UROLOGIST
A _____________________________ would be the provider who would perform an orchiopexy
EVALUATION AND MANAGEMENT CODES
The first section
... [Show More] of the CPT manual is the _____________________________________________.
ALLOWED AMOUNT
____________________________ means the amount of reimbursement an insurance payer and patient agrees to pay a provider.
PLACE OF SERVICE
A billing and coding specialist should determine first, the _____________________ to determine an appropriate e/m code.
LOWER RIGHT QUADRANT
The appendix is located in the _____________________________________ of the abdomen.
POLICY NUMBER
For a patient whose insurance coverage is from her partner, the ____________________________________ is required to bill her claim.
V CODE
An exposure to tuberculosis requires a ______________________________________.
GUARANTOR INFORMATION
A billing and coding specialist should use _______________________________________________ when transmitting a claim for a minor without health insurance.
OFFICE OF THE INSPECTOR GENERAL
The ____________________________________ investigates cases of fraud and prepares a referral for prosecution.
CLEAN CLAIM
An insurance claim is considered a ______________________________ when further reviewed by the insurance company, is not necessary before submitting the claim.
PERFORM INTERNAL AUDITS TO MONITOR THE BILLING PROCESS
A billing and coding specialist should ____________________________________________to identify areas of risk associated with billing compliance.
THE BODY MAINTAINS NORMAL BALANCE AND FUNCTION
When ___________________________________________, then it is said to be in a state of homeostasis.
ANSI ASC X12 837
The ___________________________________ is an example of an electronic claim format.
PATIENT'S DEDUCTIBLE
The ___________________________________information is included in an electronic remittance advice.
EXCISION
The provider performed an _____________________ if a lesion needed to be removed with no pathology report and the billing and coding specialist is coding from the integumentary system.
SHOULD EMAIL AN ELECTRONIC FILE FORMAT OF THE SUPPORTING DOCUMENT
If a supporting document is to be submitted to the payer for a particular electronic claim the coding and billing specialist _________________________.
OFFICE OF THE INSPECTOR GENERAL (OIG)
The ________________________________is tasked to conduct investigations and audits regarding patient privacy violations.
SERVICE FACILITY LOCATION
On the CMS 1500 form the provider's name and address should be placed in the block for _______________________________________by the billing and coding specialist filling out the form for a satellite office.
CPT CODING MANUAL
The code 99214 place in the CMS 1500 form is found in the ___________________________________ .
WORLD HEALTH ORGANIZATION
The ICD codes were initiated by the _______________________________________.
E000
The supplemental classification of causes of injury and poisoning begins with the alphanumeric codes ________________________.
ABN FORM
The ______________________ is required for a Medicare non-covered procedure.
THE PAYMENT AMOUNT EQUALS THE BILLED AMOUNT
In an explanation of benefits (EOB), ___________________________________________.
CALLING PATIENT BY INSURANCE NAME
The billing and coding specialist is allowed to make an incidental disclosure within HIPAA guidelines by __________________________________________.
ABN FORM
The patient signs an ________________________ when a -GA modifier is used on a patient claim
NOTIFY THE PROVIDER
If an abuse occurs the billing and coding specialist should ________________________________________.
MEDICAL NECESSITY
The code linkage in the charge capture process should be verified to ensure that there is ______________________________________.
TO ASSIST PROVIDERS WITH PREVENTING HEALTH CARE FRAUD AND ABUSE
The primary purpose of HIPAA is _______________________________________________________.
NAME OF REFERRING PHYSICIAN OR OTHER SOURCE
The _______________________________ in the CMS 1500 form can be left blank and still result in a clean claim.
INSURANCE CARD
During an initial visit, the ____________________________ of the patient should be collected.
CENTERS FOR MEDICARE AND MEDICAID SERVICES
The ________________________________________sets the standards applicable to private insurance through its proposed and final rules
EXPIRATION DATE
The release of Information form always includes the __________________________________________.
CREDIT COLUMN
When posting the payment to an account, an insurance payment should be recorded on the ______________________________________.
STONE IN THE GALLBLADDER
Cholelithiasis is associated with _____________________________ causing abdominal pain.
DATE OF SERVICE
A billing and coding specialist working on an aging report within the payer area should sort next by _________________________________________. [Show Less]