What is a CPT code?
Coding by _____ helps to distinguish files within a filing system, such as all patients who are on Medicare. tickler A(n) ________ file is a reminder file that helps a medical practice keep track of important appointments and dates and order supplies on time.
How does medical billing and coding work?
Coding. To group diagnoses into the proper MS-DRG, CMS needs to identify a Present on Admission (POA) Indicator for all diagnoses reported on claims involving inpatient admissions to general acute care hospitals. Use the UB-04 Data Specifications Manual and the ICD-10-CM Official Guidelines for Coding and Reporting to facilitate the assignment ...
Does every Procedure Code have a supporting diagnosis code?
· A master list worksheet shows the dates each code was included and excluded from consolidated billing editing on claims, with associated CMS transmittal references. The master list also associates each code with any related predecessor and successor codes. Supplemental worksheets show the list of included codes for each CMS transmittal to date.
What are medical codes used for?
· Failing to check National Correct Coding Initiative (NCCI) edits when reporting multiple codes. The Centers for Medicare & Medicaid Services developed the NCCI to help ensure correct coding methods were followed and avoid inappropriate payments for Medicare Part B claims. These are automated prepayment edits that are “reached by analyzing every pair of …
When should a numeric filing system be used?
A numeric filing system1 is commonly used for purchase orders, checks, and other records that have a unique number assigned to each document. - A numeric filing system2 uses an index or file plan to associate concepts with specific numbers, which are then applied to the materials being filed.
What is the most common filing system used in a numeric filing system?
Alpha-numeric filing uses a combination of names and numbers. You commonly use this type of filing system with subject names and numbers. Arrange files according to alphabetic divisions or subject heading, then by number category.
What type of filing system is best used to ensure that recall patients are scheduled for their appointments group of answer choices?
What type of filing system is best used to ensure that recall patients are scheduled for their appointments? Chronologic filing of recall patients permits the office to contact the patient during the month that he or she is due to return.
What is the name of the filing method in which files are arranged by the patient's last name group of answer choices?
*Alphabetic filing is the traditional filing system for medical offices. According to the filing rules and indexing rules, medical records are filed alphabetically using each patient's last name, first name and middle initial as the first three filing units.
What is file classification system?
A file classification scheme (also known as a file plan) is a tool that allows for classifying, titling, accessing and retrieving records. It is presented as a hierarchical structure of classification levels and is based on the business activities that generate records in a specific organizational business setting.
What are the methods of classifying files?
There are 5 methods of filing:Filing by Subject/Category.Filing in Alphabetical order.Filing by Numbers/Numerical order.Filing by Places/Geographical order.Filing by Dates/Chronological order.
What are walk ins quizlet?
what are walk-ins? patients who want to see the physician without an appointment.
What is the best way to filter a salesperson's request to see the physician without disrupting the office schedule?
What is the best way to filter a salesperson's request to see the physician without disrupting the office schedule? A medical office assistant should always consult the office guidelines for preferred methods of scheduling.
What is the most helpful to the doctor in determining a patient's likely diagnosis?
The medical history of a patient is the most useful and important element in making an accurate diagnosis, much more valuable than either physical examinations or diagnostic tests.
What is filing system in health information management?
Numerical filing systems If a numerical record identification system is used, then a numerical filing system is used. There are two main systems of filing records numerically: straight numeric and terminal digit. This filing method reflects exactly the chronological order of the creation of records.
How are patient files arranged in an alphabetic filing system?
The records are arranged alphabetically based on the first unit. All names that have exactly the same first unit are then arranged by the second unit, the third unit, and so on.
What are the different methods of record identification used in health record practice?
There are three types of numerical filing systems that are utilized in healthcare; straight or consecutive numeric filing, terminal digit or reverse, and middle digit.
What is unbundling CPT?
Unbundling refers to using multiple CPT codes for the individual parts of the procedure, either due to misunderstanding or in an effort to increase payment. Upcoding. Example: You are a physician in a specialty, such as oncology, that often has highly complex patients.
Can you report an injection code without documentation?
