12 terms

Medical Coding Step by Step Chapter 1 theory

Medical terms
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A and B
Two insurance programs were established in 1965 by the amendments to the Social Security Act
Centers for Medicare and Medicaid Services (CMS)
The Secretary of DHHS has delegated responsibility for Medicare to which department?
Social Security Administration
Who administers funds for Medicare?
65 and over; and some disabilities; and permanent kidney failure requiring dialysis or transplant
Who is eligible for Medicare?
Work, Overhead (or practice expense), Malpractice
List the three components of the relative value unit:
Resource-Based Relative Value Scale
What does RBRVS stand for?
Medical Administrative Operator (MACS)
What is the name given to the groups that handle the daily operations of the Medicare Program?
Fraud
Intentional deception of misrepresentation is known as?
PROs
Quality Improvement Organizations were previously termed?
Part A
MS-DRG assignment reports what services?
Hospital Facilities
October editions of the "Federal Register" are of special interest to whom?
Physician Fee Schedule
OBRA 1990 contained modifications and clarifications regarding what?