Upcoding - Study guides, Class notes & Summaries

CEHRS EXAM QUESTIONS AND ANSWERS Which of the following is included in the CPT manual? - Answer-Procedures and services provided by providers form of charting that helps to improve documentation by having the provider document while they are with the patient? - Answer-Point-of-care Total conversion - Answer-A process in which practice outsources the conversion process to an external company. Upcoding - Answer-A provider's office that routinely submits reimbursement claims for allergy-...

NCCT REVIEW LAW AND ETHICS EXAM QUESTIONS AND ANSWERS 1. Which of the following activities is an example of abuse rather than fraud? A. upcoding B. misrepresenting the diagnosis C. inadvertent coding errors D. billing for services not rendered - Answer-inadvertent coding errors Rationale Abuse is an unintentional mistake. Fraud is an intentional misrepresentation for gain. Upcoding, misrepresenting the diagnosis, and billing for services not rendered are examples of fraud. Inadvertent ...

Administrative Health Assistant (NRCAHA) Chapter 3 Questions and Answers There are two types of CPT codes one is add on the other is: A: Adjustment B: Stand alone C: Additions D: Single digit - Correct Answer ️️ -B: Stand alone Basic CPT codes use how many digits: A: 2 digits B: 3 digits C: 4 digits D: 5 digits - Correct Answer ️️ -D: 5 digits Services provided by a specialist such as neurosurgeons and intensive care units would be termed as what type of care: A: Skilled ca...

) If a patient has an excision of a malignant lesion of the skin, the CPT code is determined by the body area from which the excision occurs and which of the following? A) Length of the lesion as described in the pathology report B) Dimension of the specimen submitted as described in the pathology report C) Width times the length of the lesion as described in the operative report D) Diameter of the lesion as well as the margins excised as described in the operative report ANSWER IS: - ...

Administrative Health Assistant (NRCAHA) Chapter 3 Questions With Complete Solutions(rated A) B: Stand alone - ANSWERSThere are two types of CPT codes one is add on the other is: A: Adjustment B: Stand alone C: Additions D: Single digit D: 5 digits - ANSWERSBasic CPT codes use how many digits: A: 2 digits B: 3 digits C: 4 digits D: 5 digits C: Tertiary care - ANSWERSServices provided by a specialist such as neurosurgeons and intensive care units would be termed as what type of...

NHA EXAM QUESTIONS AND ANSWERS 100% PASS Describe the difference between informed and implied consent? - Correct Answer ️️ - Informed consent is required in writing after explanation of a procedure, with time to ask questions, while implied consent is assumed What is documentation? - Correct Answer ️️ -Documentation is a complete, accurate, up-to-date record of the care a patient receives at a health care facility. Disclosure refers to the way health information is: - Correct Answe...

RHIT EXAM PREP PRACTICE QUESTIONS (Coding) with 100% CORRECT ANSWERS A) Code sepsis as the principal diagnosis with urinary tract infection due to E.coli as secondary diagnosis B) Code urinary tract infection with sepsis as the principal diagnosis C) Query the physician to ask if the patient has septicemia because of the symptomatology D) Query the physician to ask if the patient had septic shock so that this may be used as the principal diagnosis - Answer-C) Query the physician to ask if ...

True or False: The ACA requires that all providers adopt a compliance plan as a condition of enrollment with Medicare, Medicaid, and Children's Health Insurance Program (CHIP). - Answer- True ref. ACA section 6102 According to HHS-OIG - what are three important reasons for proper documentation in Compliance? (hint: protections) - Answer- 1.Protect our programs 2.Protect your patients 3.Protect the Provider At which level of the Medicare Part A or Part B appeals process is the app...

NCCT REVIEW LAW AND ETHICS EXAM QUESTIONS AND ANSWERS 1. Which of the following activities is an example of abuse rather than fraud? A. upcoding B. misrepresenting the diagnosis C. inadvertent coding errors D. billing for services not rendered - Answer-inadvertent coding errors Rationale Abuse is an unintentional mistake. Fraud is an intentional misrepresentation for gain. Upcoding, misrepresenting the diagnosis, and billing for services not rendered are examples of fraud. Inadvertent ...

RHIT EXAM PREP PRACTICE QUESTIONS AND ANSWERS (Coding) 2024 (VERIFIED ANSWERS). (113) If a patient has an excision of a malignant lesion of the skin, the CPT code is determined by the body area from which the excision occurs and which of the following? A) Length of the lesion as described in the pathology report B) Dimension of the specimen submitted as described in the pathology report C) Width times the length of the lesion as described in the operative report D) Diameter of the lesion a...