STUDY GUIDE (CERTIFIED MEDICAL CODING
AND BILLING SPECIALIST)
UB04 form is used for
Hospice, Ambulatory Surgery Centers, Home Health Care
patient confidentiality
treating patient's medical information as private and not for publication
signing an Acknowledgement of Notice of Privacy Practice is accepting what
HIPAA
form to authorize sharing of medical information
medical release form
standard form used for medical billing
CMS-1500
must appear on CMS 1500 form prior to submission
birth date in 8 digit format, all caps
encounter form
financial record source document to record treated diagnosis and services rendered to
the patient during the current encounter. also called the superbill
where non allowed charges are recorded
adjustment column
10 digit numeric identifier required in box 33A of CMS 1500
National Provider Identifier (NPI)
CLIA - Clinical Laboratory Improvement Act
quality standards for lab tests
most common reason for claim rejection
incorrect or incomplete information
PICA pitch 10
written CMS 1500 form
PICA pitch 12
electronic CMS 1500 form
delinquent claim
not paid within a certain amount of time
implied contract
patient scheduling an appointment with a new provider
bullet/solid circle
symbol used to indicate a new CPT code
plus sign (+)
add on CPT code symbol
triangle
new/revised code in HCPCS level 1
multiple, varying wound sizes
add the sizes together
AND BILLING SPECIALIST)
UB04 form is used for
Hospice, Ambulatory Surgery Centers, Home Health Care
patient confidentiality
treating patient's medical information as private and not for publication
signing an Acknowledgement of Notice of Privacy Practice is accepting what
HIPAA
form to authorize sharing of medical information
medical release form
standard form used for medical billing
CMS-1500
must appear on CMS 1500 form prior to submission
birth date in 8 digit format, all caps
encounter form
financial record source document to record treated diagnosis and services rendered to
the patient during the current encounter. also called the superbill
where non allowed charges are recorded
adjustment column
10 digit numeric identifier required in box 33A of CMS 1500
National Provider Identifier (NPI)
CLIA - Clinical Laboratory Improvement Act
quality standards for lab tests
most common reason for claim rejection
incorrect or incomplete information
PICA pitch 10
written CMS 1500 form
PICA pitch 12
electronic CMS 1500 form
delinquent claim
not paid within a certain amount of time
implied contract
patient scheduling an appointment with a new provider
bullet/solid circle
symbol used to indicate a new CPT code
plus sign (+)
add on CPT code symbol
triangle
new/revised code in HCPCS level 1
multiple, varying wound sizes
add the sizes together
