Hcc Coding Facts And Tips

Front 1

What are the four required documentation items in the record for a specific DOS.

Back 1

Patient Name
DOS
Provider Signature written or EMR
Rendering provider credentials

Front 2

What type of diagnosis may not be coded.

Back 2

History of codes
Exception, amputation, old MI

Front 3

May the DOS be obtained from a face sheet or lab report?

Back 3

no

Hint 3

Dos may be obtained from a face to face visits.

Front 4

If there are more then one encounter on a page does the patient name have to be on each encounter?

Back 4

no

Hint 4

As long as the patients name is on the page, it can be used for the other encounters on the same page.

Front 5

If a DOS is altered, what are the requirements for it to be a valid correction of the DOS

Back 5

The DOS has to be initialed and dated.

Front 6

If there is an addendum to a record, the addendum has to be dated?

Back 6

With in 30 days of the orginal visit.

Front 7

d02, " No provider Signature" can NOT be used with what d0 codes?

Back 7

d25, d26 and d27

Front 8

A digitalized signature on and EMR record does not require a date true or false

Back 8

true

Front 9

A 2009 chart would be reported how?

Back 9

DOS 12/31/1999 and c06

Front 10

The current submission period is? (DOS range).

Back 10

2011-2012

Front 11

If we were missing part of the chart, no plan or assessment pages we would?

Back 11

List DOS 12/31/1999 and c06

Front 12

A active cancer treatment period would be described as?

Back 12

Current CA treatment 5 yrs or less.

Front 13

If the signture was a squiggy line but no credential would we use eo code d09 and d02?

Back 13

No, only one of them, d09 or d02 n ot both

Front 14

The abbreviation MEAT stands for?

Back 14

Monitored
Evaluated
Assesed
Treatment

Front 15

When can HCCs be coded from a list?

Back 15

From the discharge summary.

Front 16

IDDM

Back 16

Insulin dependent diabetes mellitus

Front 17

CKD

Back 17

Chronic Kidney Disease

Front 18

CAD

Back 18

Coronary artery disease