HCPCS is the acronym for the: Healthcare Current Procedures Coding System. Health Coding for ...

1)  Answer: Healthcare Common Procedure Coding System.

2)  Answer: implementing standard fee structures for all providers across all plans.

3)  Answer: Level I HCPCS.

4)  Answer: Benefits are speeding and optimizing proper payment of claims, minimizing billing mistakes, reducing the chances that an audit will be conducted by the Centers for Medicare and Medicaid Services (CMS) or the Office of Inspector General (OIG), and avoiding conflicts with the self-referral and anti-kickback statutes.

5)  Answer: Physician self-referral is the practice of a physician referring a patient to a medical facility in which he or she has a financial interest.

6)  Answer: The Medicine section contains a variety of listings for reporting procedures and services provided by many different types of healthcare providers. In addition, services and procedures provided by nonphysician practitioners such as audiologists and physical, occupational, and speech therapists are found in this section.

7)  Answer: The radiology code may have two parts: the technical component and the professional component.

8)  Answer: Modifier -51 is used to identify:
Multiple medical procedures performed at the same session by the same provider.
Multiple, related operative procedures performed at the same session by the same provider.
Operative procedures performed in combination, at the same operative session, by the same provider.
A combination of medical and operative procedures performed at the same session by the same provider.

9)  Answer: Unbundling occurs when procedures are reported individually that should have been included under a bundled code. This practice will result in a claim denial and may also be considered fraud.

10)  Answer: Cross-references provide additional information and direct the coder to other entries that may apply to the procedure or service.

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