D521-Introduction to Medical Coding Latest

D521-Introduction to Medical Coding Latest Update - 60 Questions with 100% Verified Correct Answers Guaranteed A+ Verified by Professor

advanced beneficiary notice (ABN) - CORRECT ANSWER: a waiver of liability for the patient to sign if the provider deems Medicare will not pay for a service

American Health Information Management Association (AHIMA) - CORRECT ANSWER:

a professional organization for health information management (HIM) professionals

American Hospital Association (AHA) - CORRECT ANSWER: Non profit group or

alliance of member hospitals and health care organizations that promote the interests of hospitals. It is an advocacy group for health care organizations, particularly hospitals

charge description master (CDM) - CORRECT ANSWER: a database of all billable

items, revenue codes, and CPT/HCPCS codes that describe a service provided within a hospital

claim adjudication - CORRECT ANSWER: the process used by payers to evaluate a

medical claim for reimbursement

claim denial - CORRECT ANSWER: the refusal of a payer to reimburse the healthcare provider for services billed

Common Diagnosis coding process errors - CORRECT ANSWER: Illegible physician

handwriting

Illogical physician diagnosis documentation 1 / 2

Lack of physician documentation

Transcription errors by typist or voice-recognition systems

Content of the rest of the patient's medical record does not support the diagnosis documented

Lack of specificity

Comorbidity - CORRECT ANSWER: a secondary condition that is present on admission and causes an increase in length of stay (LOS)

Complication - CORRECT ANSWER: a secondary condition that arises during

hospitalization and causes an increase in length of stay (LOS)

Current Procedural Terminology (CPT) - CORRECT ANSWER: coding system is

published and maintained by the American Medical Association (AMA). the standardized classification system for reporting medical procedures and services. It consists of five characters that report outpatient procedures, including anesthesia, surgery, radiology, pathology and laboratory, Evaluation and management, medicine services

Diagnosis - CORRECT ANSWER: identification of a disease by a licensed provider

discharged not final billed (DNFB) - CORRECT ANSWER: a measure of patient

accounts that are held up due to either coding delays or other issues that prevent claim submission

Episode-of-care reimbursement - CORRECT ANSWER: payments are made for all

services provided for a specific time period or illness

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