NHA - Certified Billing and Coding Specialist (CBCS) Exam Study Guide/Updated

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Medical Ethics (ANS- Standards of conduct based on moral principals. Acting within ethical behavior boundries means carrying out one's responsibilities with integrity, decency, respect, honesty, com... petence, fairness and trust. Compliance Regulations (ANS- Most billing related cases are based on HIPAA and the False Claims Act. HIPAA is an acronym for (ANS- Health Insurance Portability and Accountability Act of 1996. Category 1 CPT codes (ANS- Medical Procedures. Category 2 CPT codes (ANS- Supplemental Codes for Performance Measures. Category 3 CPT codes (ANS- Emerging Technologies. Add on Codes (ANS- Used for procedures that are always performed during the same operative session, as another surgery in addition to the primary service/procedure and is never performed separately. Anesthesia is found (ANS- 00100-01999, 99100-99140. Evaluation and Management (E&M) codes (ANS- Are listed first in the CPT manual because they are used by all the different specialties. Brackets (ANS- Used to enclose synonyms, alternative wording or and explanatory phrase. Bullets (ANS- Represents a new procedure or service code added since the previous edition of the manual. Chief Complaint (CC) (ANS- The reason the patient came to see the physician. Circle with a line through it (?) (ANS- Exemption from modifier 51. CPT (ANS- Used to report services and procedures by physicians. E&M codes (ANS- 99201-99499 Guidelines are found (ANS- At the beginning of each section and used to provide specific coding rules for that section. History (HX) (ANS- The set of information the physician gathers from the patient concerning his/her past. History of Present Illness (HPI) (ANS- A chronological account of the development of the complaint from the first sign or symptom that the patient experienced to the present. Indented Codes (ANS- Listed under associate and stand alone codes. E Codes (ANS- For durable medical equipment for use in home. [Show More]

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