Chapter One Flashcards

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1
Q

Describe the medical coder’s job responsibilities

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2
Q

Describe Medical Coder’s professional training

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3
Q

Describe medical coder’s employment opportunities

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4
Q

Explain importance of confidentiality and necessity of proper documentation

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5
Q

Differentiate Medicate, Medicaid, third party, managed care, and private health insurance

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6
Q

Describe roles and responsibilities of coder, physician, and patient the legal and ethical aspects of medical coding

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7
Q

Distinguish among Medicare Part A, Part B, Part C, and Part D

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8
Q

What is HIPPA? When established?

A

Interpret rules of the Health Insurance Portability and Accountability Act

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9
Q

What is the Federal Register?

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10
Q

What is the RBRVS System?

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11
Q

What is the MFS?

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12
Q

What is Relative Value Unit (RVU) and how is it used?

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13
Q

Name some examples of Medicare fraud

A

Billing for services not provided, Misrepresenting diagnosis, Kickbacks, Falsifying medical necessity, Routine Waiver of copayment, unbundling services

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14
Q

Define Managed Health Care

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15
Q

What is a PPO?

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16
Q

What is an HMO?

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17
Q

What are the drawbacks of managed care?

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