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Certification study guide for NHA CBCS Exam A+
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Certification study guide for NHA CBCS Exam2023
,Medical Ethics - answers-Standards of conduct based on moral principals. Acting
within ethical behavior boundries means carrying out one's responsibilities with
integrity, decency, respect, honesty, competence, fairness and trust.
Compliance Regulations - answers-Most billing related cases are based on HIPAA
and the False Claims Act.
HIPAA is an acronym for - answers-Health Insurance Portability and Accountability
Act of 1996.
Category 1 CPT codes - answers-Medical Procedures.
Category 2 CPT codes - answers-Supplemental Codes for Performance Measures.
Category 3 CPT codes - answers-Emerging Technologies.
Add on Codes - answers-Used for procedures that are always performed during the
same operative session, as another surgery in addition to the primary
service/procedure and is never performed separately.
Anesthesia is found - answers-00100-01999, 99100-99140.
Evaluation and Management (E&M) codes - answers-Are listed first in the CPT
manual because they are used by all the different specialties.
Brackets - answers-Used to enclose synonyms, alternative wording or and
explanatory phrase.
Bullets - answers-Represents a new procedure or service code added since the
previous edition of the manual.
Chief Complaint (CC) - answers-The reason the patient came to see the physician.
Circle with a line through it (� ) - answers-Exemption from modifier 51.
CPT - answers-Used to report services and procedures by physicians.
, E&M codes - answers-99201-99499
Guidelines are found - answers-At the beginning of each section and used to provide
specific coding rules for that section.
History (HX) - answers-The set of information the physician gathers from the patient
concerning his/her past.
History of Present Illness (HPI) - answers-A chronological account of the
development of the complaint from the first sign or symptom that the patient
experienced to the present.
Indented Codes - answers-Listed under associate and stand alone codes.
E Codes - answers-For durable medical equipment for use in home.
Level 1 codes - answers-Codes found in the CPT manual.
Level 2 codes - answers-National codes for the physician and non-physician service
not found in the CPT Level 1.
Level 3 codes - answers-Used locally or regionally and have been eliminated by the
CMS since the implementation of HIPAA.
The List of Modifiers is found where in the CPT - answers-Appendix A and in the
front of the book.
Modifier 50 - answers-Bilateral procedure.
Modifier 24 - answers-Attach to E/M service code when service is provided during
postoperative period to indicate that the service is not part of postoperative care and
not included in the Surgical Package.
Modifier 26 - answers-Provider only provided the professional component.
Modifier 51 - answers-Used more than one procedure during the same surgical
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