Primary CPT Codes

consistPa of five digits

CPT Modifiers

two-digit numbers added to a five-digit CPT code to indicate special circumstances or additional information about a procedure, such as multiple providers or different locations

Category II Codes

used to track provider performance measures

Remittance Advice

the notification sent to a provider from an insurance company regarding a claim denial or explanation of benefits

Explanation of Benefits (EOB)

similar to remittance advice, but this version of the claim detail is sent to the patient

Coordination of Benefits (COB)

the process of determining which insurance is primary or secondary when a patient has multiple plans to avoid overpayment

CMS-1500

the universal claim form used to submit claims to insurance companies for reimbursement

Referrals

claims may be denied if services are provided after the expiration date of the referral

What is the first action an assistant should taken when preparing a patient for an exam?

verify the patient's identity by having them state their name and date of birth

What should you include in an appointment calendar?

patient's daytime phone number to confirm or reschedule appointments

How should you cleanse the site for intramuscular (IM) injections?

in a circular motion from the center outward

How should you position a patient who begins to faint during a blood draw?