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Med. Insurance Terms

Medical Insurance in a Flash Chapter 4

QuestionAnswer
In what year was the CPT coding process developed? 1966
What is the new name foe HCFA? Centers for Medicare and Medicaid Services (CMS)
what modifier is used to bill for multiple procedures performed during the same session? Modifier -51
What symbol is used to report an add-on code? A cross +
What symbol is used to report a new code? a dot .
what symbol is used to report a revised code? A triangle
What symbol is used to report new or revised text? A bow tie
What symbol is used to report that the code includes moderate sedation? A circle with a dot in middle
What is the name of the specialty that specializes in prevention, diagnosis, and treatment of mental illnesses? Psychiatry
Psychiatric therapeutic procedures are divided into how many groupings? four
Medicare will not accept psychiatric therapy codes when billed the same day as what other code? Evaluation and management (E&M)
The codes for reporting end-stage renal disease cannot be billed with what other codes? Hospitalization codes
How many biofeedback codes are there? two
A hearing aid check code would be found in what section of the CPT book? Otorhinolaryngology
A code for a colonoscopy would be found in what section of the CPT? Gastroenterology
What test obtains ultrasound signals from the heart and great arteries, with two-dimensional images? Echocardiology
Codes for an EEG would be found in what section of the CPT book? Neurology and Neuromuscular procedures
In what section would I find physical therapy codes? Physical Medicine and Rehabilitation
What type of sedation is a drug-induced level of consciousness in which patients are still able to respond to verbal commands, but it is not necessary to use a ventilator? Conscious sedation
How many types of ophthalmology services are there, and what are they? Three: Intermediate, Comprehensive, and special
What type of ophthalmology service includes a complete visual examination? Comprehensive
What are the four types of anesthesia? Local, regional, general, and monitored anesthesia care (MAC)
In addition to the anesthesiologist, who are the other two qualified anesthesia professionals? Certified nurse anesthetists (CRNAs) and anesthesia assistants (AAs)
In anesthesia, 1 unit equals how many minutes? Generally 15 minutes
What modifier is used to report that the anesthesia administered was complicated by the physical status of the patient? Physical status modifiers
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