2703897637 | Why does a provider use and encounter form | To record treated diagnoses and services rendered to the patient during the current encounter | 0 | |
2703897638 | What is the primary purpose of the patient record | To ensure continuity of care | 1 | |
2703916696 | What is the purpose of the auditing process | Reviewing patient records and CMS1500 & UB-04 claims, to assess coding accuracy and completeness | 2 | |
2703916699 | List the information hospital and ambulatory surgical centers need to compile for their operative report | Date of surgery, patient ID, pre & post op diagnosis, list of procedures performed, name of primary and secondary surgeons | 3 | |
2703916700 | Name four areas of information that the body of the operative report contains | Signature of surgeon, condition of patient when they left the operating room, position and draping of patient for surgery, achievement of anesthesia | 4 | |
2703970267 | What is the reason an insurance specialist should be careful to never assign multiple separate codes to describe a procedure when the CPT manual has a single code that classifies all the individual components of the procedure performed by the physician | To avoid bundling, because each code has a monetary value | 5 | |
2703970268 | Preoperative assessment surgery postoperative care | Global Surgery | 6 | |
2703970269 | Physicians medical management of case | Plan | 7 | |
2703970270 | Outpatient claims editing software | OCE | 8 | |
2703970271 | Waiver required for outpatient and physician's office for procedures / services not covered by Medicare program | ABN | 9 | |
2703970272 | Primary purpose of the patient record | Continuity of care | 10 | |
2703970273 | Veterans Health Information System and technology architecture | Vista | 11 | |
2703970274 | Narrative description of procedure | Operative report | 12 | |
2703970275 | Patient's chief complaint | Subjective | 13 | |
2703970276 | Reviewing patient records CMS 1500 UB 04 claims for accuracy | Auditing process | 14 | |
2703970277 | Clinical circumstances of service is covered and coded | Local coverage determinations | 15 | |
2703970278 | Physicians medical management of case | Plan | 16 | |
2703970279 | Documentation of Physician observations of measurable or objective observations made during the physical exam and diagnostic testing | Objective | 17 | |
2703970280 | Diagnostic statement and may include the Physician rationale for the diagnosis | Assessment | 18 | |
2703972409 | CMS outpatient claim form | CMS 1500 | 19 | |
2703997070 | What is meant by the statement to link the diagnosis with the procedure services | Linking Diagnosis to procedure to prove medical necessity | 20 | |
2704085875 | Diagnostic test results are documented in how many locations | 2 | 21 | |
2704093780 | What is outpatient code editor software and what is it used for | Software that edits outpatient claims submitted by hospitals, community mental health care centers, comprehensive outpatient rehab facilities and home health agencies | 22 |
Coding for Medical Necessity Flashcards
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