COC 2020 - FINAL EXAM STUDY QUESTIONS (SET 5) | 100 Questions with 100% Correct Answers | Updated & Verified | 21 Pages

After suffering a fracture of the ankle three months ago, a 69 year-old patient presented with what was found to be a malunion fracture. She was treated with additional surgery and discharged. Which injury diagnosis code(s) is/are assigned? - S82.899P All codes in ICD-10-PCS have how many characters? - 7 All entries in the medical record must be: - Signed and dated by the author with a method to establish the author's identity. All payers employ the same rules concerning coding and reimbursement. - B. False Rationale: PPOs, HM Os, Medicaid, TRICARE/CHAMPUS, Workers Compensation, and many private insurers employ their own rules regarding coding and reimbursement. Additional restrictions may apply when participating in a network. All the following are examples of outpatient facilities except: - Answer: OPPS Rationale: OPPS stands for Outpatient Prospective Payment System. This is a payment system and not a type of facility such as CORF, CAH, ASC are. Ambulatory surgical centers include: - Answer: An independent ASC Rationale: Independent ASCs offer ambulatory surgical services or same-day surgeries to patients who only requireservices with immediate postoperative care. When the ASC is owned by the hospital, it is generally considered to be an extension of the physical hospital and the same as any other outpatient department. In general, an independent ASC must be financially independent from the hospital, not be included on the hospital's cost reports.