AAPC - Chapter 1: Practical Application

What type of profession, other than coding, might skilled coders enter? - answer-Consultants, educators, medical auditors What is the difference between outpatient and inpatient coding? - answer-Outpatient coding focuses on physician services. Outpatient coders focus on assigning CPT, HCPCS Level II, and ICD-10-CM codes. They work in provider offices, outpatient clinics and facility outpatient departments. Outpatient facility coders also work with ambulatory payment classifications (APCs). Inpatient hospital coding focuses on a different subset of skills, where coders work with ICD-10-CM and ICD-10-PCS. These coders also assign Medicare severity-diagnosis related groups (MS-DRGs) for reimbursement. Outpatient coders usually will have more interaction throughout the day and must communicate well with providers; inpatient coders tend to have less interaction throughout the day. What is a mid-level provider? - answer-Mid-level providers include physician assistants (PA) and nurse practitioners (NP). What are the different parts of Medicare? - answer-Part A, B, C, D Evaluation and management (E/M) services are often provided and documented in a standard format. One such format is SOAP notes. What does SOAP represent? - answer-Subjective, Objective, Assessment, Plan What are five tips for coding operative (op) reports? - answer-Diagnosis code reporting, Start with the procedures listed, Look for key words, Highlight unfamiliar words, Read the body What is medical necessity? - answer-Relates to whether a procedure or service is considered appropriate in a given circumstance.