Medical Coding 300plus questions with answers to study ICD-10 coding (Answered)

Medical Coding 300plus questions with answers to study ICD-10 coding (Answered) Coding is the process of translating this written or dictated medical record into a series of numeric or alpha-numeric codes Proper code assignment is determined by content of the medical record and by the unique rules that governs each code set What are 3 things that Coder must master 1. anatomy 2. medical terminology 3. must be detail-oriented Medical coders assign a code to what 1. Each diagnosis 2. Service/procedure 3. Supply, using the classification system when applicable The classification system determines ______ the amount health care providers will be reimbursed if the patient is covered by Medicare, Medicaid, or other insurance programs using the system A coder must evaluate the medical record for 1. completeness and accuracy 2. communicate regularly with physicians and the health care professional to clarify DX or obtain additional PT info. Techicians who speciallize in coding inpatient hospital services are referred as 1. Health information coders 2. medical record coders 3. Coder/abstractors 4. Coding Specialist What is MS-DRGs and what does it do? 1. Medicare Severity-Diagnosis Related Groups 2. Determines the amt the hospital will be reimbursed if the PT is covered by Medicare or other insurance programs What is EHR Electronic health record Skilled coders may become consulatants, educators or medical auditors What is the difference between Hospital and Physican Services 1. Outpatient coding (physician services)- learning CPT, HCPCS, LEVEL II, ICD-9 CM codes Volume 1 and 2 2. Inpatient coding (Hospital services)- Learning CPT, ICD-9 CM codes Volumes 1,2,3 and MS-DRGS What is APC and who uses it Ambulatory Payment Classification- outpatient facility coders (physician services What is the coder's role in a physician's office Extremely important for the proper reimbursement of services and the livelihood of the physician What is a physican degree of education 4 years of college, 4 years of medical school plus 3 to 5 years of residency. What are mid-level providers and who can be classified as one? 1. Mid-level providers are know as physician extenders 2. Physician assistants (PA) and Nurse Practitioners (NP) What are the requirement for a PA and what 1. 26 1/2 month program to complete 2. Licensed to practice medicine under physician supervision NP must have A Master's Degree in Nursing In simplest terms, how many payers are there? 2 Private insurance plans and government insurance plans Commercial carriers are considered what Private payers that offer both group and individual plans. Private Payers contracts may vary but may include _____ hospitalization, basic, and major medical coverage. What is the most significant government insurer Medicare What is Medicare Federal health insurance program- Administered by the Center for Medicare & Medicaid Services (CMS) What is CMS and what does it provide Center for Medicare & Medicaid Services (CMS) provides coverage for people over the age of 65, blind, or disabled individuals, people with end -stage renal disease CMS regulations often serves as the____ word in coding requirement for Medicare and Non-Medicare payers alike Last What are the parts of Medicare Medicare A Medicare B Medicare C Medicare D What is Medicare Part A? Covers inpatient hospital care, as well as care provided in skilled nursing facilites, hospice care, and home health care What is Medicare Part B? Covers medically necessary doctors' services, outpatient care, other medical services (including some preventive service not covered under Medicare Part A) Medicare Part B is considered what? A optional benefit for which the patient must pay a premium and which generally requires a yearly copay