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| Section | Weight | Objectives |
|---|---|---|
| Practice Management | 10-15% | - Collections and payment posting - Patient responsibility calculations - Patient registration and demographics - Insurance verification processes - Accounts receivable management |
| Insurance and Reimbursement | 20-25% | - Coordination of benefits - Government payers (Medicare, Medicaid, TRICARE) - Fee schedules and reimbursement methodologies - Workers' compensation and no-fault billing - Commercial insurance policies - Claims submission and processing |
| Billing Compliance and Regulations | 10-15% | - Fraud, waste, and abuse prevention - Stark Law and Anti-Kickback Statute basics - HIPAA privacy and security requirements - Documentation compliance - Appeal and denial management |
| ICD-10-CM Diagnosis Coding | 15-20% | - Code accuracy and specificity - Chapter-specific guidelines - Principal diagnosis selection - Secondary diagnosis coding - ICD-10-CM structure and conventions |
| CPT Coding | 20-25% | - CPT code categories and structure - Modifiers and their appropriate use - Category II and III codes - Surgical procedure codes - Evaluation and Management (E/M) codes |
| Healthcare Billing Fundamentals | 15-20% | - Healthcare documentation principles - Anatomy and physiology for billers - Revenue cycle overview - Medical terminology basics |
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NEW QUESTION # 215
The medical prefixes "a-" and "an-" mean:
Answer: C
NEW QUESTION # 216
The medical word root "fibr" or "fibr/o" refers to:
Answer: C
NEW QUESTION # 217
DMEPOS
Answer: A
NEW QUESTION # 218
Which part of the body do colp and kolp refer to?
Answer: C
NEW QUESTION # 219
What does it mean by graphy?
Answer: B
NEW QUESTION # 220
......
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