Upcoding - Study guides, Class notes & Summaries

) 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 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...

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...

RHIA domain 4 Exam with Complete Solutions The coder assigned separate codes for individual tests when a combination code exists. This is an example of which of the following? a. Upcoding b. Complex coding c. Query d. Unbundling - Answer-d. Unbundling Community Hospital implemented a clinical document improvement (CDI) program six months ago. The goal of the program was to improve clinical documentation to support quality of care, data quality, and HIM coding accuracy. Which of the follo...

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-...

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...

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 ...

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 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...

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...