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WGU D265 Critical Thinking - Reason and Evidence Study Guide (5).pdf

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WGU D265 Critical Thinking - Reason and Evidence Study Guide (5).pdf

Institution
Nursing Pediatrics
Module
Nursing Pediatrics

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WGU D254 Introduction to Medical Coding
Questions and Answers latest 2023
What is the definition of the term ethics? -
Ans A set of moral principles or values

Which would be an example of technology colliding with ethical issues? -
Ans - contact tracing
-Hipaa contact tracing

Which of the following are examples of population health date that might be
collected? -
Ans epidemiological data

Big data -
Ans refers to the proliferate of digital info in the modern age

Which of the following would be an example of pt autonomy? -
Ans a pt is given the ability to make their own medical decisions.

Non-maleficence -
Ans do no harm

justice -
Ans give fairly

benficence -
Ans give equitably

autonomy -
Ans give freedom

Covered entities -
Ans Physician office, Hospitals, insurance companies

HIPAA regualtes -
Ans pt privacy and security

CMS regulates -
Ans Medicare and Medicaid services

Who publishes? -
Ans ICD-10-cm codes

Office of Civil Rights (OCR) -
Ans where a pt would file a complaint for most ethical violations.

, Which activities would be classified as monitoring? -
Ans Ensuring policies and procedures are being followed

DRG -
Ans diagnosis-related group

Auditing -
Ans taking a sample of charts and reviewing them for coding accuracy

Upcoding -
Ans assigns a diagnosis or procedure that costs more or has a higher rate of
reimbursement than medically necessary

A modifier includes 2 digits that are appended to a code to provide additional
information. -
Ans

What should a coder do if the documentation is incomplete? -
Ans Check to make sure there isn't information that still needs filed, if still
incomplete write the physician a query

The main term -
Ans is the term used to begin looking a code up in the index.

Subterms -
Ans describes the main term and are looked up secondarily.

non-essential terms -
Ans are used in ICD-10-cm only

When looking at the code in the tabular which items should be checked? -
Ans The coding notes and guidelines

Where should a coder never code directly from? -
Ans The alphabetic index

ICD-10-CM -
Ans contains a letter a number and a decimal point

ICD-10-PCS codes -
Ans contains letters and numbers

HCPCS Level II codes -
Ans contain a letter at the beginning and then numbers

C codes -
Ans are temporary codes

How many digits does a HCPCS Level ii code have? -
Ans 5

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Institution
Nursing Pediatrics
Module
Nursing Pediatrics

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