Ncd - Study guides, Class notes & Summaries

What part of Medicare covers prescription drug services - correct answer Part D What is medical coding? - correct answer Translating medical documentation into codes. Which is NOT a covered entity of HIPAA... Medicare, Worker's Comp, Dentists, Pharmacies - correct answer Workers compensation What is an NCD (National Coverage Determination) interpreted at the MAC level considered? - correct answer LCD (Local Coverage Determinations) When should an ABN (Advance Beneficiary Noti...

National Coverage Determination (NCD) - Which of the following Medicare policies determines if a particular item or service is covered by Medicare? Adjudication - Which of the following is considered the final determination of the issues involving settlement of an insurance claim? Encounter Form - A form that contains charges, DOS, CPT codes, ICD codes, fees and copayment information Admitting clerk - A patient comes to the hospital for an inpatient procedure. Which of the following hospi...

Through what document does a hospital establish compliance standards? code of conduct What is the purpose OIG work plant? Identify Acceptable compliance programs in various provider setting If a Medicare patient is admitted on Friday, what services fall within the three-day DRG window rule? Non-diagnostic service provided on Tuesday through Friday What does a modifier allow a provider to do? Report a specific circumstance that affected a procedure or service without chan...

broadest of the three terms: communication, language, speech - ANSWER communication communication - ANSWER encompasses two components: 1. language 2. nonlinguistic communication -requites a sender, who encodes the communication and a receiver who decodes the message-- --when the receiver decodes and understands the message, then communication has occurred

fever - ANSWER normal: 98.6F temperatures >100.2F are abnormal diurnal variation: temp is usually lowest at 6am and highest around 6pm heat generation: cellular metabolism, myocardial contraction, respiration, shivering heat conservation: peripheral vascular constriction heat loss: vasodilation of cutaneous circulation, increased sweating

AAPC CPC FINAL EXAM 2023 QUESTIONS WITH FULL ANSWER KEY & RATIONALE When coding in operative report what action would NOT be recommended? - answerCoding from the header with out reading the body of the report If an NCD doesn't exist for a particular service/procedure performed on a Medicare patient who determines coverage? - answerMedicare administrative contractor (MAC)

sensitivity of a lab test - ANSWER Ability to correctly identify or detect a disease or condition when it is present Specificity of a lab test - ANSWER ability to correctly exclude the disease or condition when it is not present specificity and sensitivity - ANSWER idenpendent of disease prevalence in a population Positive and negative predictive value - ANSWER dependent on disease prevalence

Part of Medicare for prescription drug services - Part D Definition of medical coding - Translating medical documentation into codes NOT a covered entity of HIPAA - Work Comp Interpretation of NCD at MAC level - LCD (Local Coverage Determinations) When to sign an ABN - When a service is not expected to be covered under Medicare Limit on ABN amount to patient - $100 or 25% of the cost

Exam 2: NUR2459/ NUR 2459 (Latest 2024/ 2025 Update) Mental Health Complete Review | Questions and Verified Answers| Grade A | 100% Correct- Rasmussen Q: What are the cognitive symptoms of vascular NCD caused by? Answer: significant cerebrovascular disease Q: what is the onset of vascular NCD? Answer: abrupt, and changes in the thought processes occur in noticeable "steps" downward rather than as a gradual deteri- oration. Q: what is the etiology of vascular NCD? An...

Sensitivity (mnemonic) - ANSWER Also called the true positive rate (having good sense is a truly positive) Sensitivity quantifies the avoiding of false negatives T+ F- Specificity (mnemonic) - ANSWER Also called the true negative rate (a spec on your white canvas is truly negative) Specificity quantifies the avoiding of false positives T- F+