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abdomin/o ✔Correct Answer-abdomen
-agon ✔Correct Answer-assemble
-22 ✔Correct Answer-Increase procedural services
When should an ABN be signed? ✔Correct Answer-When a service is not expected to be covered
by Medicare.
acetabul/o ✔Correct Answer-hip socket
-78 ✔Correct Answer-Unplanned return to the operating/procedure room by the same physician
or other qualified health care professional following initial procedure for a related procedure during
the postoperative procedure
-algesia ✔Correct Answer-pain sensation
ABG ✔Correct Answer-Arterial blood gas
Absence ✔Correct Answer-without
a- ✔Correct Answer-not
acr/o ✔Correct Answer-height/extremities
-79 ✔Correct Answer-Unrelated procedure or service by the same physician during the
postoperative period
What are NCD's interpreted at the MAC level considered? ✔Correct Answer-LCD
-algia ✔Correct Answer-pain
ABN ✔Correct Answer-Advance Beneficiary Notice; used by CMS to notify beneficiary of payment
of provider services
adipose ✔Correct Answer-fatty
an- ✔Correct Answer-not
ante- ✔Correct Answer-before
Albinism ✔Correct Answer-Lack of color pigment
ACL ✔Correct Answer-anterior cruciate ligament
,AD ✔Correct Answer-right ear
AFB ✔Correct Answer-acid-fast bacillus
AFI ✔Correct Answer-Amniotic fluid index
AGA ✔Correct Answer-appropriate for gestational age
-ar ✔Correct Answer-pertaining to
-arche ✔Correct Answer-beginning
-ary ✔Correct Answer-pertaining to
-asthenia ✔Correct Answer-weakness
-blast ✔Correct Answer-embryonic
-capnia ✔Correct Answer-carbon dioxide
-cele ✔Correct Answer-hernia
-centesis ✔Correct Answer-puncture to remove (drain)
What is medical billing? ✔Correct Answer-Translating medical documentation into codes.
What part of Medicare should be billed for the pain medication by the pharmacy? ✔Correct
Answer-Part D
The amount on an ABN should be within how much of the cost to the patient? ✔Correct Answer-
$100 or 25% of cost.
An entity that processes nonstandard health information they receive from another entity into a
standard is considered what? ✔Correct Answer-Clearinghouse.
What is PHI? ✔Correct Answer-Personal Health Information.
Intentional billing of services not provided is considered? ✔Correct Answer-Fraud.
What OIG document should a provider review for potential problem areas that will receive special
scrutiny in the upcoming year? ✔Correct Answer-OIG Work Plan. Each year in October.
-80 ✔Correct Answer-Assistant surgeon
-81 ✔Correct Answer-Minimum assistant surgeon
-82 ✔Correct Answer-Assistant surgeon (when qualified resident surgeon not available)
-90 ✔Correct Answer-Reference (outside) laboratory
, -91 ✔Correct Answer-Repeat clinical diagnostic laboratory test
-99 ✔Correct Answer-Multiple modifiers
-23 ✔Correct Answer-Unusual anesthesia
aden/o ✔Correct Answer-in a relationship to a gland
audi- ✔Correct Answer-hearing
bi- ✔Correct Answer-two
Allograft ✔Correct Answer-Homograft, same species graft
Alopecia ✔Correct Answer-Condition in which hair falls out
AGCUS ✔Correct Answer-atypical glandular cells of undetermined
AKA ✔Correct Answer-above-knee amputation
-chezia ✔Correct Answer-defecation
-clast, -clasia, -clasis ✔Correct Answer-break
-coccus ✔Correct Answer-spherical bacterium
-cyesis ✔Correct Answer-pregnancy
-desis ✔Correct Answer-fusion
-dilation ✔Correct Answer-widening, expanding
What is ABN? ✔Correct Answer-Advance Beneficiary Notification
What is AMA? ✔Correct Answer-American Medical Association.
What is CPT? ✔Correct Answer-Current Procedural Terminology. What was changed into codes-
services/procedures.
What is ICD-9-CM? ✔Correct Answer-International Classification of Disease, 9th Clinical
Modification. Why are diagnoses changed to codes?
-24 ✔Correct Answer-Unrelated E/M service by the same physician during a postoperative period
What is HIPAA? ✔Correct Answer-Health Insurance Portability and Accountability Act of 1996. Law
passed by Congress to improve the portability and continuity of healthcare coverage.
-25 ✔Correct Answer-Significant, separately identifiable evaluation and management service by
the same physician on the same day of the procedure or other service
adenoid/o ✔Correct Answer-adenoids