EHR Chapter 7 – Flashcards

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