10924186041 | chargemaster (charge description master [CDM]) | document that contains a computer-generated list of procedures, services, and supplies with charges for each. | 0 | |
10924199982 | Billing Procedures | Computer-generated statements. Encounter forms. Photocopied statements. Online billing statements | 1 | |
10924615362 | What Items do chargemasters generally contain? | CPT/HCPCS *Procedure* Code Charge *Description* *Revenue* Code Charge *Department* Code *Charge* Code Charge *Status* | 2 | |
10924615363 | Charge description master (CDM) or Chargemaster | is a large database that contains the price list for all services provided to its patients. Also used to collect information on all the goods and services provided to patients. | 3 | |
10924615364 | CDM | Charge Description Master | 4 | |
10926984189 | HCPCS | Healthcare *Common* Procedure Coding System ("hick picks") | 5 | |
10927010528 | CPT | *Current* Procedural Terminology | 6 | |
10927426541 | All chargemasters contain which item(s)? D | procedure code description charge all of the above | 7 | |
10927447265 | The healthcare provider's comprehensive price list of all supplies, services, and equipment usage fees is referred to as the chargemaster or ___C__. | procedure codes provider schedule CDM master list | 8 | |
10927461314 | The fees on the chargemaster __B___. | are always the same vary from provider to provider are set by the procedure code system do not include tax | 9 | |
10927480382 | How often is the chargemaster or fee schedule updated? B | every day every year (at a minimum) every five years (at a minimum) never | 10 | |
10927570385 | The CDM, may also be called | the service master price list charge list service item master, | 11 | |
10966144715 | chargemaster committee | HIM Finance, & billing Technical and informations systems Management from all clinical departments | 12 | |
10966152130 | plan for CDM Maintenance. | *Purpose* - Compliance *Frequency* - Update CDM & Codes, *Risks*- minimize violations *Process* - Line by line review of codes and charges *Responsible Parties* - Chargemaster committee | 13 | |
10974051653 | Charge Description | The charge or *item* description identifies the procedure, service, product (including medications), or other items provided to a patient. | 14 | |
10974093706 | Elements of a chargemaster | *Descriptions* : Charge Description *Codes*: Procedure, Service, or Product code, Revenue Code, Department code, Charge Code *Charges*: Charge, Charge Status | 15 | |
10974161362 | Procedure, Service, or Product code | CPT or HCPCS Level II codes *identify the specific* procedure, service or product supplied to the patient | 16 | |
10974175947 | Revenue code | Unique 4-digit number that represent descriptions and dollar amounts charged for hospital services provided to a patient. | 17 | |
10974188029 | Department code | identifies the department that revenue should be allocated to for*accounting purposes*. | 18 | |
10974211387 | Charge code | Each item in the chargemaster is *uniquely identified* by a charge code *assigned by the organization* and may also be referred to as the *charge description number* or *item code* | 19 | |
10974242730 | charge | simply the price or fee charged for the item. | 20 | |
10974251054 | charge status | indicates *active assignment* of a charge and can be used for *tracking* when and how often an item has been charged. | 21 | |
15764575831 | Hard coding | Use of the charge description master to code repetitive services. | 22 | |
15764587624 | soft coding | Coders perform the coding on procedures that vary from patient to patient. | 23 | |
15765367570 | Process for Coding/Billing for Healthcare Services Physicians and non | Diagnosis Codes - ICD-10-CM Procedure Codes - CPT® Supply Codes - HCPCS (if applicable) Billing - CMS-1500 form | 24 | |
15765471275 | Coding/Billing for Outpatient Healthcare Institutions | Diagnosis Codes - ICD-10-CM Procedure Codes - CPT® (billing) Supply Codes - HCPCS (as appropriate) Billing - UB-04 form | 25 | |
15765527688 | What procedure systems are used for outpatient hospital settings? | procedures are reported with CPT® and HCPCS codes in all outpatient hospital settings. | 26 | |
15765560732 | What procedure system is used to report inpatient billing? | The new procedure system ICD-10-PCS is for hospital inpatient billing | 27 | |
15765629657 | The Medicare Exception | Medicare requires all charges for same-day surgery to be billed on the CMS-1500. Coding/Billing for Medicare Patients for Outpatient Surgery Diagnosis Codes - ICD-10 Procedure Codes - CPT® (billing) Supply Codes - HCPCS (as appropriate) Billing - CMS-1500 | 28 | |
15784783335 | What are the four main parts to a superbill? | Provider information - includes name, degree, service location, and signature. Patient information - patient's name, DOB, and insurance information. Service information - date of service, CPT and ICD-10-CM codes, modifiers, time, units, quantity for drugs, and authorization information. Additional information - notes and comments. | 29 | |
15785264651 | Coding and Billing by Service Provider | ![]() | 30 | |
15784828719 | Who Uses the UB-04? | Facilities | 31 | |
15784844488 | Where are revenue codes required? | UB-04 for facilites | 32 | |
15784885236 | What are the components for a Revenue code? | 1) demographics, including payer information 2)fee for each service from the chargemaster 3)charge list, with description 4)correct diagnosis, procedure, and supply codes | 33 | |
15784988343 | Who uses CMS 1500 and what is billed? | Physician's offices. Professional services and equipment and supply charges | 34 |
Medical Billing Basics Flashcards
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