- Study guides, Class notes & Summaries

When coding in operative report what action would NOT be recommended? Coding from the header with out reading the body of the report If an NCD doesn't exist for a particular service/procedure performed on a Medicare patient who determines coverage? Medicare administrative contractor (MAC) MAC stands for what!? Medicare administrative contractor What is the definition of coding? Translating documentation into numerical/alphabetical codes used to obtain reimbursement. How many components s...

-

17 pages

Written in 2023/2024

Grade A+

muchirigathiru

Which statement is TRUE for reporting external cause codes of morbidity (V00-Y99)? A. All external cause codes do not require a seventh character. B. Only report one external cause code to fully explain each cause. C. Report code Y92.9 if the place of occurrence is not stated. D. External cause codes should never be sequenced as a first-listed or primary code D. External cause codes should never be sequenced as a first-listed or primary code Multiple choice D is the correct answer. The ICD...

-

7 pages

Written in 2023/2024

Grade A+

muchirigathiru

What is the patient's right when it involves making changes in the personal medical record? A. Patient must work through an attorney to revise any portion of the personal medical information. B. They should be able to obtain copies of the medical record and request corrections of errors and mistakes. C. It is a violation of federal health care law to revise a patient medical record. D. Revision of the patient medical record depends solely on the facility's compliance program policy. B. ...

-

8 pages

Written in 2023/2024

Grade A+

muchirigathiru

A 46-year-old female had a previous biopsy that indicated positive malignant margins anteriorly on the right side of her neck. A 0.5 cm margin was drawn out and a 15 blade scalpel was used for full excision of an 8 cm lesion. Layered closure was performed after the removal. The specimen was sent for permanent histopathologic examination. What are the CPT® code(s) for this procedure? A. 11626 B. 11626, 12004-51 C. 11626, 12044-51 D. 11626, 13132-51, 13133 C. 11626, 12044-51 A 30-year-ol...

-

114 pages

Written in 2023/2024

Grade A+

muchirigathiru

ABN Advanced Beneficiary Notification AMA American Medical Association APC Ambulatory Payment Classification ARRA American Recovery and Reinvestment Act of 2009 ASC Ambulatory Surgical Center CF Conversion Factor CMS Centers for Medicare and Medicaid Services CPC Certified Professional Coder

-

5 pages

Written in 2023/2024

Grade A+

muchirigathiru

What type of health insurance provides coverage for low-income families? Medicaid Rationale: Medicaid is a health insurance assistance program for some low-income people (especially children and pregnant women) sponsored by federal and state governments. The minimum necessary rule applies to Covered entities taking reasonable steps to limit use or disclosure of PHI Rationale: The Privacy Rule generally requires covered entities to take reasonable steps to limit the use or disclosure of, an...

-

9 pages

Written in 2023/2024

Grade A+

muchirigathiru

In ICD-10-CM what condition is reported as the default code when the provider documents urosepsis? The provider must be queried before an ICD-10-CM code can be applied. According to the ICD-10-CM guidelines, how is bilateral glaucoma of the same type and stage reported? A bilateral code can be used to report the type of glaucoma and the stage of glaucoma. According to ICD-10-CM guidelines, what is the maximum length of time for a myocardial infarction to be considered acute? Four weeks (28...

-

5 pages

Written in 2023/2024

Grade A+

muchirigathiru

The provider documents CKD stage 5 and ESRD. What ICD-10-CM code(s) is/are reported? N18.6 What does the abbreviation CKD stand for? Chronic Kidney Disease What would be considered an adverse effect? Rash developing when taking penicillin. What does the 7th character A indicate in Chapter 19? Initial encounter Which statement is TRUE for reporting burn codes? The highest degree of burn is reported as the primary code. A patient presents for an initial encounter for swelling, tenderness an...

-

5 pages

Written in 2023/2024

Grade A+

muchirigathiru

Local Coverage Determinations are administered by whom? a. State Law b. NCDs c. Each regional MAC d. LMRPs c. Each regional MAC ABN stands for _____. a. Advanced Benefits Notification b. Advisory Beneficial Notice c. Admitting Beneficiary Notice d. Advance Beneficiary Notice d. Advance Beneficiary Notice What type of health insurance provides coverage for low-income families?

