Medical coding and billing

What is medical coding?

• The process of assigning numerical values to healthcare services

• The process of assigning treatment plans to patients

• The process of creating healthcare related documents

• The process of billing insurance companies

What is medical billing?

• The process of assigning treatment plans to patients

• The process of assigning numerical values to healthcare services

• The process of creating healthcare related documents

• The process of collecting payments from patients

What is an ICD-10-CM Code?

• A set of rules for reporting medical diagnoses

• A set of rules for creating medical documents

• A set of rules for billing insurance companies

• A set of rules for assigning treatment plans to patients

What role does HCPCS Codes play in the medical billing process?

• Authorizing insurance payments

• Creating a medical record

• Documenting a diagnosis

• Reporting procedures to insurance companies

What is a CPT Code?

• A standardized code used to track medical claims

• A standardized code used to diagnose medical conditions

• A standardized code used to authorize insurance payments

• A standardized code used to report medical procedures

What is a DRG?

• A diagnostic related grouping of healthcare services

• A document related grouping of healthcare providers

• A billing related grouping of healthcare providers

• A treatment related grouping of healthcare providers

What type of information is contained in UB-04 Claim Forms?

• Data related to payments from insurance companies

• Data related to medical billing and coding

• Data related to patient treatment plans

• Data related to patient medical records

What is a HIPAA code?

• A code used to authorize medical payment claims

• A code used to identify medical billing practices

• A code used to identify medical conditions

• A code used to explain privacy rules for sensitive data

What role does an EOP play in the medical billing process?

• Tracking payments from insurance companies

• Verifying diagnosis codes

• Reporting procedures to insurance companies

• Authorizing medical payment claims

What type of financial information is tracked using a fee schedule?

• Payments from patients

• Procedures performed by healthcare providers

• Payments from insurance companies

• Charges for medical services