Business Practices Final Review

When did ICD-10-CM become effective?

Capable of being discussed and terms arranged

This is an amount beyond what is currently in the account.

What are the first 3 letters/numbers called in an ICD-10 code?

A PPO is a contract between a policyholder, and an insurance carrier to reimburse the policyholder.

An arrangement by which a tasks ,operation, or job that can be conducted by the office is  contracted to another company

In an ICD-10 code the decimal point goes after the 4th didgit.

CPT Codes deal with the diagnostic coding

Accounting systems include all but which of the following?

The standard claim form designed by the Centers for Medicare and Medicaid Services is CNS-1500

A document that serves as proof that the terms of a transaction have been met.

One of the manager’s role with HIPAA includes conducting audits and analyze PHI security

A patient ledger within a practice management system (EHR) may be called an account____________

When a person or company knowingly deceives Medicar to receive inappropriate payment from the program.

This is a slip containing an itemized list of checks or cash deposited, the date, and the depositor’s signature.

Medicaid is a federal program providing health care coverage for individuals over the age of 65 or who are disabled.

Cash for small, unanticipated purchases is provider cash

Used to notify a Medicare beneficiary that it is unlikely that Medicare will pay

The giving of authority.

The maximum amount an insurer will pay for any given service.

Charges that are deemed uncollectible by any business.

The accounts receivable (A/R) ratio has a goal of 6 months

Person entitled to benefits of an insurance policy are called the policy holder

How many codes are there in ICD-10-CM?

All are Sexual Harassment and the Hostile Work Environment Acts except:

Authorization, by the patient, for payment to be made directly by the  insurance to the provider for services.

A printed description of the benefits provided by the insurer to the beneficiary

An organization of physicians who network together to offer discounts to purchasers of health care insurance.

A/R balance divided by Average monthly gross=

A payment of services rendered by someone other than the patient

The person to whom money is paid is the payee.

All are considered A/R except

A check you have written that does not appear on your bank statement is:

Meaning the patient does not have enough money in the bank account to cover the amount of the check.

Medicaid is Health care coverage for individuals of limited or low-income

_______involves the entire process of identifying, recording, and communicating economic events.

The person to whom money is paid is the payer.

Always cross-reference the code or codes found in the index with the actual code descriptions.

_________is defined as a disagreement that occurs in groups when differences are expressed

To give up; forgo; waiving of a right or claim;

What is the process to bring checkbook and bank statement into agreement

Medicare pays 20% of allowed amount after the deductible is satisfied

The money and items of value in a business is it's assets