Match. 43. American Recovery and Reinvestment Act of 2009, Healthcare Common Procedure Coding System, International Classification of Diseases 9th Clinical Modification, Medicare Severity-Diagnosis Related Group. Practice administration Several factors play a role in the effective administration of a practice; however, the key is to effective administration comes from a practice that is physician-driven. Latest Articles; News & Events; Exam & Study Tips; Our Services Geographic practice cost index-this is used to realize the varying cost based on geographic location, Conversion Factor (this is a fixed dollar amount to translate RVUs (relative value units) into fees, whether a procedure/service is considered appropriate in a given circumstance, National Coverage Determination (explains what Medicare is willing to pay for), Medicare Administrative Contractor (responsible for interpreting national policies into regional policies), explain when a given service is indicated or necessary,give guidance on coverage limitations, describe specific CPT codes to which the policy applies, list ICD-9-CM codes that support medical necessity and has jurisdiction only within their regional areas. It’s just for fun! 20 Science questions for your home pub quiz to put your friends to the test. What form is used to submit a provider's charge to the insurance carrier? Prescription drug coverage available to all medicare beneficiaries. Process of translating written or dictated medical records into a series of numeric or alpha-numeric codes. See if you're ready to apply to medical school. If you are providing a service and the Medicare patient's diagnoses does not support the medical necessity requirements per the LCD what happens? Healthcare providers are responsible for developing_________and policies and procedures regarding privacy in their practices. Each October the OIG releases a ______outlining its priorities for the fiscal year ahead. What are the two primary types of insurers? Remember that you’re not alone. - Quiz & Self-Assessment Test found the articles, information, and resources on this page helpful. 50. Join the nation's largest association of medical coders, billers, auditors, compliance experts, and practice managers. Write. You like working with data and details more than with ideas. Private companies approved by Medicare provide coverage. STUDY. sports highlights ... business. eradys. Entities that process non-standard health information they receive from another entity into a standard format. 30. which of the following choices is not a benefit of an active compliance plan? Professionals who specialize in coding are called: What type of provider goes through approximately 26 1/2 months of education and is licensed to practice medicine with the oversight of a physician? What type of insurance is Medicare Part D? Taking the quiz will lead you to one of six specialties common among DOs: emergency medicine, family medicine, internal medicine, obstetrics and gynecology (OB/GYN), osteopathic manipulative medicine/neuromusculoskeletal medicine (OMM/NMM), pediatrics and surgery. Which part is affected by the Centers for Medicare & Medicaid Services - hierarchical Condition Categories (CMS-HCC)? The amount on an ABN should be within how much of the cost to the patient? Quiz: Top Business of Medicine News Stories of 2015. 1.1 Lecture: The Business of Medicine. Diagnoses, medical and surgical services/procedures and supplies. 16. What is the purpose of National Coverage Determinations? Terms in this set (58) What is coding? 33. Spell. This could mean choosing to specialise in a particular field of law or in a particular culture or society, or indeed branch outwards into a related field of interest such as business or politics. Inform investment decisions by analyzing financial information to forecast business, industry, or economic conditions. How many components are included in an effective compliance plan? Newborn Quiz: Baby Care Facts. 45. Evaluation and management services are often provided in a standard format such as SOAP. What type of health insurance provides coverage for low-income families? local crime. Providers should develop safeguards to prevent unauthorized access to protected health information. Each year, the OIG releases a work plan for the following year outlining its priorities for the fiscal year ahead. Now that you know what degree's right for you, have a look at our top-rated universities! 46. with subtitles. AAPC credentialed coders have proven mastery of what information? It states what will be paid and why and changes to charges were made, 44. A) turning away from the speaker B) nodding and making eye contact C) looking out of the window Orthopaedics; Anaesthesiologist; Pathology; Pharmacist; A pressure mattress is designed to prevent, manage or treat bed ulcers. We offer hundreds of free quiz questions and answers for general knowledge and trivia, team games, pub quizzes or general enjoyment. Priorities for the fiscal year ahead how much of the following choices is not a benefit of an compliance. Work, practice expense and professional liability insurance AAPC Code of Ethics, and interactive quizzes other. 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