Medical Coding and Billing Certification (MCBC )
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HMO plan automatically given to active duty
servicemembers - Answer-TRICARE prime
not-for-profit, private health insurance organization;
membership id numbers begin with three letters - Answer-
Blue Cross Blue Shield
implemented by the MMA to provide drug coverage to
health plans when members pay monthly premium -
Answer-medicare part d
known as medicare managed care plan; offers a number
of healthcare services in addition to those available under
Part A & Part B - Answer-medicare part c
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also called Supplementary Medical Insurance; covers
outpatient and physician services, dme, and clinical
lab/ambulatory surgical services - Answer-medicare part b
Also called the Hospital Insurance; covers for inpatient,
hospice, home health services, and hospital services -
Answer-medicare part a
federally funded health plan that covers people who are
sixty-five and over and those who are disabled or have
permanent kidney failure - Answer-medicare
insurance card, cms 1500 form and authorization if
needed - Answer-medicaid claim submission
90 day global period - Answer-major surgical procedures
10 day global period - Answer-minor surgical procedures
patient's age, marital status, employment, etc. - Answer-
social history
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reviews the medical history of the patient's family -
Answer-family history
history that explains the patient's experiences with
illnesses, injuries, and treatments - Answer-past medical
history
description of its development from the first symptom that
the patient experienced to the present time - Answer-
history of present illness
what does the ICD convention not otherwise specified or
NOS mean? - Answer-the details of the diagnosis are
unspecified
category II codes - Answer-optional; track performance
management four digits followed by alphabetic character
anesthesia modifies showing an anesthesiologist
performed the service - Answer-AA
what supporting documents are used when an unlisted
CPT code or miscellaneous HCPCS code is assigned -