Home Page Math Information Theory Current Procedural Terminology Practice Management & EHR, chapter 9 - Flashcards

Practice Management & EHR, chapter 9 – Flashcards

Sam Arent

8 July 2022

question

modifier

answer

A number appended to a code to report particular facts

question

adjustments

answer

Changes to a patient's account

question

unbundling

answer

The incorrect billing practice of breaking a panel or package of serves/procedures into component.

question

code linkage

answer

The clinically appropriate connection between a provided service and a patient's condition or illness.

question

charge capture

answer

The process of recording billable services

question

compliant billing

answer

Billing actions that satisfy official requirements

question

query

answer

A request for more information from a provider

question

CCI modifier indicators

answer

The numbers showing if the use of a modifier can bypass a CCI

question

global period

answer

The days surrounding a surgical procedure when all services relating to the procedure are considered part of the surgical package.

question

bundled code

answer

Two or more related procedure codes combined into one

question

T/F In Medisoft, the Unprocessed Charges window displays transactions transmitted from the EHR program that have already been posted in Medisoft.

answer

question

T/F Patients who do not have insurance coverage are called self-pay patients.

answer

question

T/F A modifier usually affects the normal level of reimbursement for the code to which it is attached.

answer

question

T/F In Medisoft Clinical Records, some patient education hand-outs are available in English and in Spanish.

answer

question

T/F Payments are entered in two different areas of the Medisoft program: the Transaction Entry dialog box, and the Deposit List dialog box.

answer

question

T/F The amount of copayment that is due depends on whether the provider is in the patient's network and on the type of service.

answer

question

T/F Noncompliant billing refers to flowing these rules os that the practice and the health plan have the same expectations for the payment that will be made.

answer

question

T/F CCI edits apply to claims that bill for more than one procedure performed on the same patient, on the same date of service, by the same performing provider.

answer

question

T/F Walkouts receipts include only information on the procedures and diagnosis for patient visit

answer

question

T/F PM/EHRs typically have a capability called claim scrubbing.

answer

question

________ are changes to patient's accounts.

answer

Adjustments

question

_________ are the amounts a provider bills for the services performed.

answer

Charges

question

___________ are monies received from patients and insurance carriers.

answer

Payments

question

_________ describes the connection between a procedure code and the related diagnosis code(s).

answer

Code linkage

question

__________ is the incorrect billing practice of breaking a panel or package of services/procedures into component parts.

answer

Unbundling

question

________ refers to following billing rules so that the practice and the health plan have the same expectations for the payment that will be made.

answer

Complaint billing

question

_________ is the process of recording billable services.

answer

Charge capture

question

________ are groups of procedure code entries that relate to a single activity.

answer

MultiLink codes

question

A _________ is a group of related procedures and/or services included under a single code.

answer

package

question

A __________ is a number appended to a code to report particular facts.

answer

modifier

question

RTCA

answer

real-time claim adjudication

question

MUE

answer

medically unlikely edit

question

MEC

answer

mutually exclusive code

question

CCI

answer

correct coding initiative

question

POS

answer

place of service

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question

modifier

answer

A number appended to a code to report particular facts

question

adjustments

answer

Changes to a patient's account

question

unbundling

answer

The incorrect billing practice of breaking a panel or package of serves/procedures into component.

question

code linkage

answer

The clinically appropriate connection between a provided service and a patient's condition or illness.

question

charge capture

answer

The process of recording billable services

question

compliant billing

answer

Billing actions that satisfy official requirements

question

query

answer

A request for more information from a provider

question

CCI modifier indicators

answer

The numbers showing if the use of a modifier can bypass a CCI

question

global period

answer

The days surrounding a surgical procedure when all services relating to the procedure are considered part of the surgical package.

question

bundled code

answer

Two or more related procedure codes combined into one

question

T/F In Medisoft, the Unprocessed Charges window displays transactions transmitted from the EHR program that have already been posted in Medisoft.

answer

question

T/F Patients who do not have insurance coverage are called self-pay patients.

answer

question

T/F A modifier usually affects the normal level of reimbursement for the code to which it is attached.

answer

question

T/F In Medisoft Clinical Records, some patient education hand-outs are available in English and in Spanish.

answer

question

T/F Payments are entered in two different areas of the Medisoft program: the Transaction Entry dialog box, and the Deposit List dialog box.

answer

question

T/F The amount of copayment that is due depends on whether the provider is in the patient's network and on the type of service.

answer

question

T/F Noncompliant billing refers to flowing these rules os that the practice and the health plan have the same expectations for the payment that will be made.

answer

question

T/F CCI edits apply to claims that bill for more than one procedure performed on the same patient, on the same date of service, by the same performing provider.

answer

question

T/F Walkouts receipts include only information on the procedures and diagnosis for patient visit

answer

question

T/F PM/EHRs typically have a capability called claim scrubbing.

answer

question

________ are changes to patient's accounts.

answer

Adjustments

question

_________ are the amounts a provider bills for the services performed.

answer

Charges

question

___________ are monies received from patients and insurance carriers.

answer

Payments

question

_________ describes the connection between a procedure code and the related diagnosis code(s).

answer

Code linkage

question

__________ is the incorrect billing practice of breaking a panel or package of services/procedures into component parts.

answer

Unbundling

question

________ refers to following billing rules so that the practice and the health plan have the same expectations for the payment that will be made.

answer

Complaint billing

question

_________ is the process of recording billable services.

answer

Charge capture

question

________ are groups of procedure code entries that relate to a single activity.

answer

MultiLink codes

question

A _________ is a group of related procedures and/or services included under a single code.

answer

package

question

A __________ is a number appended to a code to report particular facts.

answer

modifier

question

RTCA

answer

real-time claim adjudication

question

MUE

answer

medically unlikely edit

question

MEC

answer

mutually exclusive code

question

CCI

answer

correct coding initiative

question

POS

answer

place of service

Practice Management & EHR, chapter 9 – Flashcards

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