![]() ![]() establish financial responsibility B Coding practices that are inconsistent with typical practice are known as:ĭ. physical exam C The last step in the medical billing cycle is:ĭ. provider C CPT codes are used to capture the face-to-face time spent between a patient and the care provider.ĭ. employer's information C The primary person covered by an insurance plan is the:ĭ. Subscriber benefits notice A Of the following, which would be included on a remittance advice or explanation of benefits?ĭ. Participation in an ACO is voluntary C An insurance company submits payment to a medical practice, along with a document that details the patients and accounts for which payment is made. Data can be in structured or unstructured formĭ. Sharing of patient information through an EHR is necessaryĬ. There are currently two models: Medicare Sharedī. Accountable Care Organization C Which is not true of ACOs?Ī. Amendment to the Social Security Act D Groups of doctors and other healthcare providers and facilities who voluntarily form a partnership that results in high quality, coordinated healthcare is known as a/an:ĭ. Health Insurance Portability and Accountability Act (HIPAA)ĭ. Health Information Technology for Economic andī. C As a result of which piece of legislation are hospitals and providers reimbursed based on proof that they are rendering high quality, coordinated care to their patients?Ī. The adoption of ICD-10-CM/PCS was endorsed by the American Medical Association in 1990. Healthcare facilities will have the choice to either continue to use ICD-9-CM or convert to ICD-10-PCS.ĭ. ![]() Current coders will need to re-learn how to code.Ĭ. ![]() It will only be used in physicians' office settings.ī. C Which of the following is a true statement about ICD-10-CM/PCS?Ī. ICD-9-CM no longer meets the needs of healthcare organizations.ĭ. the American Medical Association has requested it.ī. abuse B ICD-10-CM/PCS is being implemented because:Ī. unknown whether ICD-10 would meet the needs of the United States C Billing for services that are not medically necessary or that did not happen at all is _.ĭ. decision whether ICD-10 or CPT would be used to code diagnosesĭ. costly to convert from one coding system to the otherī. ICD-10-CM B Of the following, which is not a reason that the United States did not implement ICD-10 at the time other countries did?Ī. ICD-10-CM/PCS D As of October 1, 2015, the coding system used to code diagnoses in any healthcare setting is:ĭ. ICD-10-CM/PCS B The coding system used in illustrating the tangible items such as supplies is:ĭ. C In a physician's office, procedures and services are converted into numeric form using which coding system?ĭ. ![]()
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