Medical Billing and Coding Certificate Exam Already Passed
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Module
Medical Billing and Coding Certificate
Institution
Medical Billing And Coding Certificate
Medical Billing and Coding Certificate
Exam Already Passed
Chief Complaint (element 1 of history) History of present illness,
Review symptom,
Past, Family, and Social history
History Levels (Element 2 of history) and Examination Levels (Element 3 of History)
Problem focused,
expanded...
Medical Billing and Coding Certificate Exam Already Passed Chief Complaint (element 1 of history) ✔✔History of present illness, Review symptom, Past, Family, and Social history History Levels (Element 2 of history) and Examination Levels (Element 3 of History) ✔✔Problem focused, expanded problem focused, detailed, Comprehensive Medical Decision Making Complexity Levels (element 4 of history) ✔✔Straightforward, Low, Moderate, High straightforward ✔✔Minimal diagnosis Minimal risk Minimal complexity of data Low ✔✔Limited diagnosis Limited/low risk to patient Limited data Moder ate ✔✔Multiple diagnosis Moderate risk to patient Moderate amount and complexity of data high ✔✔Extensive diagnosis high risk to patient extensive amount and complexity of data truncated coding (error in coding) ✔✔using diagnosis codes that are not as sp ecific as possible assumption coding (fraudulent coding) ✔✔reporting items of services that are not actually documented errors of the coding process ✔✔-altering documentation after services are reported -coding without documentation -reporting services p rovided by unlicensed or unqualified clinical personnel -coding a unilateral service twice instead of choosing the bilateral -not satisfying the condition of coverage for a particular service -codes that report more than one diagnosis with one code is a combination code Unbundling codes ✔✔when multiple codes are used to code a procedure when a single code should be used Upcoding ✔✔using a procedural code that provides a higher reimbursement r ate than the correct code Downcoding ✔✔the document does not justify the level of service
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