Quizlet medical billing and coding certification exam

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    Terms in this set (42)

    UB04 form is used for

    Hospice, Ambulatory Surgery Centers, Home Health Care

    patient confidentiality

    treating patient's medical information as private and not for publication

    signing an Acknowledgement of Notice of Privacy Practice is accepting what

    HIPAA

    form to authorize sharing of medical information

    medical release form

    standard form used for medical billing

    CMS-1500

    must appear on CMS 1500 form prior to submission

    birth date in 8 digit format, all caps

    encounter form

    financial record source document to record treated diagnosis and services rendered to the patient during the current encounter. also called the superbill

    where non allowed charges are recorded

    adjustment column

    10 digit numeric identifier required in box 33A of CMS 1500

    National Provider Identifier (NPI)

    CLIA - Clinical Laboratory Improvement Act

    quality standards for lab tests

    most common reason for claim rejection

    incorrect or incomplete information

    PICA pitch 10

    written CMS 1500 form

    PICA pitch 12

    electronic CMS 1500 form

    delinquent claim

    not paid within a certain amount of time

    implied contract

    patient scheduling an appointment with a new provider

    bullet/solid circle

    symbol used to indicate a new CPT code

    plus sign (+)

    add on CPT code symbol

    triangle

    new/revised code in HCPCS level 1

    multiple, varying wound sizes

    add the sizes together

    dependents of military personnel

    required to have military ID for TriCare insurance

    used as first-listed diagnosis to indicate family history

    V-Code

    diagnostic category code

    three digit code that covers a single disease or relative condition

    standard medical code sets

    ICD-9-CM, HCPCS, CPT, HCPCS Level II

    insurance claim register

    diary or ledger of submitted claims

    appeal

    explains why claim should be re-considered for payment

    offer Medigap

    private commercial insurance companies

    hemodialysis

    found in medicine secion of CPT manual

    payer of last resort

    Medicaid

    Medicare Administrative Contractor (MAC)

    Third party that contracts with CMS (Centers for Medicare and Madicaid Services) to process claims and perform integrity tasks - accepts electronic claims

    pending

    submitted for review not yet paid

    co-payment

    cost sharing requirement for the insured to pay at the time of service

    steps for coding 1st, 2nd, and 3rd degree burns

    depth, extent, agent (e-code). 3rd degree first

    privacy officer

    protects patient health information

    ICD-9 principle

    code signs and symptoms in absence of established diagnosis

    classifications of neoplasms in table of neoplasms

    malignant, benighn, uncertain, un-specified, specific, in-situ (6)

    form needed for medicare patient when services for diagnostic tests are not covered

    ABN (Advanced Beneficiary Notice)

    valid ICD-9 principle

    code to the full number of digits required for that code or it is invalid

    claim control number

    claim ID or DCN (document control number) assigned to each claim

    time reporting

    guideline for anesthesiology, 24G on CMS 1500

    developed and updates the CPT manual

    AMA (American Medical Association)

    patient ledger account

    permanent record of all financial transactions between the practice and the patient

    bull's eye

    CPT symbol for conscious moderate sedation

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    ADVANCED MATH

    The following arguments are inductive. Determine whether each is strong or weak, and note the relationship between your answer and the truth or falsity of the premise(s) and conclusion. Then determine whether each argument is cogent or uncogent. The ebb and flow of the tides has been occurring every day for millions of years. But nothing lasts forever. Therefore, probably the motion of the tides will die out within a few years.

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    Show that the dictionary order topology on the set $\mathbb{R} \times \mathbb{R}$ is the same as the product topology $\mathbb{R}_{d} \times \mathbb{R}$, where $\mathbb{R}_{d}$ denote $\mathbb{R}$ in the discrete topology. Compare this topology with the standard topology on $\mathbb{R}^{2}$.

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    Construct a diffeomorphism between the ellipsoid $$ \frac{x^{2}}{a^{2}}+\frac{y^{2}}{b^{2}}+\frac{z^{2}}{c^{2}}=1 $$ and the sphere $x^{2}+y^{2}+z^{2}=1$.

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