True or False? Upselling refers to coding at a higher level of service than what was actually provided in order to obtain higher reimburesment.
Front
False
Back
What is found in the symbol [ ]?
Front
Synonyms, alternative wording, and explanatory phrases
Back
The code S69.80XA "other specified injuries to the wrist, initial encounter" the X means what?
Front
It's used to expand the code length so the A appears in the seventh position as required
Back
What type of term is found in Bold face or Heavy Type?
Front
Main Terms
Back
What does RVU do?
Front
Standardizes medical fees and increases the accuracy of the coding process.
Back
Coding of procedures and diagnoses must be supported by:
A. Insurance B. Codes C. References D. The patient's medical record
Front
D. The Patient's medical record
Back
A Kickback is what?
Front
A financial incentive provided by another physician, lab, hospital or pharmaceutical rep for using their services.
Back
Choose either P=Procedure or D=Diagnosis for the following:
A. EEG B. Ingrown Toenail C. Pelvic Ultrasound D. Gastroesophageal reflux disease (GERD)
E. Sciatic pain
Front
A. P
B. D
C. P
D. D
E. D
Back
Define Fraud.
Front
The act of intentionally billing for services that were never provided or billing for a service that has a higher reimbursement that the services actually provided.
Back
Codes found in the Index of this list must be verified to confirm the code description and to assign additional characters specifying details of the condition. What is this list called?
Front
Tabular list
Back
True or false? Conventions are specialized rules, abbreviations, formatting, and symbols that alert users to important information.
Front
True
Back
CPT manuals provide the codes that identify the diagnoses the doctors give patients. True or false?
Front
False.
Back
True or False? As E& M (Evaluation and Management) codes are the most frequently used codes and are used by all medical specialties, they are placed first in the CPT.
Front
True
Back
The word you look up in the CPT index to find the code(s) is the what?
Front
Main Term
Back
What convention signifies that the medical record contains additional details about the condition, but there is no more specific code available for use?
Front
NEC
Back
What is a modifier?
Front
Symbols or 2 digit alphanumeric codes that help clarify a procedure.
Back
ICD-10-CM coding assigns what type of codes that represent patient diagnoses?
Front
Alphanumeric
Back
Pick the supporting diagnosis for the appropriate procedure:
A. Glucose Test B. CBC Blood test
C. Colonoscopy D. Needle biopsy of neoplasm
E. Arthrocentesis F. Electrocardiogram (EKG)
Front
A. Diabetes Mellitus B. Anemia
C.Polyps and rectal bleeding D. Cyst in breast
E. Arthritis of the knee
F. Abnormal Heart rhythm
Back
The inside cover of most CPT manuals is an index. True or False?
Front
False
Back
Following rules and regulations is what?
Front
Cpmpliance
Back
True or false? Subterms are words indented under the boldfaced Main Term that further describe variations of the condition.