-

53 pages

Written in 2023/2024

Grade A+

muchirigathiru

A provider admits Mrs. Smith to the hospital. She is there for five days. The provider sees her each day she's in the hospital. What subcategory of E/M codes would be used for days two, three and four? Subsequent Hospital Care If the pain is sharp, stabbing or dull, what is the component of the History of Present Illness (HPI)? Quality What modifier is used to report an evaluation and management service mandated by a court order? 32 According to CPT® guidelines what is the first step in...

-

11 pages

Written in 2023/2024

Grade A+

muchirigathiru

Diagnosis: Calcification left basal ganglia. Where are the basal ganglia located? Cerebral Cortex Diagnosis: Vesicoureteral reflux. What is this a reflux of? Urine backflow from bladder into ureters Documentation: The posterior vaginal fornix and outer cervical os were prepped with a cleansing solution. In this statement, what does "os" stand for? Ostium (opening) Hysterosalpingogram report: "Right cornual contour abnormality."

-

3 pages

Written in 2023/2024

Grade A+

muchirigathiru

Which bone(s) have trochanters? Femur What is endometriosis? When the endometrial tissue grows outside of the uterus The mediastinum contains all of the following except: Lungs Through which vessel is oxygenated blood returned to the heart from the lungs? Pulmonary vein If a woman has a Pap smear performed by her gynecologist, what part of the female anatomy is involved? Cervix What are chemicals which relay, amplify and modulate signals between a neuron and another cell? Neurotransmitte...

-

4 pages

Written in 2023/2024

Grade A+

muchirigathiru

"hold harmless clause" * found in some non-Medicare health plan contracts * prohibits billing to patient for anything beyond deductibles and co-pays. A compliance plan may offer several benefits, including: * more accurate payment of claims * fewer billing mistakes * improved documentation and more accurate coding * less chance of violating self-referral and anti-kickback status A healthcare clearing house is a entity that processes nonstandard health information they receive from anoth...

-

28 pages

Written in 2023/2024

Grade A+

muchirigathiru

AAPC Medical Coding Exam New Latest Exam Updated with All Questions from Actual Past Exam and 100% Correct Answer

-

14 pages

Written in 2023/2024

Grade A+

johnwachi22

Many coding professionals go on to find work as: Consultant A medical record contains information on all but what areas? Financial records Technicians who specialize in coding are called: Coding specialists EHR stands for: Electronic health record What type of provider goes through approximately 26.5 months of education and is licensed to practice medicine with the oversight of a physician? Physician Assistant (PA) The Medicare program is made up of severa...

-

5 pages

Written in 2022/2023

Grade A+

GUARANTEEDSUCCESS

AAPC Medical Coding (CPC) Final Exam 2023 (Test #1)

-

23 pages

Written in 2022/2023

Grade A+

Drmorgan

AAPC Medical Coding (CPC) Final Exam 2023 (Test #1)

-

27 pages

Written in 2022/2023

Grade A+

Drmorgan

AAPC Medical Coding (CPC) Final Exam 2023-2024 (Test #1)AAPC Medical Coding (CPC) Final Exam 2023-2024 (Test #1)AAPC Medical Coding (CPC) Final Exam 2023-2024 (Test #1)AAPC Medical Coding (CPC) Final Exam 2023-2024 (Test #1)AAPC Medical Coding (CPC) Final Exam 2023-2024 (Test #1)

-

28 pages

Written in 2022/2023

Grade A+

profwhite

AAPC Medical Coding (CPC) Final Exam 2023 qustionS and answers written by jamohjedy (The correct answer has been verified, selected and highlighted in yellow for all of the questions below.) 1 What form is used to submit a provider’s charge to the insurance carrier? a. ABN b. UB-04 c. CMS-1500 d. Provider reimbursement form 2 AAPC credentialed coders have proven mastery of what information? a. Code sets b. Evaluation and management principles c. Documentation guidelines d. All o...

-

25 pages

Written in 2022/2023

Grade A+

jamohjedy

AAPC - Medical Coding Practice Exam Many coding professionals go on to find work as: - Consultant A medical record contains information on all but what areas? - Financial records Technicians who specialize in coding are called: - Coding specialists EHR stands for: - Electronic health record What type of provider goes through approximately 26.5 months of education and is licensed to practice medicine with the oversight of a physician? - Physician Assistant (PA) The Medicare pr...

-

4 pages

Written in 2022/2023

Grade A+

Succeed