Healthcare Terminology Quiz

A scale that provides a value to each CPT code based on physician work effort, practice expense, and malpractice expense.

The two-digit codes added to professional claims to indicate the setting where services were provided.

Two characters appended to a CPT code to provide additional information about the procedure without changing the meaning of the code.

The refusal of a payer to reimburse the healthcare provider for services billed.

A waiver of liability for the patient to sign if the provider deems Medicare will not pay for a service.

Database of all billable items, revenue codes, and CPT/HCPCS codes that describe a service provided within a hospital.

The moral principles that govern conduct.

Legislation stating that providers cannot be paid for referring patients to an organization.

An error that occurs when an organization submits a claim for a diagnosis or procedure that is a higher level than what the patient experienced.