When a physician does not document an exact diagnosis, outpatient coding rules require that unclear diagnosis be coded using the ________ that lead the patient to seek care, until an absolute diagnosis is made. 

Fill in the blank(s) with the appropriate word(s).


symptoms
If a term such as "probable, suspected, likely, questionable, possible," and "rule out" is used in the documentation, the diagnosis is uncertain. The symptoms should be coded until an absolute diagnosis is made.

Health Professions

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All of the following are examples of administrative procedures except:

A) medical record management. B) patient accounts and bookkeeping. C) inventory of clinical supplies. D) insurance processing.

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An instruction note at the beginning of Chapter 7 directs coders to:

a. code also…. b. use an external cause code…. c. code first…. d. code any underlying disease….

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Monitoring mask or nasal airflow during polysomnography can determine if there is a problem with ________

A) airway blocking blood flow B) the heart does pump enough oxygen in the blood C) airway blocking airflow D) the heart pumping too much oxygen in the blood

Health Professions

High risk groups for the development of bacterial meningitis include ________

A) college students B) military personnel C) siblings D) Both A and B

Health Professions