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30 terms

Test 2

MB116
STUDY
PLAY
TPMS
Total Patient Management Services
Diabetics
code for symptoms only
Coding of Medical Procedures
adhere to ethical standards and legal practices. chart documentation must support the chart, maintain coding skills through CEUs and networking.
Proof of posting
D- patient's previous balance
A- added to the charges
B- payments and adjustments
C- New Balance
example: D+ A - B - C
12 + 5 - 2 =13
2 + 7 - 1 = 8
12 + 12 - 3 =21
COLUMN TOTALS
CPT codes
have 5 digits and may have two-digit modifiers
When coding a diagnosis, go first to:
Volume II of ICD-9-CM
Level II of HCPCS:
provides codes to enable the provider to report nonprovider services
The ICD-9-CM codes
code every disease, illness, condition, injury, and cause of injury known
Most insurance carriers accept which form
CMS-1500 (08-05)
Claim registers are used to
monitor claims that have been sent to insurance companies for process
Information to be included in the CARRIER section of the CMS-1500 (08-05) insurance claim form includes all of the following except
the patient's name
Information to be included in the PATIENT and INSURED section of the CMS-1500(08-05) insurance form includes all of the following except
NPI number of the billing provider
CPT or ICD-9CM
irregular mentstrual cycle (ICD-9, 626.4)
Biopsy, soft tissue of neck (CPT, 21550)
Dissection of renal artery (ICD-9, 443.23)
Adenitis, lymph gland, except mesenteric (ICD-9, 289.3
Thyroid hormone (T3orT4) uptake (CPT, 84479)
Hearing aid examination and secetion; monaural (CPT, 92590)
The debit column of a ledger is
the column on the left; used to enter charges, procedure codes, and description of services
The use of debit/credit cards by patients to pay for service in ambulatory care settings is
a financial arrangement increasingly being used
The first section of the manual day sheet is used
to post individual transactions
Good working habits for bookkeeping functions include
keeping the bookkeeping tasks current and up to date
Petty cash
pays for routine and unexpected minor expenses of the clinic
Encounter forms
can be ordered to fit the practice and list common services provided, procedural code, and diagnosis code.
Reciepts
are not given unless services are rendered the same day
When accepting checks from patients
inspect for correct date, amount, and signature plus, immediately stamp with a restrictive endorsement
Guarantor
pays everything
ledger
debit, credit, and balance
Up-coding
giving a higher CPT code/ to make more money for charges
Down-coding
lowering the CPT range (favors, friends, family)
Buddling
multiple CPT codes, combining into one inclusive code
POINT OF SERVICE DEVICE
scans your insurance card for services such as getting into medical records of patients
Cancer patience admit
asking v-code or e-code
INSITV
in the natural original postion or place for example the cancer is confined to the breat duct
SNOWED
This code system is important because it helps standardized the terminology used in medical documentation. EHR Management