MED 1840 Final

In the CPT index, all topics referring to CPT code sections or chapter headings are shown in: 

The type of insurance that provides coverage for a designated period of time is: 

under a discounted fee for service, covered services are compensated at a 

Anesthesia is reimbursed according to the: 

Before the 1970s, a physicians practice would grow based on: 

Important skills required of a payment poster include all EXCEPT

Indicator appears with certain codes to indicate that they are either new or different

safeguard involves limiting access to computer hardware & software only to authorized persons

Provision of HIPAA deals w/ procedures for investigations & hearings r/t compliance & penalties

The proper use of CPT modifiers can result in

Certified Professional Coder certification evaluates a medical coders knowledge of all EXCEPT 

A MCO contract is considered a legal document between the

Principles adopted in the Pt Bill of Rights include all EXCEPT the right to: 

to avoid the higher costs of healthcare, employers: 

Criminal penalties for HIPAA violations can include fines & sentences...

Dr.s who contract with MCOs must provide care according to the MCOs policies in order to:

Most hospitals today are owned by a :

A special report detailing increased time & difficulty should be submitted with modifier: 

in cases of fraudulent billing: 

The add on code used to identify that a pt is younger than 1 year old & is receiving anesthesia

providers are likely to agree to discounted fee for service contracts because they result in

Before the 1970s, a solo practice included all staff members EXCEPT: 

With MCOs, the business aspects of healthcare are not being controlled by: 

what does the work plan released by the Office of Inspector General each year focus on

As of 1948 the International Classification of Causes of Death name was changed to: 

The HMO act of 1973 used federal funds for the purpose of:

Approx. how many different formats are currently being used for electronic health claims

advantages of managed care include all EXCEPT

The electronic record includes documentation of patient care across multiple healthcare org's..

To bill for services provided by an audiologist, the CPT codes would be found in the: 

Under a contract based on a percase pervisit rate the Dr is paid a predetermined rate for: 

Business values that are being incorporated in medical practices as a result of managed care: 

The subscriber in a HMO can also be called;

Unique Identifier form Dr's, nurses and other healthcare professionals...... is:

A physician who coordinates a patients care and refers them to specialists is: 

A MCO contract will include a: 

The puropse of a withhold program is to: 

In 1948 the International Classification of Causes of Death came under the direction of: 

Type of HMO plan that involves contracting w/ dr's to create a healthcare delivery system is:

the certification offered by the American Medical Billing Association to who pass their exam

The ICD 10 CM contains a total of more than,

In 2011, new health care reform law rqr'd insurers to offer dependent covg' for adult kids to: 

The duties & responsibilities of a payment poster generally include: 

Type of policy that would provide coverage for custodial care in a nursing home: 

A medical office assistant may handle all of the following EXCEPT: 

HIPAA privacy protections apply to which type of healthcare data

Organization that awards accreditation to MCO's is the: 

Dr's accept lower pmnts from MCO's, which force them to see more patients in order to: 

An increase in patient volume often results from: 

Diagnostic coding changes for Volumes 1 & 2 of ICD 9 CM take effect

A physical status modifier is used with which of the CPT codes

contract issued by a payer, the plan document...under which a covered person may be entitled...

The process of scrambling and encoding electronic data: 

The unique identifier for employers (business entities) is: 

insurance coverage that provides protection against a specific type of accident/illness

Services to reat a medical condition that is sudden onset..threaten a person's life or health.

The healthcare professional who researches data to accurately document diagnoses & procedures

Contract with which of the following payment terms can result in an increased financial risk: 

After 1 yr experience, a medical office assistant can take an exam to be certified as a: 

Under the HIPAA Privacy Rule, a pt's medical record & claims history are considered: 

electronic record that documents a patients encounters w/ dr's is stored is the electronic

The anesthesia section of the code book can be found directly before: 

In Patients Bill of Rights, the provision re: choice of provider allows patients the right to:

Criminal penalties for HIPAA violations can include prison time & financial maximum penalties: 

Condition that remains after a patient's acute illness or injury is called: 

contacts patients or insurance carriers to collect money owed to the facility is the: 

The National Center for Competency Testing awards the: 

Sub-terms in an ICD 9 CM entry may show:

According to some contract terms, if an MCO does not pay a claim within time, the Dr may 

a characteristic of a staff model HMO is that it: 

Type I Diabetes Mellitus indicates that: 

ICD 10 PCS replaced the: 

Contracts between the physician & MCO are generally negotiated by the: 

Disadvantages of medical care include all EXCEPT

The provision of HIPAA that applies to the use & disclosure of PHI is the: 

To determine the amount due from a patient, it is necessary to know the: 

An exclusive provider organization is similar to a PPO because they both have: 

The intial steps to locate an ICD 10 code are: 

responsible for answering questions & explaining HIPAA, living wills,DNRs to patients & family 

The Certified Medical Billing Specialist certification is awarded through the: 

How long ago was ICD 9 CM published?

Utilization guidelines are used to 

The HITECH Act introduced which concept in regard to EHI: 

Type of HMO that contracts with more than one community based multispecialty group is

A registered health info tech may also be referred to as: 

HMO plans add a point of service (POS) option to: 

Provision in Patients Bill of Rights that allows pt's the right to review & copy their records

An individual who is an insured, enrolled subscriber under a health benefit plan is:

The HITECH requirements for implementation of standardized electronic health records is known: 

How many characters are used in ICD 10 codes

CBO typically contracts with a dr's office to perform what functions: 

When a person has health insurance through 2 or more plans, the determination of which pays is:

In order to receive the Certified Professional Coder (CPC) certification you must: 

Group insurance is issued to an employer to provide coverage for; 

Benefits of professional memberships include all EXCEPT

One aspect of healthcare reform that most people agree on is that..

Using 3 digit codes when no 4 digit codes are avail, & 4 digit codes when no 5 digit are avail:

Duties & responsibilities of a privacy compliance officer may include, EXCEPT: 

HIPAA security rule complements the privacy rule but applies exclusively to: 

To achieve certification as a NCMOA, you must have all EXCEPT: