MEDICAL BILLING & CODING Questions and Answers 2025/2026, Exams of Medical Records

Download MEDICAL BILLING & CODING Questions and Answers 2025/2026 and more Exams Medical Records in PDF only on Docsity! MEDICAL BILLING & CODING Questions and Answers 2025/2026  CPT CURRENT PROCEDURAL TERMINOLOGY CPT IS PUBLISHED BY (AMA) AMERICAN AMERICAN MEDICAL ASSOCIATION CPT HAS SIX SECTIONS 1.Evaluation and Management codes starts with 99201 - 9999. 2. Anesthesia is 01001 - 09999. 3. Surgery is 10010 - 69999. 4. Radiology is 70010 - 79999. 5. Lab/Test is 81000 - 89999. 6. Medicare is 90090 - 90999 CPT CODES ARE USED FOR SERVICE AND PROCEDURES/ ALSO WHERE PATIENT IS GOING AND WHAT DOCTOR IS DOING. CPT ONLY HAS 5 DIGITS IN THERE CODE PCP Primary Care Physician PPO Preferred Provider Organization EPO Exclusive Provider Organization HMO Health Maintenance Organization DME Durable Medical Equipment CHF CONGESTIVE HEART FAILURE UTI Urinary Tract Infection URI UPPER RESPIRATORY INFECTION NP NEW PATIENT OP OUT-PATIENT EMC ELECTRONIC MEDICAL CLAIM EDI ELECTRONIC DATA INTERCHANGE EIN NUMBER An Employer Identification Number (EIN) is also known as a Federal Tax Identification Number, and is used to identify a business entity. SOB SHORTNESS OF BREATH SOF SIGNATURE ON FILE SOAP Subjective, Objective, Assessment, Plan CMS -1500 CENTERS FOR MEDICARE & MEDICAID SERVICE HCFA Health Care Financing Administration CBCS Certified Billing and Coding Specialist MR (Magnetic Resonance Imaging MR NUMBER Medical Record Number used for patient ID EOB Explanation of Benefits RA REMITTANCE ADVICE NPI National Provider Identifier CMAA Certified Medical Administrative Assistant WORKERS COMPENSATION A form of insurance paid by the employer providing cash benefits to workers injured or disabled in the course of employment. MEDICARE PARTS Medicare: Part A, Part B, Part C, & Part D. Part A covers hospital Insurance. Part B covers Medical Insurance Physician visits and Out patient procedures. Part D Covers Prescription