Chapter One Flashcards
Describe the medical coder’s job responsibilities
Describe Medical Coder’s professional training
Describe medical coder’s employment opportunities
Explain importance of confidentiality and necessity of proper documentation
Differentiate Medicate, Medicaid, third party, managed care, and private health insurance
Describe roles and responsibilities of coder, physician, and patient the legal and ethical aspects of medical coding
Distinguish among Medicare Part A, Part B, Part C, and Part D
What is HIPPA? When established?
Interpret rules of the Health Insurance Portability and Accountability Act
What is the Federal Register?
What is the RBRVS System?
What is the MFS?
What is Relative Value Unit (RVU) and how is it used?
Name some examples of Medicare fraud
Billing for services not provided, Misrepresenting diagnosis, Kickbacks, Falsifying medical necessity, Routine Waiver of copayment, unbundling services
Define Managed Health Care
What is a PPO?
