Week 1 - Game

These are codes used to identify what was done to or given to a patient

• Modifier

• Diagnosis Codes

• Procedure Codes

These codes are written descriptions of diseases, illnesses and injuries into codes from a particular classification

TUE or FALSE. If a breach impacts 600 people, companies must notify the Secretary of Health and Human Services (HHS), who would post a list of breaches on the HHS web site, potentially the media and in certain circumstances the information would be posted on the company website.

• TRUE

• FALSE

It is a written order from your primary care doctor for you to see a specialist or get certain medical services.

ITS stands for?

State where the service was rendered

• Host Plan

• Home Plan

• Hold Plan

A collection of programs and policies that enable members to receive healthcare services while traveling or living in another Plan’s service area.

It is a set of common language data formats, software and procedures that allows Plans to access, send and receive data

• Programs

• Inter-plan Teleprocessing System

• Bluecard

This will allow members to receive healthcare while traveling or living in another Plan’s service area

• Programs

• Inter-plan Teleprocessing

• Host Plan

These codes will describe the type and location of service a patient receives while in a facility.