CCMA Medical Coding and Billing

Created by paigeb08

Primary CPT Codes
consistPa of five digits

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TermDefinition
Primary CPT CodesconsistPa of five digits
CPT Modifierstwo-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 Codesused to track provider performance measures
Remittance Advicethe 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-1500the universal claim form used to submit claims to insurance companies for reimbursement
Referralsclaims 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?