NR511 Week 1

Insurance won't pay if they don't correspond. What are the three components required in determining an outpatient office visit E&M code? - Place of service Type of service Patient status What is medical coding? - The use of codes to communicate with payers about which procedures were performed and why What is medical billing? - Process of submitting and following up on claims made to a payer in order to receive payment for medical services rendered by a healthcare provider. What are CPT codes? - Common procedural terminology Offers the official procedural coding rules and guidelines required when reporting medical services and procedures performed by physician and non-physician providers. What are ICD codes? - International classification of disease Used to provide payer info on necessity of visit or procedure performed. What is specificity? - The ability of the test to correctly detect a specific condition