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Understanding Coding Laws | MED - Insurance Billing & Coding, Quizzes of Medical Records

Class: MED - Insurance Billing & Coding; Subject: Medicine; University: Dallas County Community College District; Term: Forever 1989;

Typology: Quizzes

2017/2018

Uploaded on 12/28/2018

wendolyne-saenz
wendolyne-saenz 🇺🇸

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TERM 1
Which group identifies services for which new
HCPCS level 2 codes are needed?
DEFINITION 1
CMS HCPCS WORKGROUP
TERM 2
True or False In the CCI, column 2 code
cannot be billed together with a column 1
code for the same patient on the same day of
service
DEFINITION 2
Truewhat are CCI column 2 and column 1 codes?
TERM 3
In CCI, what type of codes cannot both be
billed for a patient on the same day on the
same day of service?
DEFINITION 3
mutually exclusive codes
TERM 4
What are APC Groupers used
for?
DEFINITION 4
APC Groupers help coders determine the appropriate
ambulatory payment classification for an outpatient
encounter
TERM 5
When are APC payments applicable?
DEFINITION 5
APC payments are applicable when a Medicare outpatient is
discharged from the ED, or a clinic, or is transferred to
another hospital which is not affiliated with the initial hospital
where the patient received outpatient services
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TERM 1 Which group identifies services for which new HCPCS level 2 codes are needed? DEFINITION 1 CMS HCPCS WORKGROUP TERM 2 True or False In the CCI, column 2 code cannot be billed together with a column 1 code for the same patient on the same day of service DEFINITION 2 Truewhat are CCI column 2 and column 1 codes? TERM 3 In CCI, what type of codes cannot both be billed for a patient on the same day on the same day of service? DEFINITION 3 mutually exclusive codes TERM 4 What are APC Groupers used for? DEFINITION 4 APC Groupers help coders determine the appropriate ambulatory payment classification for an outpatient encounter TERM 5 When are APC payments applicable? DEFINITION 5 APC payments are applicable when a Medicare outpatient is discharged from the ED, or a clinic, or is transferred to another hospital which is not affiliated with the initial hospital where the patient received outpatient services