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51 Cards in this Set
- Front
- Back
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How many levels of procedure coding are there? |
Three. |
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How many levels of E&M (Evaluation and Management) are there? |
Four -Level I Problem Focused -Level II Expanded Problem Focused -Level III Detailed Problem Focused -Level IV Comprehensive (Physical) |
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What is the main body of the CPT book? |
Category* 3 codes
*Series |
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What is in a code? |
Main term, which makes it a standalone code, or it can have modifiers. |
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What does the ☉ (circled bullet) symbol stand for? |
Moderate sedation. |
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What does the + (plus) symbol stand for? |
Add-on code. |
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What does a sideways thunder symbol stand for? |
FDA approval pending. |
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What does the # (number) symbol stand for? |
Resequenced code. |
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What does the o (blank circle) symbol stand for? |
Recycled/reinstated code. |
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What does the ▲ (shaded triangle) symbol stand for? |
Revised code. |
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What does the ● (bullet) symbol stand for? |
New code. |
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What does the ▶◀ (shaded mirrored arrows) symbol stand for? |
Contains new or revised text. |
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What does the ⊘ (slashed circle) symbol stand for? |
Modifier 15 exempt. |
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What is a standalone code? |
A full descriptive code without additional explanation. |
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What are the three key components to E&M's level of service? |
-History -Examination -Complexity (high or low) |
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What is CC? |
Chief complaint. |
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What is ROS? |
Review of systems. |
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What is HPI? |
History of present illness. |
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What is PFSH? |
Past family social history. |
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What is the term for face to face time with patients? |
Direct patient contact. |
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What happens when CPT coding provides a uniformed language? |
It describes accurate professional service. |
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What is a five digit code for reporting services? |
Level 1 coding. |
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Should modifiers be documented in a patient's record? |
Yes. |
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What are the three ways CPT codes can be displayed? |
-Single codes -Multiple codes -Range of codes. |
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How many degrees are there for patient examination? |
Four. |
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Is time a factor when coding emergency room visits? |
No. |
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What is up coding? |
It is a form of getting higher paying reimbursement, however, it is illegal and it places inaccurate data in the patient's chart. |
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What is EMIC? |
Emergency Maternal Infant Care. It was enacted in WWII. |
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What is the name for the health care system for the US uniformed? |
Military health system. |
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What are Reserve and National Guard called? |
Reserved components. |
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What is the equivalent to TRICARE Standard? |
Fee-for-service. |
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What is the equivalent to TRICARE Extra? |
PPO. |
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What is the equivalent to TRICARE Prime? |
HMO. |
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If a military member has two insurances, what is it called? |
OHI (Other health insurance). |
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What is the equivalent to TFL (TRICARE for life)? |
Medicare. |
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What are the two filing deadlines for military carriers? |
-30 days -1 year |
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How would someone lose CHAMPVA benefits? |
-Widow remarries -Divorce -Child becomes 18 |
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Where do all CHAMPVA claims go? |
Denver, Colorado. |
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What claim form do military insurances use? |
CMS-1500. |
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What is the name of Worker's Compensation for Maritime employees? |
Long Shore Act. |
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What is the filing limit for Worker's Comp? |
It is determined by the state. |
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What is a financial means test? |
Determines financial need. |
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What are the three TRICARE plans? |
-TRICARE Standard -TRICARE Extra -TRICARE Prime |
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What do you call an insured service member? |
Sponsor. |
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What is TRICARE Prime Remote? |
It is insurances when on a remote assignment. |
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What is the name of a paper provided by the MTF (Military Treatment Facility)? |
NAS (Non-availability statement) |
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What is the system that checks for military benefit eligibility? |
DEERS |
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CHAMPVA requires pre-authorization for certain services. What are those services? |
-Dental care -Hospice -Substance abuse |
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What are some disqualifications for Worker's Comp? |
-Drunk on duty -Horseplay at work |
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Does Worker's Comp apply to casual employees? |
No. |
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What are two types of disabilities? |
-Long term -Short term |
