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Medical Billing And Coding Vocab
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Avg score: 54% • Most missed: “Most billing-related cases are based on HIPAA and False Claims Act.”
Medical Billing And Coding Vocab
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13 Questions

1. Most billing-related cases are based on HIPAA and False Claims Act.

2. Forms the anterior part of the skull and the forehead

3. The bone is broken and pierces an internal organ

4. Typically not used on the claim form unless the provider does not have an EIN.

5. This is attached to the code of the E/M service provided to a patient during the postoperative period to indicate that that service is not part of the postoperative care which is usually part of a package of services of the surgery performed. Major s

6. Is when two insurance companies work together to coordinate payment of the benefits.

7. The epidermis - the dermis - and the subcutaneous layer. The epidermis is a thin - cellular membrane layer that contains keratin. The dermis is a dense - fibrous - connective tissue that contains collagen. The subcutaneous layer is a thicker and fatt

8. This modifier is used to explain that the procedure or service done during a postoperative period was planned at the time of the original procedure. This is also used if a therapeutic procedure is performed because of the findings from a diagnostic p

9. Contains complete - necessary information - but is incorrect or illogical in some way.

10. This is defined as incidents or practices - not usually considered fraudulent - that are inconsistent with the accepted medical business or fiscal practices in the industry. Examples of abuse are submitting a claim for a service or procedure performe

11. The reason the patient came to see the physician.

12. is a federal program administered by state governments to provide medical assistance to the needy. Each state sets its own guidelines for eligibility and services - therefore benefits and coverage may vary widely from state to state.

13. Used for procedures that is always performed during the same operative session as another surgery in addition to the primary service/procedure and is never performed separately.

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