Term
A Medical Assistant should always familiarize them with the coding part of the job so they can
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Definition
help others, increase their skill levels, and help with reimbursement and avoid fraud by the physician |
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Term
The physician is ultimately responsible for the
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Definition
ICD-9, CPT, and HCPCS that are sent to the insurance companies |
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Term
If the patient is having an emergency such as a myocardial infarction, the emergency room physician cannot
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Definition
refuse the patient services needed regardless if they have insurance or not |
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Term
The updating of insurance cards are vital to insure that the office bills the
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Definition
correct insurance, the physician takes that insurance, and what services they can perform so the insurance pays the costs |
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Term
A physician can refuse to see a new or long term patient by |
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Definition
sending them a letter stating they no longer want to see that patient. They do not have to give a reason |
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Term
HCPCS have two levels of codes,
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Definition
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Term
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Person has been a patient to one Doctor for 3 years |
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Definition
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Term
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Definition
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Term
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Term
Seen by 2 physicians in one day |
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Definition
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Term
Mammograms and prostate exam |
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Definition
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Term
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Definition
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Disorder diagnosed at birth |
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Definition
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External causes of burns/injuries |
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Definition
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Late effect of injury/illness |
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Definition
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Term
Automates coding with computers |
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Definition
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Term
Condition after testing in the hospital |
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Definition
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Term
Condition after testing in outpatient |
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Definition
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Term
Comorbidities and complications |
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Definition
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Term
Codes for other than diseases/injuries |
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Definition
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Term
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Definition
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Term
Current procedural terminology codes are considered
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Definition
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Term
Guidelines define terms and explain codes for services or procedures located in the
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Definition
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Term
A star is not located anywhere in the
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Definition
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Term
Medicine, pathology, radiology, and laboratory are all part of the . |
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Definition
CPT manual in specific sections |
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Term
All services and procedures must be submitted on a claim from the
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Definition
ICD-9 CM code book to be reimbursed as they will be a justified service |
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Term
Codes for neoplasms must be submitted from the
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Definition
pathology report to be reimbursed. |
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Term
Guidelines are in the front of the CPT book and should always be carefully reviewed before
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Definition
actually coding a service or procedure |
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Term
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Definition
environmental events, criminal activities, or industrial accidents |
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Term
The Medical Assistant who is employed by a physician may assign procedural codes for reimbursement when
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Definition
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Term
An Advanced Beneficiary Notice is not necessary to sign by the patient to show that
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Definition
the healthcare provider accepts Medicare |
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Term
An inpatient is considered a patient with the expectation that they will be admitted into the hospital for at least
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Definition
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Term
Codes that describe signs and symptoms of the patient are acceptable when
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Definition
the physician has not established or definite diagnoses |
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Term
Preadmission testing is done to
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Definition
facilitate patient treatment and decrease the hospital stay for the patient |
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Term
A principal procedure is done for a definitive procedure rather than |
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Definition
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Term
A neoplasm lesion is always a malignancy in the
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Definition
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Term
The CPT manual uses uniform language to describe medical, surgical, or diagnostic services to maintain communication among
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Definition
providers, patients, and insurers |
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Term
Unbundling is where you assign multiple codes to specific tests/services rather than
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Definition
using a comprehensive code which should be reported |
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Term
The radiological code is for |
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Definition
the completion of the x-ray, physician reading the x-ray and writing a report describing the findings and the examination. All are included in one code |
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Term
Single number codes are assigned to |
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Definition
specific organs and the routine blood chemistry’s that are expected. This panel is very specific and cannot be changed or have any substitutions |
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Term
Chemotherapy, along with other cancer treatments such as radiology/and or surgery, is considered
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Definition
an adjuvant chemotherapy. |
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Term
Evaluation and management of the patient services by the physician is in the CPT manual under
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Definition
Evaluation and management regardless of where the physician see’s the patient |
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Term
Per Medicare, the determination that a service or procedure is necessary and reasonable is called
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Definition
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Term
An outpatient facility taking care of patients can be in the
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Definition
hospital observation unit, outpatient clinic, and physician’s office |
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Term
History of breast cancer and tuberculosis is an example of
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Definition
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Term
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Definition
external cause of injury or poisoning or other adverse reactions from the patient |
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Term
A physician or free standing clinic may refuse patient care that is not an emergency because
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Definition
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