Shared Flashcard Set

Details

Medical Billing 101 Chapter 3 Set 1
The Codes, Michelle M. Rimmer
30
Medical
Professional
03/07/2011

Additional Medical Flashcards

 


 

Cards

Term
codes
Definition
assigned letters, numbers or a combination of both used to report procedures, services, supplies, durable medical equipment, and diagnoses
Term
g
Definition

Codes represent:

a) procedures

b) services

c) supplies

d) medicine

e) DME

f) diagnoses

g) all of the above

h) all but c and e

Term
Durable Medical Equipment
Definition
What does DME stand for?
Term
HCPCS
Definition
a coding system used to report procedures, services, supplies, medicine, and DME--comprised of CPT Level 1 and national Level II codes
Term
Healthcare Common Procedure Coding System
Definition
What does HCPCS stand for?
Term
HCPCS
Definition
procedure-based coding system used by physicians to document what was done to and for a patient
Term
CPT codes
Definition
What codes are Level 1 HCPCS?
Term
b
Definition

Level II HCPCS are _____ codes:

a) CPT

b) national

c) international

d) a and b

Term
Current Procedural Terminology
Definition
What does CPT stand for?
Term
CPT
Definition
codes used to report services and procedures that are level I codes under HCPCS
Term
CPT codes
Definition
also known as Level I codes
Term
CPT codes
Definition
five-digit numeric codes that are assigned for the following services and procedures: E/M, Anesthesia, Surgery, Radiology, Pathology and Laboratory, and Medicine
Term
Evaluation and Management
Definition
What does E/M stand for?
Term
yearly, American Medical Association
Definition
CPT is updated ______ by the _______.
Term
HCPCS national codes
Definition
alphanumeric codes used to identify categories not included in HCPCS level I codes
Term
HCPCS national codes
Definition
also known as Level II codes
Term
HCPCS national codes
Definition
five-digit alphanumeric codes, beginning with a letter and followed by four numbers, that cover: supplies, DME, materials, injections/drugs, services
Term
modifier
Definition
a two-character alphabetic, numeric, or alphanumeric descriptor used to signify that a procedure or service has been altered by an unusual or specific circumstance, although the code itself has not changed.  Also may refer to a specific body site.
Term
f
Definition

Modifier are used when:

a) a service or procedure has a technical component

b) a service or procedure has a professional component

c) a service or procedure was performed by more than one physician

d) a service or procedure was increased or reduced

e) only part of a service was performed

f) all of the above

g) c-e

Term
e
Definition

Modifiers are also used if:

a) an additional service was performed

b) a bilateral procedure was performed more than once

c) referencing a body site

d) unusual events occurred

e) all of the above

f) c and d

Term
CPT modifiers
Definition
a two-character numeric descriptor used only with CPT codes
Term
audit
Definition
a formal examination of an individual's or organization's accounts
Term
HCPCS modifier
Definition
a two-character alphabetic or alphanumeric descriptor used with both CPT level 1 and level II national codes
Term
International Classification of Diseases, 9th Revision, Clinical Modification
Definition
What does ICD-9-CM stand for?
Term
Tabular List
Definition
Volume 1 of ICD-9-CM is the ________.
Term
Index to Diseases
Definition
Volume 2 of ICD-9-CM is the ____________.
Term
Index to Procedures and Tabular List
Definition
Volume 3 of ICD-9-CM is the ___________.
Term
Volumes 1 and 2
Definition

Physicians offices use what volume(s) of

ICD-9-CM?

Term
a
Definition

Volume 3 of ICD-9-CM is used by:

a) hospitals

b) physician offices

Supporting users have an ad free experience!