Professional courtesy is an example of an adjustment. Suppose a patient is involved in a minor traffic accident and arrives at the office the next day because their arm is hurting. Which insurance company will be billed? You just studied 4 terms!
Some administrative fees such as form completion will not be negotiated on a fee schedule. True or false? You do not use a diagnostic code when posting an administrative fee for filling out a life insurance form.
What are the benefits of performing a CLIA-waived rapid test in the medical office? providing the physician with a positive indication of the problem, allowing treatment to be started early, and being convenient for the patient.
What term is given to the outstanding balance of a patient's account? Receivable.
What must happen if an insurance check indicates that a payment of "zero" was made? The amount still needs to be posted to the account, and the reason.
Insurance payments and adjustments are documented on a patient ledger.
As defined by CLIA, waived tests are “simple laboratory examinations and procedures that have an insignificant risk of an erroneous result.” Examples of waived tests include: dipstick urinalysis, fecal occult blood, urine pregnancy tests, and blood glucose monitoring. CMS maintains a complete list of waived tests.
What is waived testing? By the CLIA law, waived tests are those tests that are determined by CDC or FDA to be so simple that there is little risk of error. Some testing methods for glucose and cholesterol are waived along with pregnancy tests, fecal occult blood tests, some urine tests, etc.
The specific tests that are deemed to be CLIA waived are:Non-automated urinalysis using dipstick or tablet reagents.Ovulation tests.Urine pregnancy tests.Fecal occult blood.Hemoglobin-copper sulfate.Erythrocyte sedimentation rate.Blood glucose monitoring utilizing devices specifically for home use.Spun microhematocrit.More items...
Deadbeat is a slang term for a credit card user who pays off their balance in full and on time every month, thus avoiding the need to pay off the interest that would have accrued on their accounts.
An outstanding balance is the amount you owe on any debt that charges interest, like a credit card. Most often, it refers to the amount you owe from purchases and other transactions made with your credit card. It's also called your current balance.
Previous statement balance: What you owed on the day your previous statement was prepared. Outstanding Balance: The amount you owe the Bank on purchases made with your credit card.
A Clinical Laboratory Improvement Amendment (CLIA) Certificate of Waiver is a certification that allows a facility, primarily laboratories, to legally examine a person through waived tests in order to assess health, diagnose, and determine treatment.
Waived tests. a Laboratory test that meets the CLIA criteria for being a simple procedure that is easy to perform and has a low risk of erroneous test results. waived tests include tests that have been FDA-approved for use by patients at home. Quality Control (QC)
Whole-Blood OraSure HIV-1 Test.
Waived tests are simple tests with a low risk for an incorrect result. Nonwaived tests, also called Moderately Complex tests, are those tests that require a number of criteria to be met prior to the operator running the tests.
When COVID-19 meets the definition of principal diagnosis, code U07.1, COVID-19, should be sequenced first, followed by the appropriate codes for associated manifestations, except in the case of obstetrics patients as indicated in Section . I.C.15.s. for COVID-19 in pregnancy, childbirth, and the puerperium.
For cases where there is a concern about a possible exposure to COVID-19, but this is ruled out after evaluation, assign code Z03.818, Encounter for observation for suspected exposure to other biological agents ruled out.
During pregnancy, childbirth or the puerperium, a patient admitted (or presenting for a health care encounter) because of COVID-19 should receive a principal diagnosis code of O98.5- , Other viral diseases complicating pregnancy, childbirth and the puerperium, followed by code U07.1, COVID-19, and the appropriate codes for associated manifestation (s). Codes from Chapter 15 always take sequencing priority
Bronchitis not otherwise specified (NOS) due to COVID-19 should be coded using code U07.1 and J40, Bronchitis, not specified as acute or chronic.