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Typically includes a comprehensive set of resources designed to facilitate accurate and efficient medical coding processes and healthcare settings.

Cardiovascular system - the movement of blood and lymph around the body which permits nutrient distribution, waste removal, communication and protection

Ischemic heart disease - · when heart is damaged by ischemia (Number 1 killer in the US today) - The primary cause is fatty plaques that develop in the arteries known as atherosclerosis. - Fatty plaques make the arteries narrower which decreases supply of oxygen rich blood to heart.

CPT - Current Procedural Terminology -5-digit numeric codes -Physician services (E&M codes) Evaluation and Management -Procedures, Diagnostic and Therapeutic -2-digit modifiers -modifiers facilitate alteration of a service/procedure due to specific circumstances FIRST PUBLISHED IN 1966

In a managed fee-for-service arrangement, which of the following would be used as a cost-control process for inpatient surgical services? a. Prospectively precertify the necessity of inpatient services b. Determine what services can be bundled c. Pay only 80 percent of the inpatient bill d. Require the patient to pay 20 percent of the inpatient bill - a. Prospectively precertify the necessity of inpatient services

The yolk of an egg when compared with other components contains the largest amount of these two unhealthy items associated with one's diet: - fat and cholesterol

A risk management plan should include: - -Goals: Specific and measurable. -Program scope: Should include linkage with other programs. -Line of authority: Beginning with the governing board and ending with employees. -Policies: Should include confidentiality and conflict of interest. -Data sources and referrals: Types of measures. -Documentation/reporting: The responsibility for reporting should be clarified as well as the frequency of reports. Activities integration. -Evaluation of prog...

When a patient is seen for a pre-operative evaluation due to a specific diagnosis, while during the evaluation some type of other health diagnosis is made (such as hypertension), how is the coding sequenced? - First code the pre-procedural z code, followed by the reason for the surgery. Then code any diagnoses made during the pre-procedural evaluation.

Stark Law - a physician is prohibited from making any referral to a provider of designated health services if the physician has a "financial relationship" with the provider. a healthcare provider is prohibited from submitting for services rendered to patients referred in violation of the statute

Formal referral - An authorization request (telephone, fax, or completed form) required by the managed care organization contract to determine medical necessity and grant permission before services are rendered or procedures performed.