ICD-10 / HCPCS week 4

Why would a claim be returned to the provider for corrections?

With or without manipulation and/or traction is known as what type of treatment

What information is found on an explanation of benefits (EOB)

Why would a claim be rejected?

If the ICD-10-CM codes and the CPT/HCPCS codes do not match, would it show medical necessity?

Are subcategories the lowest level of code description?

What are the steps in filing a claim with a third-party?

Code ____ represents an urgent care facility as the place of service

Assessees medical claims checks for errors and processes them correctly. It can then be submitted for payment.

What would a 26 modifier be used for?

Are "revised" codes highlighted in the CPT manual?

How many sections are in the CPT manual?

Two examples of a federal tax ID number 9 (box 25) that the provider users for filing claims ______ & _________

On a CMS-1500 form _____ amount of codes can be used?

Which block on the CMS-1500 form, would you find the patient name?

Which steps of medical billing should be performed prior to rendering medical services?

A process completed before claims submission in which claims are examined for accuracy and completeness

A ______ is used in the alphabetic index portion of the CPT book

What does pathology mean?

What information is needed in "block #1" of a CMS-1500 form?

In order for the physician to recieve payment for services directly, the patient must sign a ______

A dirty claim is claims with...

Code range 70000 and 79999 belongs to the _______ section

________ is a level of history includes review of systems that relate to the cheif complaint

What is the meaning of "electronic data interchange"

What are the steps for obtaining a pre authorization?

HCPCS code ranges from A4000 to A8999 would be found in the ______ supplies & _______ supplies

Searching the alphabetic index, "humerus" would be found in _______

_________ are used to help measure performance and outcome

We will copy the ____ & ______ of the patients insurance card

In ____ of the CMS-1500, you would find information about the patient and the insured

What is the physicians office place-of-service code?

A patients billing records should have _______ ________ information on it

Medical records used for procedural coding can include ______, _______, ________, ________

We should always follow the office ______ for review and signatures