Section 1

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True or False? Upselling refers to coding at a higher level of service than what was actually provided in order to obtain higher reimburesment.

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Last updated

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Date created

Mar 1, 2020

Cards (21)

Section 1

(21 cards)

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.

Front

True

Back