definition
|
|
Term
| Healthcare Common Procedure Coding System |
|
Definition
| What does HCPCS stand for? |
|
|
Term
|
Definition
| Level 1 HCPCS was published by the AMA as ____. Level 2 HCPCS was developed by ____ to report and bill for Medicare and Medicaid services not found in CPT. |
|
|
Term
| inpatient hospital services |
|
Definition
| What type of healthcare uses all three volumes of ICD-9-CM to report and bill for services? |
|
|
Term
|
Definition
| Outpatient hospital services and physicians use ICD-9-CM for diagnoses codes and ________ for procedure codes. |
|
|
Term
| Resource Based Relative Value Scale |
|
Definition
| What does RBRVS stand for? |
|
|
Term
|
Definition
| Establishes the physician's fee for Medicare patients |
|
|
Term
|
Definition
| Hospitals use _____ or ______ billing forms. |
|
|
Term
|
Definition
| Physicians use _____ billing forms. |
|
|
Term
| When claims are from institutional providers that are excluded from the mandatory electronic claims submission requirements |
|
Definition
| When will CMS accept paper claims? |
|
|
Term
| electronic data interchange |
|
Definition
|
|
Term
|
Definition
| the electronic exchange of data between a provider and insurance company |
|
|
Term
| Accredited Standards Committee |
|
Definition
|
|
Term
False
Hospitals use UB-04 for inpatient and outpatient services |
|
Definition
| T or F: Hospitals use UB-04 for inpatient services but CMS-1500 for outpatient services. |
|
|
Term
| National Uniform Billing Committee |
|
Definition
| What does NUBC stand for? |
|
|
Term
|
Definition
| Approved the conversion of the UB-92 form to UB-04 in February 2005. |
|
|
Term
|
Definition
| T or F: Medicare still accepts the UB-92 form. |
|
|
Term
|
Definition
UB-04:
a) accepts more diagnosis codes
b) accepts ICD-10-CM and ICD-10-PCS codes
c) incorporates the NPI number
d) indicates if diagnosis present on admission
e) all of the above
f) all but b
g) all but b and d |
|
|
Term
| National Provider Identifier |
|
Definition
|
|
Term
|
Definition
|
|
Term
| Because it distinguishes between comorbidities and complications, which can flag quality of care issues |
|
Definition
| Why does Medicare want conditions to be labeled whether they were POA? Why is this important? |
|
|
