ANSWERS
what is a key characteristic of the POMR (problem oriented medical record)?
- answers-uses an itemized list of the patient's past and present medical problems
in developing an internal coding audit review program, what are two risk areas that
should be targeted for audit?
- answers-chargemaster description and medical mecessity
what are some coding compliance activities?
- answers-reviewing all rejected claims;
developing procedures for identifying coding errors;
coding diagnoses only when all applicable information is documented in the health
record
what are some things that ICD-10 can be used for?
Sayles pg 183
- answers-the basis for epidemiological research;
in the evaluation of medical care planning for healthcare delivery systems;
to facilitate data storage and retrieval
a skin lesion was removed from a patient's cheek in the dermatologist's office. The
dermatologist documents "skin lesion" in the health record. Prior to billing the
pathology report returns with a diagnosis of basal cell carcinoma? what action
should be done by the coding professional for claim submission? cpt pg376
- answers-code basal cell carcinoma
what is the approved method for conducting business in an organization? Sayles pg
408
- answers-procedure
prcedres are specific statements about how work is to be carried out.