Health Ins. and Claims Chapter 5
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
|
|
||||
|---|---|---|---|---|---|
| show | abuse
🗑
|
||||
| show | Federal Register
🗑
|
||||
| an intentional deception or misrepresentation that someone makes, knowing it is false, that could result in an unauthorized payment | show 🗑
|
||||
| show | Medicare Administrative Contractor (MAC)
🗑
|
||||
| show | modifier
🗑
|
||||
| show | National Health PlanID (PlanID)
🗑
|
||||
| show | National Provider Identifier (NPI)
🗑
|
||||
| funds a provider or beneficiary has received in excess of amounts due and payable under Medicare and Medicaid statutes and regulations. | show 🗑
|
||||
| show | program transmittal
🗑
|
||||
| show | record retention
🗑
|
||||
| show | unbundling
🗑
|
||||
| the major procedure or service when reported with another code. The comprehensive code represents greater work, effort, and time than to the other code reported(also called column 1 codes) | show 🗑
|
||||
| the lesser procedure or service when reported with another code. The component code is part of a major procedure or service and is often represented by a lower work relative value unit (RVU) under the MC Dr.fee schedule as compared to the other code repo | show 🗑
|
||||
| show | mutually exclusive codes
🗑
|
||||
| involves linking every procedure or service reported to the insurance company to a condition that justifies the necessity for performing that procedure or service | show 🗑
|
||||
| pairs of CPT and/or HCPCS level II codes, whicha re not separately payable except under certain circumstances (e.g., reporting appropriate modifier). | show 🗑
|
||||
| laws passed by legislative bodies. eg. federal Congress and state legislatures. | show 🗑
|
||||
| an order of the court that requires a witness to appear at a particular time and place to testify. | show 🗑
|
||||
| show | upcoding
🗑
|
||||
| CMS's HPMP replaced PEEP. The goal is to measure, monitor, and reduce the incidence of Medicare fee-for-service payment errors for short-term, acute care, inpatient PPS hospitals | show 🗑
|
Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Created by:
Kcompleta
Popular Medical sets