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CODING

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Section 1

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upcoding

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Programming

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Last updated

6 years ago

Date created

Mar 14, 2020

Cards (26)

Section 1

(26 cards)

upcoding

Front

coding higher then what the doctor provided

Back

code also

Front

sometimes it indicates a 2nd code may be used to describe

Back

fraud

Front

illegal act ex. billing services not provided

Back

maximum length ICD-10 code

Front

7 numbers

Back

code may need to be referenced on different main term

Back

HCPS

Front

coding for medicare or Medicaid (use for durable medical equipment)

Back

compliance

Front

following the rules and regulations

Back

abuse

Front

doing something intentional ex. inproper billing practices

Back

diagnosis code

Front

highest level of certainty

Back

has 3 digits

Back

procedure code

Front

whatever procedure is done on the patient (5 numbers)

Back

HIPPA

Front

the law requires cpc codes to be covered on out patient, electronic claims

Back

communicate through physicians and billers, obtain referrals/authorizations, properly document in a medical record

Front

why should MA have knowledge about coding

Back

external causes

Front

fell from tree

Back

tubular list

Front

when diagnosing go to index then verify it here (numbers)

Back

audit

Front

process of verifying information

Back

verbal/written

Front

until it is written you cannot do anything the doctor says verbally

Back

cpt

Front

procedure book

Back

E&M codes

Front

evaluation and management- office visits

Back

3-references ICD- manual

Front

1. neoplasm 2. drugs and chemicals 3. external causes

Back

drugs and chemicals

Front

poisoning

Back

ICD-10

Front

disease or diagnosis book

Back

neoplasm

Front

cyst

Back

abstracting

Front

using information in chart to process coding

Back

global period

Front

number of days around a surgery where you can sill get services related to the surgery

Back

lab codes

Front

anything pertaining to blood, urine, any secretion, ex. urine, sputum, vaginal secretion

Back

CODING

Preview this deck

upcoding

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Cards (26)

upcoding

coding higher then what the doctor provided

code also

sometimes it indicates a 2nd code may be used to describe

fraud

illegal act ex. billing services not provided

maximum length ICD-10 code

7 numbers

see also

code may need to be referenced on different main term

HCPS

coding for medicare or Medicaid (use for durable medical equipment)

compliance

following the rules and regulations

abuse

doing something intentional ex. inproper billing practices

diagnosis code

highest level of certainty

category

has 3 digits

procedure code

whatever procedure is done on the patient (5 numbers)

HIPPA

the law requires cpc codes to be covered on out patient, electronic claims

communicate through physicians and billers, obtain referrals/authorizations, properly document in a medical record

why should MA have knowledge about coding

external causes

fell from tree

tubular list

when diagnosing go to index then verify it here (numbers)

audit

process of verifying information

verbal/written

until it is written you cannot do anything the doctor says verbally

cpt

procedure book

E&M codes

evaluation and management- office visits

3-references ICD- manual

1. neoplasm 2. drugs and chemicals 3. external causes

drugs and chemicals

poisoning

ICD-10

disease or diagnosis book

neoplasm

cyst

abstracting

using information in chart to process coding

global period

number of days around a surgery where you can sill get services related to the surgery

lab codes

anything pertaining to blood, urine, any secretion, ex. urine, sputum, vaginal secretion