Upcoding - Study guides, Class notes & Summaries

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...

Medical Coding and Billing Certification (MCBC) Study Guide I The services medically necessary for diagnostic code linkage - correct answer What must a coder understand in order to determine the correct diagnosis code assignment? Correctly identifying primary and secondary insurance policies in order to preserve coordination of benefits - correct answer Avoiding the duplication of benefits paid by the primary and secondary insurance is achieved by: Use the combination code - correct answe...

NRNP 6568 Final Exam Test Questions With Correc t Answers 2023 | 2024 (Already Graded) If an NP is at a social gathering and someone casually asks his/her medical opinion, that NP could be liable if something goes wrong. True or false? Selected Answer: True Answers: True Fals e  Question 10 1 out of 1 points Telemedicine is defined as Selected Answer: When care is provided remotely and the provider and patient are not physically present with each other Answers: When care is pro...

Chapter 1, 2, & 3 Healthcare reimbursement Questions and Answers Already Passed What factors determine the payment rates for different medical procedures? Payment rates for medical procedures are determined by factors such as the complexity of the service, the geographic location of the provider, and the established payer guidelines. How does electronic health record (EHR) usage affect healthcare reimbursement? EHR usage can streamline the billing process, improve accuracy in co...

HCF Investigator Assumptions - *General knowledge of the Health care Delivery System *Health plan policy and procedures relative to the delivery of services *Able to identify Red Flags, behaviors & indicators of health care fraud schemes Know applicable federal & state laws related to health care fraud *Law enforcement & regulatory agencies that have oversight responsibilities for HCF *Local & regional investigative groups that have similar interests Fraud, by it's very nature...

There are two types of CPT codes one is add on the other is: A: Adjustment B: Stand alone C: Additions D: Single digit ANS: - B: Stand alone Basic CPT codes use how many digits: A: 2 digits B: 3 digits C: 4 digits D: 5 digits ANS: - 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 care B: Binary care C: Tertiary care D: Primary care ANS: - C: Tertiary care Which of the...

AHFI Examination Prep Course with Certified Solutions HCF Investigator Assumptions *General knowledge of the Health care Delivery System *Health plan policy and procedures relative to the delivery of services *Able to identify Red Flags, behaviors & indicators of health care fraud schemes Know applicable federal & state laws related to health care fraud *Law enforcement & regulatory agencies that have oversight responsibilities for HCF *Local & regional investigative groups ...

NRNP 6568 FINAL TEST QUESTIONS WITH CORRECT ANSWERS 2023 | 2024 (Already Graded). Release of information (ROI) to third parties requires authorization by the patient or his or her legal representative. True or False? Selected Answer: True Answers: True Fals e  Question 2 1 out of 1 points When giving patients written information, what is the suggested reading level for that health information? Selected Answer: 5 th grade Answers: 10th gra de 7 th grad e 1 st grad e 5 t...

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 (Ans - D) Diameter...

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...