EHR Chapter 7 – Flashcards
Unlock all answers in this set
Unlock answersquestion
mistakes
answer
Another name for coding variances are what?
question
Volume 3
answer
The ICD-9 volume that contain code for hospitals to report in-patient care is what volume??
question
CPT 4
answer
the _____ is a uniform language that describes procedures and treatments performed by healthcare providers
question
5 digit codes
answer
the CPT 4 coding system consist of 3-5 digit codes or 5 digit codes
question
E&M
answer
services related to office visits and hospital observation codes are coded from what section
question
Radiology
answer
Ultrasounds are going to be coded from what section?
question
medicine
answer
tetanus injection is going to coded from what section
question
Category 2 codes
answer
__________ codes are supplemental codes used to help researchers collect data, tract illness and disease and care are what?
question
Category 3 codes
answer
codes that are temporary codes apply to modern technology are which codes
question
P4P
answer
outcome based payment model that rewards providers with delivering evidence based care according to specific standards and for electronically documenting
question
Physicians NPI number
answer
which is not found on a patients encounter form?
question
true
answer
True/False
medical necessity is a legal document in which holds medical services that must be reasonable
question
true
answer
True/ False
fraud is a misrepresentation of the medical services provided that mislead by another person
question
false
answer
True/ False
compliance is an unintentional perception in which services are not medically necessary
question
Form Respiratory
answer
where are we going to find a deposit slip in sim chart?
question
true
answer
True/ False
Medicaid is a 3rd party payer
question
false
answer
True/ False
claims can only be submitted electronically using the CMS-1500
question
false
answer
True/ False
photo copies of claim forms are expectable for submission
question
false
answer
True/ False
electronic claims are sent via mail
question
false
answer
True/False
ICD-9 and 10 assigns out patient procedural codes
question
true
answer
True/False
out patient procedurals are coded using the CPT manual
question
true
answer
True/False
an audit identifies poor coding for additional training can occur and procedures can be adjusted.
question
false
answer
True/ False
most frequent used CPT codes are in the surgery section
question
true
answer
True/False
2 digit numeric modifiers are often added to the CPT codes
question
false
answer
True/ False
CPT and Diagnosis codes are updated every year by sim chart
question
true
answer
True/ False
the superbill holds information from the patients visit
question
true
answer
True/ False
determining whether the insurance will pay for a scan of the abdomen is determined in the medical necessity
question
true
answer
True/ False
the insurance provider may be added to the patients demographics
