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| CMS 1500 form used to be called |
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| is the actual money available to the medical practice. |
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| Criticizing a physician to a patient, swearing at a pharmaceutical representative who has grown inpatient while waiting to see the physician and not telling your physician that you discovered a patient is "drug seeking" by another physician for the same problem is all examples of . |
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| and protects a practice against loss of the mney caused by failure through error or unintentional omission on the part of the individual or service submitting the insurance claim. |
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| , , and are all important factors in securing a position as an insurance billing specalist. |
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Aspects of compliance
Develop diagnostic procedure
Stay up to date |
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| In determining the relative value scale, , , and costs are considered. |
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| A translates the abstract units in the relative value scale to dollars. |
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| is provided in the coronary care unit, pediatric intensive care unit, and emergency care facility. |
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| If the first two digits of the CPT code are "99" the coder is looking in the section. |
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| Considering the global surgery rule, immunosuppressuve therapy following transplant surgery is not included in the . |
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| Lesion excision codes are based on . |
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| CPT "no charge" code is not required for billing during the postoperative period, however it lets the patient know how many office visits after surgery are being billed at no charge, and is used for tracking purposes. |
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| If a patient has lacerations on both sides of the face, the total length of both lacerations should be and billed with one code. |
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| codes include component codes. |
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| involve procedures that meet the following criteria. Code combinations that are specified as "seperate procedures" by CPT, codes that are included as part of a more extensive procedure and code combinations that are restricted by the guidelines outlined in the CPT. |
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| With regard to CCI edits, an open cholecystectomy and laparoscopic cholecystectomy would be considered . |
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| A provider that bills a level III E/M service for all patients is . |
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| is the process of coding and billing numerous CPT codes to identify procedures that are usually described by a single code. |
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| Billing for services provided to a patient after normal office hours would be done using an code. |
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| A of a claim form may not be optically scanned.Only red and white claim form may be scanned. |
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| The following statements are true of a "paper" claim. may be optically scanned and converted to electronic format by insurance companies if optical scanning is available. |
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| A claim that contains complete necessary information but is illogical or incorrect is considered by Medicare to be an claim. |
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| If a patient brings in a form from a private insurance plan that is not like the CMS 1500 form, the biller should bill the insurance with the and . |
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| The diagnosis must agree with the , should be submitted only in the absence of a format diagnosis should never be submitted without support in the medical record. |
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| Treatment, Symptoms, Documentation. |
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| National Provider Identifier |
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| To practice within a state, each physician must obtain a . |
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| A physician who charges a patient for crutches should file a claim using his or her . |
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| Prescriptions labeled means the medication should be taken four times daily. |
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| means the prescription should be taken 3 times a day. |
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| means the prescription should be taken twice daily. |
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| Pro. Time is a test for . |
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| s.o.s documented in a patient's medical chart means . |
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| An automated analytical device for testing blood is called . |
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| The RH Factor stands for ( ) . |
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| Rhesus (Monkey) factor in blood. |
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| Prescriptions labeled q2h means every . |
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