Exam (elaborations)
NHA CBCS Module 3: Coding And Coding Guidelines questions and answers already graded A+ 2025/2026
- Course
- Institution
NHA CBCS Module 3: Coding And Coding Guidelines questions and answers already graded A+ 2025/2026
[Show more]
Content preview
NHA CBCS Module 3: Coding AndCoding Guidelines
1. Abstracting - ANS-Reviewing medical document documentation to find out scientific
standards that help assigning codes to the best degree of specificity.
2. Category H codes of HCPCS - ANS-These codes are reported to kingdom Medicaid
applications for mental fitness services.
3. Category K codes of HCPCS - ANS-Category K codes are for the different use of the
long lasting clinical equipment local providers (DMERC) for CMS. They are transient
codes.
4. Centers for Disease Control and Prevention (CDC) Vaccines Administered (CVX) -
ANS-Used for vaccines.
5. Declare denial - ANS-Unpaid scientific declare returned by using payer due to coding
mistakes, lacking information, preauthorization necessities, or health plan coverage
issues.
6. Medical documentation - ANS-Information recorded within the clinical file concerning the
health popularity of a affected person as decided by means of a health care provider.
7. Code sets - ANS-Used to categorise clinical remedies, exams, tactics, elements and
equipment, and diagnoses recognized in clinical facts.
8. Consultation report - ANS-Report that consists of physical exam and check outcomes, in
conjunction with the representative's expert opinion approximately the patient's
circumstance.
9. Correctly sequence the steps of ICD-10-CT guide coding beneath.
10. - Locate fundamental time period in Alphabetic Index and become aware of the default
code.
11. - Identify the motive for the visit within the documentation.
12. - Review relevant subterms.
13. - Verify code in Tabular List.
14. - Read and practice instructional notes as needed. - ANS-1) Identify the cause for the go
to inside the documentation.
15. 2) Locate principal term in Alphabetic Index and become aware of the default code.
16. 3) Review applicable subterms.
17. Four) Verify code in Tabular List.
18. 5) Read and practice academic notes as needed.
19. CPT - ANS-Current Procedural Terminology. Codes for offerings and techniques.
20. CPT Category I - ANS-The biggest and maximum generally used institution of codes and
is separated into six sections. The Surgery section is similarly divided into subsections
that include codes for processes and offerings accomplished on person frame structures.
, 21. CPT Category II - ANS-Supplemental monitoring codes used to gather information for
reporting overall performance size. These codes are an exception to the concept of
valuation because they do no longer have repayment value attached to person codes.
22. CPT Category III - ANS-Temporary codes used to record emerging era and experimental
medical strategies and offerings. These codes provide the opportunity to specify
offerings that are not blanketed in category I. After a time frame (commonly five years),
those codes are either retired or integrated into appropriate section of class I, based at
the frequency of use through the years.
23. CPT conventions - ANS-Rules that guide the person to a code, and in the case that
more than one codes are required, the perfect sequencing of the codes.
24. Discharge precis - ANS-A summary of an inpatient or surgical come across which
incorporates the closing face-to-face encounter, a bodily exam, review of medications,
and nay discharge orders for domestic fitness or bodily remedy and every other
instructions for the patient. This precis file is frequently used by the number one care
company.
25. Downcoding - ANS-Unpaid clinical claim again by payer due to coding errors, lacking
data, preauthorization requirements, or health plan coverage troubles.
26. Electronic health report (EHR) - ANS-A digital model of a patient's chart that consists of
statistics documented by using a couple of vendors at unique facilities regarding one
patient.
27. Stumble upon form - ANS-Financial report source record utilized by carriers to record
handled diagnoses and offerings furnished to a patient for a unmarried come upon.
28. Every patient come across ought to consist of _________________. - ANS-Every
patient stumble upon ought to include the reason for the stumble upon and supported
clinical necessity.
29.
30. Documentation for each encounter consists of the purpose for the come upon, records,
physical examination, diagnostic or laboratory checks, and a treatment plan to help each
CPT, ICD-10-CM, or HCPCS code stated on the claim.
31. Examination - ANS-Body areas or organ structures are tested as they're applicable to
the leader criticism. The company uses the findings to shape objective tests of the
affected person's circumstance.
32. Explain the "A" in SOAP. - ANS-Assessment - the diagnostic affect or operating
diagnoses based at the subjective court cases and objective findings.
33. Explain the "O" in SOAP. - ANS-Objective - important signs and symptoms, physical
examination findings, laboratory and different diagnostic data, and imaging results and
documentation from different clinicians that have been reviewed and considered.
34. Explain the "P" in SOAP. - ANS-Plan - method or plan for remedy inclusive of remedy
frequency, length, and anticipated effects and dreams of remedy. The plan frequently
consists of medications, referrals, and patient training or counseling.
35. Explain the "S" in SOAP. - ANS-Subjective - signs or history of the condition the usage of
the patient's own phrases, defined development or decline of the situation because the
final treatment, explanations for any gaps in remedies, and the patient's compliance with
provider tips.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Ashley96. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $12.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
67096 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now