1. what is a key characteristic of the POMR (problem uses an itemized list of
the patient's
oriented medical record)? past and present medical
problems
2. in developing an internal coding audit review pro- chargemaster
description and
gram, what are two risk areas that medical mecessity
should be targeted for audit?
3. what are some coding compliance activities? reviewing all rejected
claims;
developing procedures for
identify- ing coding errors;
coding diagnoses only when
all ap- plicable information is
documented in the health
record
4. what are some things that ICD-10 can the basis for
be used for? epidemiological re- search;
Sayles pg 183 in the evaluation of medical
care planning for healthcare
delivery systems;
to facilitate data storage and
re- trieval
5. a skin lesion was removed from a patient's cheek code basal cell
carcinoma
in the dermatologist's office. The
dermatologist documents "skin lesion" in
the health record. Pri- or to billing the
pathology report returns with
a diagnosis of basal cell carcinoma? what
1/
3