Certification study guide for NHA CBCS Exam with a complete solution .
4 views 0 purchase
Course
NHA
Institution
NHA
Medical Ethics - Standards of conduct based on moral principals. Acting within ethical behavior boundries means carrying out one's responsibilities with integrity, decency, respect, honesty, competence, fairness and trust.
Compliance Regulations - Most billing related cases are based on HIPAA an...
certification study guide for nha cbcs exam with a complete solution 2022 2023
Written for
NHA
All documents for this subject (1518)
Seller
Follow
SMARTSCORE
Reviews received
Content preview
Certification study guide for NHA CBCS
Exam with a complete solution 2022-
2023
Medical Ethics - Standards of conduct based on moral principals. Acting within ethical
behavior boundries means carrying out one's responsibilities with integrity, decency,
respect, honesty, competence, fairness and trust.
Compliance Regulations - Most billing related cases are based on HIPAA and the False
Claims Act.
HIPAA is an acronym for - Health Insurance Portability and Accountability Act of 1996.
Category 1 CPT codes - Medical Procedures.
Category 2 CPT codes - Supplemental Codes for Performance Measures.
Category 3 CPT codes - Emerging Technologies.
Add on Codes - Used for procedures that are always performed during the same
operative session, as another surgery in addition to the primary service/procedure and
is never performed separately.
Anesthesia is found - 00100-01999, 99100-99140.
Evaluation and Management (E&M) codes - Are listed first in the CPT manual because
they are used by all the different specialties.
Brackets - Used to enclose synonyms, alternative wording or and explanatory phrase.
Bullets - Represents a new procedure or service code added since the previous edition
of the manual.
Chief Complaint (CC) - The reason the patient came to see the physician.
Circle with a line through it (🚫) - Exemption from modifier 51.
CPT - Used to report services and procedures by physicians.
E&M codes - 99201-99499
Guidelines are found - At the beginning of each section and used to provide specific
coding rules for that section.
, History (HX) - The set of information the physician gathers from the patient concerning
his/her past.
History of Present Illness (HPI) - A chronological account of the development of the
complaint from the first sign or symptom that the patient experienced to the present.
Indented Codes - Listed under associate and stand alone codes.
E Codes - For durable medical equipment for use in home.
Level 1 codes - Codes found in the CPT manual.
Level 2 codes - National codes for the physician and non-physician service not found in
the CPT Level 1.
Level 3 codes - Used locally or regionally and have been eliminated by the CMS since
the implementation of HIPAA.
The List of Modifiers is found where in the CPT - Appendix A and in the front of the
book.
Modifier 50 - Bilateral procedure.
Modifier 24 - Attach to E/M service code when service is provided during postoperative
period to indicate that the service is not part of postoperative care and not included in
the Surgical Package.
Modifier 26 - Provider only provided the professional component.
Modifier 51 - Used more than one procedure during the same surgical episode.
Modifier 57 - Modifier 57 is used on E/M services the day before or day of major surgery
when the initial decision to perform the surgery is identified.
Modifier 78 - Physician must return to Operating Room to address complication
stemming from initial procedure.
Modifier 79 - Procedure or service provided during postoperative period not associated
with initial procedure.
Modifiers - Reporting indicators that indicate that the procedure or service has been
altered by specific circumstance but has not changed in it's definition of code.
Parentheses - Used to enclose supplementary words, non-essential modifiers.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller SMARTSCORE. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $11.49. You're not tied to anything after your purchase.
