Kahoot Quizzes (coding)
Surgery CPT codes are?
10021 - 69990
Medicare cost 3 billion in 1966, and was estimated to cost 12 billion in 1990. Actual cost in 1990 was?
107 billion
ICD-9-CM/PCS were revised for the first time in _________ years on October 1, 2015.
30
CPT codes typically have ______ characters.
5
Home Health PPS reimburses for ________ day episode of health care.
60
E/M CPT codes are?
99201 - 99499
Long Term Acute care is defined as:
>25 days
CPT were published and copyrighted by the ______.
AMA
Medicare Coverage Database (MCD) and Outpatient Code Editor (OCE) are 2 examples of software for:
Auditing
What is an annual review to improve efforts to reduce and recover improper payments?
Auditing
These clarify services and procedures performed by providers?
CPT Modifiers
All healthcare providers use these codes for evaluation and management services.
CPT codes
What are benefits of updated ICD-10 CM/PCS?
Decrease supporting documents, increase public health surveillance, and increase measuring of health care
What are payment system that changed payment to facilities for dialysis and then billing for drugs?
ESRD PPS
what setting was Diagnosis-Relate Group (DRG) implemented for?
Hospital Inpatient
What was developed in the U.S. to classify morbidity (disease) data in all settings?
ICD-10-CM
CMS manual is:
Internet-only manual (IOMs)
What setting is reimbursed per discharge of diagnostic-related group (DRG)?
Long Term Acute Care Hospital
Program to reduce payment errors by addressing provider billing errors from initial coding.
Medical review
What was implemented in 1966 to care for the elderly and control cost of hospital inpatient care?
Medicare
CMS implemented this program to promote correct coding methodologies.
NCCI
What indicator is utilized by medicare to potentially reduce reimbursement to hospitals?
POA
What is the system of establishing pre-determined rates based on patient category and facility type?
PPS
This program was implemented by CMS to identify overpayments and underpayments to providers
RAC
The practice of using multiple CPT codes to maximize reimbursement is called?
Unbundling
What is a system for improving health care quality by increasing payment based on quality not quantity?
Value Based Purchasing
Medical necessity is determined by linking:
condition/diagnostic codes and service codes
If coders have questions regarding patient documentation and assigning codes they use:
physician query process
What are the components of RVUs?
physician work, practice expense, and malpractice expense
RAVVEN is a EMR utilized in
skilled nursing facilities
Radiology CPT codes are?
70010-79999
