Unbundling - answer-Reporting multiple codes to increase reimbursement when a single combination code should be reported.
Upcoding - answer-Reporting codes that are not supported by documentation in the patient record for the purpose of increasing reimbursement
overcoding - answer-Reporting c...
321 CODE IT CHAPTER 1 STUDY GUIDE
Unbundling - answer-Reporting multiple codes to increase reimbursement
when a single combination code should be reported.
Upcoding - answer-Reporting codes that are not supported by
documentation in the patient record for the purpose of increasing
reimbursement
overcoding - answer-Reporting codes for signs and symptoms in adition to
tge establushed diagnosis cide
Jamming - answer-Routinely assigning an unspecific ICD-10-CM disease code
instead of reviewing the code manual to select the appropiate code
Downcoding - answer-Routinely assigning lowe level CPT coses as
convenience instead of reviewing patient record documentation and the
coding manual to determine the proper code to be reported
Medical coding process - answer-Requieres the review of patient tecord
documemtation to identify diagnoses, procedures and services for tge
purpose of assigning ICD-10-CM, ICD-10PCS, HCPcS level II, or CPT codes
Concurrent coding - answer-Is the review of records ir use of encounter
forms and changemaster to assign codes during inpatient stay or outpatient
encounter
Endcoding - answer-Process of standardizing data by assigning
alphanumeric values
Coding - answer-Assignment of codes to diagnoses services and procedures
based on patient record documentation
Code - answer-Includes numeric and alphanumeric characters that are
reported to health plans
Medical nomenclature - answer-Is a vocabulary and medical terms
Coding system - answer-Organizes a medical nomenclature according to
similar conditions diseases procedures and services
Intership - answer-Benefits the student and the facility that acepta the
student for placement
, Internship supervisor - answer-The person who the student reports at the
site
Application service provider (ASP) - answer-Third party entity that manages
and distributes software based services and solutions to costumers across
wide area network from a central data center
Online discussion board or listserv - answer-Internet based or email
discussion forum that cover a variety of topics and issues
Assumption coding - answer-Codes based on assuming, from a review of
clinical evidence in the patients record, that the patient has certain
diagnoses or received certain procedures/ services even though the provider
did not specifically documented those diagnoses or procedures.
Physician query process - answer-Is used when coders have questions about
document diagnoses and procedures or services they use the query to
contact the responsable physician to request clarification about a document
Computer-assisted coding (CAC) - answer-Uses software to automatically
generate codes by reading transcribe clinical documentation provide by
health care practitioners.
Evidence based coding - answer-Involves clicking on codeas that CAC
software generates to review electronic health records used to generate that
code.
Alternative billing codes (ABC codes) - answer-Classify services not included
in the CPT manual to describe the service supply or therapy provide, they
might also be assigned to report nurses services or alternative medicine.
Clinical care classification system (CCC) - answer-Provides a new
standardized framework and unique coding structure for assessing
documenting and classifying home health and ambulatory care.
Current Dental Terminology (CDT) - answer-It classifies dental procedure and
services
Diagnostic and statistical manual of mental disorders (DSM) - answer-
Classification of mental disorders use by mental health professionals
Health insurance prospective payment system (HIPPS)rate codes - answer-
Alphanumerical codes consisting on five digits
International classification of diseases for oncology third edition (ICD-O-3) -
answer-This was implemented in 2001 as a classification of neoplasms used
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