MO 202 Final Exam with 100% correct answers 2024

In the coding process, what is the first thing that a coder must do? correct answers Locate the diagnosis in the patients health record What kind of exposure falls under HIPPA rules, if medical personnel call a patient by name in the reception area? correct answers Incidental disclosure For what medical services do most third-party payers pay? correct answers Medically necessary What organization (composed of physicians and other healthcare professionals) was established by TEFRA to review quality of care and appropriateness of admissions, and discharges for Medicare and Medicaid patients? correct answers PRO- peer review organization What range of medical and/or social services designed for people with disabilities or chronic care needs are provided in a person's home, in the community, or in residential facilities (e.g., nursing homes or assisted living facilities)? correct answers Long term What are the three basic TRICARE plans? correct answers 1) Prime 2) Standard 3) Extra What are nonessential modifiers? correct answers Terms in parenthesis following main terms What is the worldwide healthcare system for the military called? correct answers TRICARE The health insurance claims process is typically an interaction between the healthcare provider and _________ correct answers An insurance company What is a computer software program that takes coded information and identifies the patient's DRG category called? correct answers DRG grouper Who is the individual that has authority to speak on a patient's behalf? correct answers Surrogate What extension is required by certain ICD-10-CM categories to provide further specificity about the condition being coded? correct answers Seventh character