College of the Rockies (COTR ) • HMAP 163

Guatemala Answer: Guatemala City El Salvador Answer: San Slavador Honduras Answer: Tegucugalpa Nicaragua Answer: Managua Costa Rica Answer: San Jose Panama Answer: Panama City Cuba Answer: Havana Venezuela Answer: Caracas Columbia Answer: Bogota Equador Answer: Quito Peru Answer: Lima

Who publishes Current Procedural Terminology (CPT)? Answer: American Medical Association Which HCPCS Level II codes are temporary codes for procedures, services, and supplies? Answer: G Codes The AMA defines medical necessity as services or procedures that a prudent physician would provide to a patient in order to prevent, diagnose, or treat an illness, injury, or disease or the associated symptoms in a manner that is: Answer: all of the above When coding procedu...

Form used to withhold federal taxes Answer: W-4 Form New patient Answer: One who has not received face-to-face services within last 3 years. Importance of pre certification, pre authorization, pre determine Answer: Make sure we can file a claim and the physician receives payment. established patient Answer: One who has received face-to-face services within the last 3 years HIPAA to coding Answer: establishes guidelines to protect patient inform...

Premium Answer: Amount the policy holder pays to the insurance company to keep the policy in effect Subscriber/Policy Holder Answer: the person who owns the policy insured/beneficiaries Answer: the persons covered under the insurance policy guarantor Answer: person who is responsible for the out of pocket expenses and is not always the same as the insured In Network/Participating Provider Answer: Provider who has a contract with the insurance c...

What is a daily ledger/Day Sheet? Answer: a form used to record all daily transactions and payments received What is a patient account ledger? Answer: a form that houses all transcationsthe patient has made for products or services Why should checks be deposited very quickly? What are we trying to avoid? Answer: - Funds become unavailable - Stop payments can occur - old checks What is a credit? Answer: a payment subtracted from existing balance What ...