What is considered essential elements to allow for proper coding of an operative report?
*the approach
*type of anesthesia
*location & severity of the wounds repaired.
Who is NOT considered a covered entity under HIPAA? Health care consultant
What entails the proper authentication of an entry in a medical record? Legible signature
of the author and the date the entry is signed.
What is the time limit mandated by CMS for adding a late entry into a medical record?
There is not a time limit.
When should an ABN be signed? Prior to performing a procedure that may be denied for
lack of medical necessity to a Medicare beneficiary
Under a Corporate Integrity Agreement how many charts must be audited to determine the
financial error rate? 50 charts.