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Medical Billing and Coding Flashcards | StudBud
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Medical Billing and Coding
Law that regulates the use and disclosure of patients PHI
Who is the subscriber?
Medical Billing and Coding
20 terms
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StudBud Administration
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178 plays
chapters 2 & 7
Flashcards
20 cards
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Questions
20
Answers
1
Who is the subscriber?
The insured
The person submitting the claim
The insurance company
the doctor
2
Law that regulates the use and disclosure of patients PHI
Audit
HIPAA Security Rule
Omnibus Rule
HIPAA Privacy Rule
3
Recording of a patients health status in a medical record is
SOAP
covered entity
documentation
PHI
4
What does the abbreviation "POS" stand for?
Parent Over Shoulder
Part of Speech
Point of Sale
Place of Service
5
What does E/M stand for?
Endocrine and Metabolic
Evaluation and management
Entrepreneurship & Management
Engineering and management
6
reviewing selected medical records to see whether the documentation matches the billing is..
PHI
SOF
Audit
Encryption
7
What does TPO stand for?
Treatment, payments, and operations
Third Party Only
Thyroid Peroxidase
Time, Place, and Occasion
8
What does SOF stand for?
Statement of facts
Source of Funds
sSoluble Organic Fraction
Signature on File
9
what does the NUCC stand for?
National Uniform Claim Committee
Nuclear Utility Coatings Council
networks' Universal Customer Center
Non-Uniform Cluster computing
10
On HIPAA claims, a required data element:
must be entered in italics
is entered in capital letters
is optional
must be supplied
11
What does SOAP stand for?
Sex, Ovulation, abscess, Pituitary
Student, Ophthalmoscope, auscultation, patient
Subjective, Objective, Assessment, Plan
Subjective, Olfactory, adjudication, patient
12
Define Claim scrubber
Software used to check claims
object used to laminate claim papers
the insured
software used to order bathing supplies for patients
13
How many diagnosis code pointers can be assigned to a procedure code?
6
4
3
2
14
Claim accepted by a health plan for adjudication
Claim Scrubber
subscriber
Clean Claim
Audit
15
What is an EHR?
Electronic health record
Electronic human resources
Equipment history record
Executive health resources
16
The POS code for a military treatment facility is
36
26
6
2
17
EMG stands for...
Enterprise Management Group
Electromyography
emergency
electromyogram
18
PHI stands for...
Preferred health Institute
Private health information
Protected health information
Private Health Institution
19
What does CMS stand for?
Content Management Software
Content Management System
Centers for Medicare and Medicaid services
Case Management System
20
The NPI is used to report the _________ on a claim
Provider Identifier
Subscriber
Destination Payer
Rendering provider
