Hcpcs Study guides, Class notes & Summaries

WGU D521 MEDICAL CODING (This section explains what medical coding is and how it began. You will learn about each of the coding data sets (ICD-10-CM, ICD-10-PCS, HCPCS, and CPT) used in outpatient and inpatient settings. In this unit, you will examine wha

CRCR Exam Prep What are collection agency fees based on? - correct answer A percentage of dollars collected Self-funded benefit plans may choose to coordinate benefits using the gender rule or what other rule? - correct answer Birthday In what type of payment methodology is a lump sum or bundled payment negotiated between the payer and some or all providers? - correct answer Case rates What customer service improvements might improve the patient accounts department? - correct answer Ho...

Test Bank For Understanding Current Procedural Terminology and HCPCS Coding Systems 2024 Edition 11th Edition by Mary Jo Bowie Chapter 1-23

TEST BANK for Understanding Health Insurance: A Guide to Billing and Reimbursement, 2023 Edition 18th Edition Michelle Green TABLE OF CONTENTS 1. Health Insurance Specialist Career. 2. Introduction to Health Insurance and Managed Care. 3. Introduction to Revenue Management. 4. Revenue Management: Insurance Claims, Denied Claims and Appeals and Credit and Collections. 5. Legal Aspects of Health Insurance and Reimbursement. 6. ICD-10-CM Coding. 7. CPT Coding. 8. HCPCS Level II Coding. 9...

Test Bank For Medical Coding Training CPC Practical Application WorkBook-Coding with Answer Key 2024 1. What type of profession might a skilled coder enter? Answer: Consultants, educators, medical auditors The Business of Medicine 2. What is the difference between outpatient and inpatient coding? Answer: Outpatient coders will focus on learning CPT®, HCPCS Level II, and ICD-10-CM codes. They will work in physi- cian offices, outpatient clinics, and facility outpatient departments...

HCPCS Questions and Answers Latest Version Graded A+ **Question:** CPT, HCPCS Level II, and HCPCS Level III codes are all recognized as HIPAA-approved National Code Sets. a.) True b.) False **Answer:** b: False. HCPCS Level III codes are not part of the HIPAA-approved National Code Sets. They were phased out on Dec. 31, 2003. --- **Question:** For most emergency room cases where both a CPT surgery code and evaluation and management (E/M) code are reported, which modi...

HCPCS- Appendix 2- Modifiers (HCPCS Level II Professional 2019 Edition)

HCPCS Study Guide Questions with Verified Solutions **Question:** What is the primary coding system driven by the Centers for Medicare and Medicaid Services (CMS) that ensures consistent reporting of services, procedures, supplies, and equipment? **Answer:** HCPCS --- **Question:** What does HCPCS stand for, as developed by CMS? **Answer:** Healthcare Common Procedure Coding System --- **Question:** Developed by CMS, what alternative names are used to describe H...

HCPCS Level II Coding and HW Questions and Answers Rated A+ **What do HCPCS Level II codes and modifiers report?** They report services, procedures, and supplies that are not adequately described in the CPT book. **What does the HCPCS Level II book include?** An alphanumeric listing and an alphabetic index. **Which transportation services are coded in HCPCS Level II?** Nonemergency van or taxi, ground and air ambulances, and nonemergency car or bus. **When determining transportat...

HCPCS level II Questions and Answers 100% Pass **Question:** What is another term for HCPCS Level II codes? Also known as national codes, these are used to describe common medical services or supplies. They consist of 5 characters starting with letters A-V followed by 4 numbers. --- **Question:** Who uses HCPCS Level II codes to identify services? Physicians and non-physician providers, ambulance companies, and durable medical equipment companies utilize these codes. -...

HCPCS Level II Coding Questions and Answers 100% Pass **What coding system is utilized to document services, medical equipment, and supplies not detailed in the CPT manual?** HCPCS Level II **Which section of the HCPCS Level II codebook provides a quick reference to drug names and their corresponding codes?** Table of Drugs and Biologicals **Which branch of medicine focuses on developing artificial body parts?** Prosthetics **Which HCPCS Level II modifiers indicate procedur...