HCPCS WORDS TO KNOW BEFORE EXAMS 2022
HCPCS Tabular List - organized by type of service and procedure
HCPCS - Health Care Procedure Coding System
CDT - current dental terminology.
HCPCS National Panel - maintains, revises and adds permanent codes
Is HCPCS a part of CPT - NO CMS
Do HCPCS modifers increase payout - NO
When are HCPCS and CPT codes used together - When billing for preventative medicine
What is an Adjustment - The difference between what the physican charges and Medicare
allows
What is Medicare - Largest Federal Program is the US
Medicare Part A - The part of the Medicare program that pays for hospitalization, care in a
skilled nursing facility, home health care, and hospice care.
Medicare Part B - The part of the Medicare program that pays for physician services,
outpatient hospital services, durable medical equipment, and other services and supplies.
Medicare Part C - managed care health plans offered to medicare beneficiaries under the
medicare advantage program
Medicare Part D - prescription drug coverage
CMS - Center for Medicare and Medicaid Services
Who are nonphysican providers - nurse practitioners, physicians assisant, occupational and
physical therapists, midwife
Case Mix - type of category patients are treated by
Per Diem - per day
RBRVS - Resource-Based Relative Value Scale
Role of practitioner - to work as a primary or with a physicans
Oasis system - home healthcare patient outcome software
ASC - ambulatory surgery center, yes it can be in a facility but needs its own ID number
HCPCS Tabular List - organized by type of service and procedure
HCPCS - Health Care Procedure Coding System
CDT - current dental terminology.
HCPCS National Panel - maintains, revises and adds permanent codes
Is HCPCS a part of CPT - NO CMS
Do HCPCS modifers increase payout - NO
When are HCPCS and CPT codes used together - When billing for preventative medicine
What is an Adjustment - The difference between what the physican charges and Medicare
allows
What is Medicare - Largest Federal Program is the US
Medicare Part A - The part of the Medicare program that pays for hospitalization, care in a
skilled nursing facility, home health care, and hospice care.
Medicare Part B - The part of the Medicare program that pays for physician services,
outpatient hospital services, durable medical equipment, and other services and supplies.
Medicare Part C - managed care health plans offered to medicare beneficiaries under the
medicare advantage program
Medicare Part D - prescription drug coverage
CMS - Center for Medicare and Medicaid Services
Who are nonphysican providers - nurse practitioners, physicians assisant, occupational and
physical therapists, midwife
Case Mix - type of category patients are treated by
Per Diem - per day
RBRVS - Resource-Based Relative Value Scale
Role of practitioner - to work as a primary or with a physicans
Oasis system - home healthcare patient outcome software
ASC - ambulatory surgery center, yes it can be in a facility but needs its own ID number
