The flashcards below were created by user
Sandra
on FreezingBlue Flashcards.
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When did medical insurance companies begin offering medical plans that would coverthe costs of routine, preventative, and emergency health care procedures?
After World War II
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What's the big difference between the ICD-9-CM and the CPT manual?
The ICD-9-CM is for finding the code for the patients problem, and the CPT manual is for finding the code for the doctor's solution.
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What is the difference between the ICD-9-CM HospitalEdition and the ICD-9-CM Physician Edition?
The Hospital Edition includes all three volumes, while the Physician Edition only includes the first two volumes.
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What are the two levels of HCPCS?
The CPT manual and the National Coding Manual
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Under what circumstances can someone reveal information from a patient's medical records without the patient's permission?
When all information that would identify the patient has been deleted, as when a doctor writes a paper about a condition.
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What do E/M codes describe?
the patent visit itself.
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What form lists all the conditions and treatments that a particular type of medical practice sees most often?
the superbill
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How many types of codes will you find inthe ICD-9-CM?
three
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What do insurance companies pay for?
services and procedures
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Together, what do all the different types of medical codes on a claim form tell the insurance company?
A complete story about one particular doctor-patient encounter.
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After you look up a code for a procedure in the index of the CPT manual, what should you always do next?
Double-check the code against the tabular section of the book.
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What does the + symbol indicate in the CPT manual?
An add-on code.
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What does the modifier -22 indicate in the CPT manual?
Increased (or unusual) procedural services.
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