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WGU D521-Introduction to Medical Coding|PA and OA|Explore New 293 Actual Questions and Answers|2025 Update 100% Correct

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WGU D521-Introduction to Medical Coding|PA and OA|Explore New 293 Actual Questions and Answers|2025 Update 100% Correct












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Uploaded on
January 25, 2025
Number of pages
184
Written in
2024/2025
Type
Exam (elaborations)
Contains
Questions & answers

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  • wgu d521

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1/25/25, 7:50 PM D521-
Introduction to
Medical
Coding
WGU D521-Introduction to Medical Coding|PA and
OA|Explore New 293 Actual Questions and Answers|2025
Update 100% Correct

Correct

Incorrect


D521-Introduction to Medical Coding

293 Correct terms




Questions and answers




etc)

,1/25/25, 7:50 PM D521-
Introduction to
Medical
Coding

The loss of revenue when a healthcare provider fails to get timely payment for
services.


This can be caused by incorrect billing/coding, patient leakage (loss), patient's
being unable to pay, denied claims, underpayments, wrong documentation, and
non-compliance.




A report that includes all patients who have been discharged from the facility but
for whom, for one reason or another, the billing process is not complete.


(a measure of patient accounts that are held up due to either coding delays or
other issues that prevent claim submission)




any person or organization who performs a service for a covered entity while
having access to protected health information (PHI)


Don't know?




2 of 294

Term



What are some ways the diagnosis coding can go wrong?
(in other words why can't a computer do it)



Not quite. You're still learning!



mcr reimburses based on DRGs




a statement from the payer that summarizes the costs of healthcare
services billed, what is (and isn't) covered by the insurance plan, and how

,1/25/25, 7:50 PM D521-
Introduction to
much the patient is responsible for paying
Medical
Coding




1. illegible provider handwriting
2. illogical provider documentation
3. lack of documentation
4. transcription errors
5. medical record doesn't support the DX
6. lack of specificity




- use outside auditors to review coding practices and patterns to increase
objectivity
- Use billing system edits and payer rejection data to prompt education for
coders
- monitor and improve coding and documentation practices continually to
ensure payment accuracy
- can use comparative data (comparing DRG, APC, and other payment category
national and regional results)


Don't know?




3 of 294

Definition



Transplantation
Reattachment
Transfer
Reposition



Give this one a go later!



And - what does this mean in ICD- What root operations involve
10-CM guidelines? examination only?

, 1/25/25, 7:50 PM D521-
Introduction to
Medical
Coding

What root operations are for
What is included in Objective
putting in/back or moving a
findings in SOAP notes
body part?


Don't know?




4 of 294

Term



What is the defined disciplinary action of AHIMA that refers to loss
of certification status and removal from registry?



Give this one a go later!



Termination of Employment Revocation of Credential




Loss of Voting Privileges Censure


Don't know?




5 of 294

Definition



2 DXs or dx with manifestation or complication



Give this one a go later!

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