Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
30 Cards in this Set
- Front
- Back
TRUE |
MEDCIALLY MANAGED DIAGNOSES ARE ALSO KNOWN AS SECONDARY DIAGNOSES OR COEXISTING DIAGNOSES.
|
|
FALSE |
UP TO 6 DIAGNOSES MAY BE REPORTED ON THE CMS-1500 CLAIM FORM.
|
|
TRUE |
TO LINK THE DIAGNOSIS WITH THE PROCEDURE/SERVICE MEANS TO MATCH THE APPROPRIATE DIAGNOSIS WITH THE PROCEDURE/SURVACE THAT WAS RENDERED TO TREAT OR MANAGE THE DIAGNOSIS.
|
|
FALSE |
IT IS RECOMMENDED THAT AN AUTHENTICATION LEGEND BE GENERATED WHEN THE PATIENT IS DISCHARGED. |
|
FALSE |
A WAIVER IS REQUIRED BY MEDICARE FOR ALL OUTPATIENT AND PHYSICIAN OFFICE PROCEDURES/SERVICES THAT ARE COVERED BY THE MEDICARE PROGRAM |
|
TRUE |
AUDITING PROCESSES INVOLVE PATIENT RECORDS AND CMS-1500 OR UB-04 CLAIMS TO PROCESS CODES ACCURACY AND COMPLETENESS OF DOCUMENTATION |
|
TRUE |
CHARGEMASTERS ARE USED TO SELECT PROCEDURES, SERVICES, AND SUPPLIES PROVIDED TO HOSPITAL EMERGENCY DEPARTMENT PATIENTS AND OUTPATIENTS |
|
TRUE |
LOCAL COVERAGE DETERMINATIONS (LDCS) SPECIFY UNDER WHAT CLINICAL CIRCUMSTANCES A SERVICE IS COVERED |
|
FALSE |
OCE IS A SOFTWARE USED TO EDIT INPATIENT CLAIMS SUBMITTED BY HOSPITALS |
|
FALSE |
A RESPONSIBLE HEALTH INFORMATION EXPERT ALWAYS USES A HIGHLIGHTER OR OTHER MARKER ON ORIGINAL DOCUMENTS TO ENSURE ACCURACY WHEN CODING CASE REPORTS |
|
TRUE |
THE PRIMARY PURPOSE OF THE PATIENT RECORD IS TO PROVIDE CONTINUITY OF CARE |
|
TRUE |
SOAP NOTES ARE WRITTEN IN OUTLINE FORMAT |
|
TRUE |
OPERATIVE REPORTS MAY VERY FROM SHORT NARRATIVE DESCRIPTIONS TO FORMAL DICTATED REPORTS |
|
TRUE |
GLOBAL SURGERY INCLUDES THE PREOPERATIVE ASSESSMENT, THE PROCEDURE, ANESTHESIA (WHEN USED), AND NORMAL, UNCOMPLICATED FOLLOW-UP CARE. |
|
TRUE |
A CODER SHOULD COMPARE THE BIOPSY REPORT WITH THE POSTOPERATIVE DIAGNOSIS TO DETERMINE IF THE TISSUE IS BENIGN OR MALIGNANT. |
|
LCD |
LOCAL COVERAGE DETERMINATIONS |
|
HOW MANY DIAGNOSIS CODES MAY BE REPORTED ON EACH CMS-1500 CLAIM |
UP TO 4 |
|
THE PROCEDURE OR SERVICE PROVIDED IS LINKED WITH THE _________ THAT PROVIDED MEDICAL NECESSITY FOR PERFORMING THE PROCEDURE OR SERVICE |
DIAGNOSIS/CONDITION |
|
PATIENT RECORD _____ MUST JUSTIFY AND SUPPORT THE MEDICAL NECESSITY OF PROCEDURES AND SERVICES REPORTED TO PAYERS |
DOCUMENTATION |
|
____ IS A WAIVER FORM REQUIRED BY MEDICARE FOR ALL OUTPATIENT AND PHYSICIAN OFFICE PROCEDURES/SERVICES THAT ARE NOT COVERED BY THE MEDICARE PROGRAM |
ADVANCE BENEFICIARY NOTICE |
|
A ____ SERVES AS A BUSINESS RECORD FOR A PATIENT ENCOUNTER AND IS MAINTAINED IN A PAPER OR AUTOMATED FORMAT |
PATIENT RECORD |
|
HEALTH INSURANCE SPECIALISTS REVIEW THE PATIENT RECORD WHEN ASSIGNING CODES TO |
DIAGNOSES, PROCEDURES, AND SERVICES |
|
HEALTHCARE PROVIDERS USE ____ MAJOR FORMATS FOR DOCUMENTING CLINIC NOTES |
TWO |
|
NARRATIVE CLINIC NOTES ARE WRITTEN IN WHAT FORMAT? |
PARAGRAPH |
|
THE ____ PART OF THE SOAP NOTE CONTAINS THE CHIEF COMPLAINT AND THE PATIENT'S DESCRIPTION OF THE PRESENTING PROBLEM |
SUBJECTIVE |
|
DIAGNOSTIC TEST RESULTS ARE DOCUMENTED IN HOW MANY LOCATIONS? |
TWO |
|
MEDICALLY MANAGED |
DIAGNOSIS THAT MAY NOT RECEIVE TREATMENT DURING ENCOUNTER |
|
OCE |
OUTPATIENT CLAIMS EDITING SOFTWARE |
|
NARRATIVE |
CLINICAL NOTES IN PARAGRAPH FORM |
|
CMS-1500 |
CMS OUTPATIENT CLAIM FORM |