Insurance Chapter 3 & 4

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Across
  1. 2. When a diagnosis is not established at the first visit and the follow up visits are requried before determining a primary diagnosis, what should the coder code?
  2. 3. practice rules for payment for medical services
  3. 6. medical history, patient information form, assignment of benefits
  4. 10. characteristic sign or symptoms associated with a disease.
  5. 11. fill in the gap insurance
  6. 13. accept the payers' allowed charges as payment in full
  7. 15. To correctly code a situation where the encounter is for circumstances other than a disease or injury
  8. 18. What is another name for HIPAA eligibility for Health Plan trasnaction
  9. 19. A new patient is defined as one who has NOT seen the provider within the last
  10. 20. nonessential word or phrase that helps define a diagnosis code.
  11. 22. three digit code that covers a single disease or related condition
  12. 24. the physician to file claims for a patient and receive direct payments from the payer.
  13. 27. describes conditions that remain after a patients acute illness or injury has ended.
  14. 32. A condition or procedure that is named for a physician who discovered it
  15. 34. cause or origin of a disease or condition
  16. 36. In ICD 10 CM coding the first character is a
  17. 38. refers to a code that should be used for an incompletely described condition
  18. 39. A subcategory code in ICD-10-CM is how many characters
  19. 40. annual updates to the ICD-10 diagnostic coding system.
  20. 42. single code that describes both the etiology and manifestation
  21. 43. A valid code in ICD-10-CM must have atleaset how many characters
Down
  1. 1. ICD-10-CM code follows the main term in the alphabetic index
  2. 4. code used when no other information is available for assighning the disease a ore specific code.
  3. 5. How many chapters are in ICD-10
  4. 7. Under what rule is a child's primary coverage determined based upon which parents' birth is earlier in the calendar year.
  5. 8. used around synonums, alternative workding, or explinations
  6. 9. ICD-10-CM diagnosis coding has as little as __ and as many as __ characters
  7. 12. examples are superbills, charge slips, routing slips
  8. 14. Alphanumeric code used for an encounter that is not due to illness or injury
  9. 16. used when two conditions could not exist together
  10. 17. Alphanumeric code used to identify the external cause of an injury or poisoning
  11. 21. Medical term that identifies a disease or condition in the alphabetic index
  12. 23. Typographic technique or standard practice that provides visual guidelines for understanding printed material
  13. 25. a word or phrase that describes a main term in the Alphabetic index
  14. 26. Inclusion notes located in ICD-10-CM
  15. 28. Medicare form is used to show charges to patients for potential non covered services.
  16. 29. insurance that is sometimes use of a third payer is necessary after two health plans have made payments on a claim
  17. 30. provides code numbers for neoplasms based on their anatomical site and divided by the description
  18. 31. type of code used to further define the etiology, site, or manifestation
  19. 33. Patients who elect to pay a higher copayment, greater coinsurance, or both.
  20. 35. must look up the term that follows the work see in the index
  21. 37. number is assigned to a HIPAA 270 electronic transaction
  22. 41. when you see a ____ in the ICD-10-CM book, it informs you that