Upcoding - Study guides, Class notes & Summaries

NHA CCMA STUDY GUIDE QUESTIONS AND ANSWERS ALREADY PASSED A+ SOAP - CORRECT ANS Subjective objective assessment plan Upcoding - CORRECT ANS is the unlawful practice of billing services at a higher rate to receive a larger reimbursement from a third-party payer. Nystagmus - CORRECT ANS involuntary movement eyes caused by a traumatic brain injury or adverse reactions to medications. Elevated BP - CORRECT ANS 120-129/<80 mmHg Stage 2 hypertension - CORRECT ANS 140mmHg/90mmHg sou...

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...

RHIT exam prep domain 2 with Solutions 2024 A patient is admitted with nausea, vomiting, and abdominal pain. The physician documents on the discharge summary; acute cholecystitis, nausea, vomiting, and abdominal pain. Which of the following would be the correct coding sequence for this case? Acute cholecystitis, nausea vomiting, abdominal pain Abdominal pain, vomiting, nausea, acute cholecystitis Nausea, vomiting, abdominal pain Acute cholecystitis - Answer -Acute cholecystitis A 60 yo ...

45 Multiple choice questions Definition 1 of 45 Apps that are not intended for use in the diagnosis of disease or other conditions, or in the cure, mitigation, treatment, or prevention of disease. Confidentiality Evaluation and Management Coding Rationale APP is NOT Considered Medical Devices Beneficence Definition use of codes to communicate with payers about which procedures were performed and why . Upcoding Medical Devices Medical Coding Telemedicine Definition a provider is gi...

Form used to withhold federal taxes Answer: W-4 Form New patient Answer: One who has not received face-to-face services within last 3 years. Importance of pre certification, pre authorization, pre determine Answer: Make sure we can file a claim and the physician receives payment. established patient Answer: One who has received face-to-face services within the last 3 years HIPAA to coding Answer: establishes guidelines to protect patient inform...

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...

Which of the following actions is considered under the False Claim Act? Upcoding or unbundling services A health plan sends a request for medical records in order to adjudicate a claim. Does the office have to notify the patient or have them sign a release to send the information? No, since the information is used for payment activities it is not necessary to notify or obtain authorization from the patient The Federal False Claim Act allows for claims to be reviewed for a standard of how many ...

retrospective documentation - answerHealthcare providers add documentation after care has been given, possibly for the purpose of increasing reimbursement or avoiding a medical legal action security - answer1. The means to control access and protect information from accidental or intentional disclosure to unauthorized persons and from unauthorized alteration, destruction, or loss 2. The physical protection of facilities and equipment from theft, damage, or unauthorized access; collectively...

RHIT Domain 5 Questions Correctly Answered 2024.The overutilization or inappropriate utilization of services and misuse of resources, typically not a criminal or intentional act is called which of the following? a. Fraud b. Abuse c. Waste d. Audit - ANSWER c Waste is the overutilization or inappropriate utilization of services and misuse of resources, and typically is not a criminal or intentional act. Waste includes practice like over prescribing and ordering tests inappropriately (Foltz...

Medical Billing and Coding Certificate exam Answered Correctly!! Chief Complaint (element 1 of history) History Levels (Element 2 of history) and Examination Levels (Element 3 of History) Medical Decision Making Complexity Levels (element 4 of history) straightforward Low Moderate high truncated coding (error in coding) assumption coding (fraudulent coding) errors of the coding process Unbundling codes Upcoding Downcoding Most common billing errors ...