Question

How is the Index to Diseases and Injuries organized? Know about ICD-10-CM volumes 1, 2 and 3. . What is resource value unit? What does a high resource value unit mean? . How can you support your ICD and CPT codes? When submitting a claim, what insurance form should be submitted to Medicare? When must a patient sign the Advance Beneficiary Notice (ABN)? Know the information you should document on an encounter form? Name the most restrictive type of health care plan. What would you do if you are uncertain about how to select a code? How often ICD codes are updated? List the advantages of electronic claims. . . . . Il in the blanks:

Answer 1

1. there are so many disease conditions and injurys in icd book we can check by alphanumeric codes . use the alphabetic index to look up the diagnostic term and find the code number is associated with that term example : abduction contracture , hip or other joint - see contraction , joint .
2. international classification of disease in volume 1,2,3. icd 10 has alphanumeric categories rather than numeric categories .

• tabular list containing cause of death tittles and codes volume -1
• inclusion and exclusion terms for cause of death titles volume -1
• description , guidelines , coding rules volume -2
• an alphabetical index to disease and nature of injury , external cause of injury, table of drugs, chemicals

3. resource value unit : is a license metric unit . it is based on number of units of a specific resources used or managed by program. high number is counted as physical hardware environment that are managed by the product .

4. cpt are the a current procedure terminology categorie 1 these five digit codes have descriptor and procedure or service . codes from 00100-99499

• category 2 - these alphanumeric tracking codes are used
• category 3- provisio nal code for new and developing technology , procedures and services
• icds are alphanumeric categorys

5. submitting claim is a health insurance claim when the person request reimbursement or direct payment for medical service obtained.

patient has to submit the medical payment form , it is a bill from your doctor, supplier, or other health care provider. and provide supporting documents

6. advance beneficiary notice that physician or supplier should give a medi care beneficiary . it is give before receiving service based on medi care coverage rules.

7. encounter form containing accurate billing and collections it is basis for billing and receipt of payment.

8. icd are updated every 10 years

9. electronic claim advantages are it reduces the likelihood of claim being rejected or denied for payment

• lowers administrative , postage and handling costs
• reduce postage and other paper related expenses
• more efficiency