Improper reporting of injection codes. Only report one code for the entire session during which the injections take place instead of multiple units of a code. Reporting unlisted codes without documentation. If you must use an unlisted code to properly bill for a service, you must properly document it.
Why do you need to include proper documentation?
You must include proper documentation to explain why the procedure requires more work than usual. Example: You excise a lesion located in the crease of the neck of a very obese patient. The obesity makes the excision more difficult.
What is the medical coding system?
Two common medical coding classification systems are in use — the International Classification of Diseases (ICD) and the Current Procedural Terminology (CPT). ICD is the standard international system of classifying mortality and morbidity statistics, and it’s used by more than 100 countries. The system is used by health care facilities ...
What is medical billing and coding?
Medical billing and coding professionals and providers use these two classifications systems on a daily basis, and they are the “bibles” and building blocks for this industry. Every year, it is mission critical for billers and coders to obtain the new versions of both these code sets to stay abreast of any changes to codes in either of these classification systems, otherwise they will risk denied claims and potential compliance issues.
What is the ICD system?
ICD is the standard international system of classifying mortality and morbidity statistics, and it’s used by more than 100 countries. The system is used by health care facilities to define diseases and allocate resources to provide care.
How many codes are there in the ICD-10?
The current version, ICD-10, features more than 68,000 codes for infections and parasitic diseases, neoplasms, and congenital malformations, as well as diseases of the digestive system, respiratory system, and nervous system.
What is an ICD code?
ICD codes are alphanumeric designations given to every diagnosis, description of symptoms and cause of death attributed to human beings. These classifications are developed, monitored, and copyrighted by the World Health Organization (WHO).
What is the role of NCHS in Medicare?
In the U.S., the NCHS (National Center for Health Statistics), part of CMS (Centers for Medicare & Medicaid Services) oversees all changes and modifications to the ICD codes, in cooperation with WHO.
How many digits are in a CPT code?
CPT codes are five-digit alphanumeric codes and consist of five numbers and occasionally may have four numbers and letter, depending on the type of service. CPT codes are used to identify services provided to patients such as, medical, surgical, diagnostic, and radiological services.
How is an Encyclopedia filing system useful?
This type of filing system is particularly useful for handling large amounts of information because users of the system don't have to keep a particular file's name in mind to find it. Instead, they can start by looking for the general category and search within it to find the specific file they need.
What is the classification of information in an encyclopedic system?
In alphanumeric filing systems, information is classified by category in an encyclopedic system, but using both letters and numbers to denote categories. The use of both letters and numbers allows for a much greater field of categories than does the use of numbers alone.
What is duplex filing system?
In duplex numeric filing systems, files are given numeric labels with several sets of numbers involved. This type of filing system can handle large amounts of data. The different sets of numbers can correspond to major categories and sub-categories, paralleling the encyclopedia system of filing and classification. One drawback to such a system is that an index is required to understand what each grouping of numbers refers to. A very familiar type of duplex numeric system is the Dewey Decimal system, which most libraries use to catalog their collections.
What is chronological filing system?
Another subcategory of numeric filing systems are chronological systems, in which files arranged by date. Typically files are first grouped by year, then by month, then by day. Correspondence files, such as email lists, are typically organized in this fashion, with the most recent pieces of data listed first.
What is the alphanumeric classification system?
In alphanumeric filing systems, information is classified by category in an encyclopedic system, but using both letters and numbers to denote categories. The use of both letters and numbers allows for a much greater field of categories than does the use of numbers alone. Thus the Library of Congress filing and classification system, which is alphanumeric, allows for a greater array of categories than does the Dewey Decimal system, which is limited to ten major categories.
What are the three types of filing systems?
Filing and classification systems fall into three main types: alphabetical, numeric and alphanumeric. Each of these types of filing systems has advantages and disadvantages, depending on the information being filed and classified. In addition, you can separate each type of filing system into subgroups. An effective filing classification system uses ...
Can you separate filing systems into subgroups?
In addition, you can separate each type of filing system into subgroups. An effective filing classification system uses the most logical, practical and flexible type of system for the information involved.