Which of the following best describes the Medicare Claims Processing Manual?
a. The NCCI edits table that identifies the E/M codes that may never be reported together
b. A 38-chapter compendium of guidelines for reporting healthcare claims that is maintained and updated by CMS
c. The tool that identifies the maximum number of times a specific code may be reported during a unit of service for one patient
d. The official standardized claim form that must be completed and used when submitting any Medicare or Medicaid claim
Question 2
Which of the following best defines Medicaid?
a. A unique number that is required by Medicare to identify each individual qualified healthcare provider and each individual healthcare organization and that must be used when reporting any healthcare service performed by the individual qualified healthcare provider and/or individual healthcare organization
b. An organization involved in managing the finances related to a patient's healthcare services (the term second party payer refers to the healthcare provider or organization, while the term first party payer refers to the patient receiving the healthcare)
c. A partnership between federal and state agencies to provide for low income children without parental support or caretaking relatives for individuals with disabilities, and low-income adults
d. The federal law enforcement agency responsible for the identification and control of drug use, abuse, and smuggling in the United States
The 2009 centers for medicare and medicaid
Review Bundling, Add-on Codes, and Quantity Edits
Example FICA and Medicare deductions.
Understanding Food Claims Not all label claims are created equal!
Performing the manual compression test