Medical Coding is used for many reasons, including: [BLANK-1]
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The primary classification systems that must be used under H…
The primary classification systems that must be used under HIPAA are CPT Level I codes, HCPCS Level II codes, ICD-10-CM codes, and ICD-10-PCS codes.
Provision of similar services (eg, hospital visits) to the s…
Provision of similar services (eg, hospital visits) to the same patient by more than one physician or other qualified health care professional on the same day
_______ decides the outpatient facility payment
_______ decides the outpatient facility payment
Intentional misuse of modifiers to bypass the NCCI edits con…
Intentional misuse of modifiers to bypass the NCCI edits constitutes fraud
Record falsification and/or tampering are viewed as a legal…
Record falsification and/or tampering are viewed as a legal activity by law.
If a medical record is complete, it will include an individu…
If a medical record is complete, it will include an individual’s past, present, or future physical or mental health along with a provision of health care for the individual and the past, present, or future payment for the provision of health care to the individual.
Medically unlikely edits are edits that:
Medically unlikely edits are edits that:
Why is confidentiality important in medical records?
Why is confidentiality important in medical records?
The five most important federal fraud and abuse laws that ap…
The five most important federal fraud and abuse laws that apply to physicians are the Anti-Kickback Statue, the Physician Self-Referral Law, the Exclusion Authorities, the Civil Monetary Penalties Law, and __________________?