What questions should a coder ask in checking a claim to make sure it is accurate and ready to submit?
What will be an ideal response?
Answer: Is the coded service billable? Are the codes appropriate to the patient's profile? Is there a clear and correct link between each diagnosis and procedure? Is the documentation in the patient's medical record adequate to support the reported services? Do the reported services comply with all regulations?
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Upright posture requires minimal muscular activity, but only if the body masses align as close to the ___________ _________________ (two or three words) as possible
Fill in the blank(s) with the appropriate word(s).
Which of the following are contraindications for the use of noninvasive ventilation (NIV)? 1. Nonsupportive family 2. Lack of financial resources 3. Copious amounts of secretions 4. Uncooperative behavior on the part of the patient
a. 1, 2, and 3 only b. 2 and 4 only c. 1, 2, and 4 only d. 1, 2, 3, and 4
Reciprocity is the practice of
A) cooperation by which a state grants a license to practice medicine to a physician already licensed in another state. B) granting a license to applicants who have successfully passed the National Board Medical Examination. C) requiring a set number of continuing medical education units in a designated time period to ensure currency in the field of practice. D) withdrawing the right to practice for severe misconduct, commission of a crime, or personal incapacity to perform one's duties.
Diagnosis-related groups (DRGs) are an example of which type of reimbursement plan?
a. Capitation b. Episodic care c. Fee-for-service d. UCR