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Medical Billing And Coding Vocab
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Medical Billing And Coding Vocab
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14 Questions

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

2. 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.

3. Is the process of converting diagnoses - procedures - and services into numeric and alphanumeric characters.

4. includes the shoulder girdle which is made up of the scapula - clavicle and upper extremities. The scapula - or shoulder blades are flat bones that help support the arms. The clavicle - or collarbone - is curved horizontal bones that attach to the u

5. make up part of the roof of the mouth

6. Medicare Managed Care Plans (Formerly Medicare Plus (+) Choice Plan) was created to offer a number of healthcare services in addition to those available under Part A and Part B. The CMS contracts with managed care plans or provider service organizati

7. The physician must obtain this number in order to practice within a state.

8. numbers 8-10 - are attached to the sternum by cartilage

9. This modifier is used to indicate that the procedure was done by an outside laboratory and not by the reporting facility or clinic.

10. Is a policy that covers losses to a third party caused by the insured - by an object owned by the insured - or on premises owned by the insured. Liability insurance claims are made to cover the cost of medical care for traumatic injuries - lost wages

11. Smooth - slightly elevated - edematous(swollen) area that is redder or paler than the surrounding skin.

12. most synarthroses are immovable joints held together by fibrous tissue.

13. Retention of medical records is governed by state and local laws and may vary from state-to-state. Most physicians are required to retain records indefinitely; deceased patient records should be kept for at least five (5) years.

14. male of household is primary payer