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Exam (elaborations)

COC EXAM STUDY GUIDE WITH COMPLETE SOLUTION

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COC EXAM STUDY GUIDE WITH COMPLETE SOLUTION APC - answerAMBULATORY PAYMENT CLASSIFICATION CDM - answerCHARGE DESCRIPTION MASTER CMS - answerCENTERS FOR MEDICARE AND MEDICAID SERVICES OPPS - answerOUTPATIENT PROSPECTIVE PAYMENT SYSTEM OCE - answerOUTPATIENT CODE EDITOR ACS - answerAMERICAN CO...

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  • September 13, 2023
  • 11
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers
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COC EXAM STUDY GUIDE WITH COMPLETE
SOLUTION


APC - answerAMBULATORY PAYMENT CLASSIFICATION



CDM - answerCHARGE DESCRIPTION MASTER



CMS - answerCENTERS FOR MEDICARE AND MEDICAID SERVICES



OPPS - answerOUTPATIENT PROSPECTIVE PAYMENT SYSTEM



OCE - answerOUTPATIENT CODE EDITOR



ACS - answerAMERICAN COLLEGE OF SURGEONS



ASC - answerAMBULATORY SURGICAL CENTER



CAH - answerCRITICAL ACCESS HOSPITAL



CORF - answerCOMPREHENSIVE OUTPT REHAB FACILITY



CPT - answerCURRENT PROCEDURAL TERMINOLOGY



HCPCS - answerHEALTHCARE COMMON PROCEDURE CODING SYSTEM



AHA - answerAMERICAN HOSPITAL ASSOCIATION

, MS-DRG - answerMEDICARE SEVERITY DIAGNOSIS RELATED GROUP



general supervision - answerphysician must be immediately available; does not
have to be in the room



direct supervision - answerService is under physician's control; provider must be
directly available and on campus.



personal supervision - answerprovider must be in the room during service



Not included in APC reimbursement (may be billed out separately from
hospital): (6) - answer*doctor and anesthesiologist fees

*durable medical equipment (DME)

*prosthetic devices

*ambulance services

*outside lab services

*certain drugs and biologicals



DME - answerDURABLE MEDICAL EQUIPMENT



Residents - answerlicensed physician, two - five years training



Fellows - answerphysicians obtaining additional training



hard coding - answercoding within the charge master

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