When should an ABN be signed?
When a service is not expected to be covered by Medicare.
What are NCD's interpreted at the MAC level
... [Show More] considered?
LCD
What is medical billing?
Translating medical documentation into codes.
What part of Medicare should be billed for the pain medication by the pharmacy?
Part D
The amount on an ABN should be within how much of the cost to the patient?
$100 or 25% of cost.
An entity that processes nonstandard health information they receive from another entity into a standard is considered what?
Clearinghouse.
What is PHI?
Personal Health Information.
Intentional billing of services not provided is considered?
Fraud.
What OIG document should a provider reveiw for potential problem areas that will receive special scrutiny in the upcoming year?
OIG Work Plan. Each year in October.
What is ABN?
Advance Beneficiary Notification
What is AMA?
American Medical Association.
What is CPC?
Current Procedural Terminology. What was done into codes.
What is ICD-9-CM?
International Classification of Disease, 9th Clinical Modification. Why was done in codes.
What is HIPAA?
Health Insurance Portability and Accountability Act of 1996. Law passed by Congress to improve the portability and continuity of healthcare coverage.
What is OIG?
Office of Inspector General. Makes sure everyone is in compliance
What is CMS?
Centers for Medicare & Medicaid Services. Basic guidelines for private prctice and rules.
a-,an-
Without, lack of, absent, deficient
Ab-,abs-
From, away
Ad-
Near, toward
-algia,-algesia
Pain
Ambi-
Both
Angio
Vessle (blood or lymph)
Ano
Anus
Ante-
Before
Anti-
Against
Arterio
Artery
Arthro
Joint
Asthenia
Weakness.
Auto-
Self
Bi-
Two, twice
Brady-
Slow
Broncho
Bronchus
Cardio
Heart
-cele
Tumor, swelling, hernia, sac
-centesis
Puncture
Cephalo
Head
Chole
Gall
Cholecysto
Gall bladder
Choledocho
Common bile duct
Chondro
Cartilage
-cide
Kill
Circum
Around
-cise
Cut
Colo
Colon
Colpo
Vagina
Contra
Against
Costo
Rib
Cranio
Skull
Cyano
Blue
Cysto
Urinary bladder
De-
Down, from
Denti
Tooth
Dermo, dermato
Skin
Di-
Two
Dia-
Through, between, across, apart
Dis-
Apart
Dys-
Painful, difficult, disordered
Ecto-
Outer, or on the outside
-ectomy
Surgical removal
-emesis
Vomiting
-emia
Blood
En-
In, inside
Encephalo
Brain
Endo
Within inner, on the inside
Entero
Intestine
Epi-
Above, over
Erythro
Red
-esthesia
Sensation
Ex-
Out
Febr
Fever
Fibro
Connective tissue
Gastro
Stomach [Show Less]