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When coding in operative report what action would NOT be recommended? - Coding from the header with out reading the body of the report If an NCD doesn't exist for a particular service/procedure performed on a Medicare patient who determines coverage? - Medicare administrative contractor (MAC) M...

A 46-year-old female had a previous biopsy that indicated positive malignant margins anteriorly on the right side of her neck. A 0.5 cm margin was drawn out and a 15 blade scalpel was used for full excision of an 8 cm lesion. Layered closure was performed after the removal. The specimen was sent ...

Evaluation and management services are often provided in a standard format such as SOAP notes. What does the acronym SOAP stand for? a. Scope, Observation, Action, Plan b. Standard, Objective, Activity, Period c. Source, Opinion, Advice, Provider d. Subjective, Objective, Assessment, Plan -...

A covered entity does NOT include a. Healthcare providers b. Health plans c. Patients d. Clearinghouses - c. Patients What does MAC stands for? a. Medicare Administrative Contractor b. Medicare Advisory Contractor c. Medicaid Administrative Contractor d. Medicaid Alert Contractor - a. Medic...

Which type of information is not maintained in a medical record? a. observations b. medical or surgical interventions c. Treatment outcomes d. Financial records - d. Financial records EHR stands for: a. Extended health record b. Electronic health response c. Electronic health record d. Esta...

Local Coverage Determinations are administered by whom? a. State Law b. NCDs c. Each regional MAC d. LMRPs - c. Each regional MAC ABN stands for _____. a. Advanced Benefits Notification b. Advisory Beneficial Notice c. Admitting Beneficiary Notice d. Advance Beneficiary Notice - d. Advance ...

C (Rationale: Twice a year, the OIG releases a Work Plan outlining its priorities for the fiscal year ahead. Within the Work Plan, potential problem areas with claims submissions are listed and will be targeted with special scrutiny.) - What document is referenced to when looking for potential pr...

Under HIPAA, what would be a policy requirement for minimum necessary? - Only individuals whose job requires it may have access to protected health information Which Act was enacted as part of the American Recovery and Reinvestment Act (ARRA) of 2009 and affected privacy and security? - HITECH W...

A - A patient with hypertension is scheduled for same day surgery for removal of her gallbladder due to chronic gallstones. She is examined preoperatively by her cardiologist to be cleared for surgery. What ICD-10-CM codes are reported by the cardiologist? A) Z01.810, K80.20, I10 B) I10, Z01.81...

f10.21 (Alcohol dependence, in remission) - ICD-10-CM code for Personal History of Alcohol Dependence T51.0X2 (Toxic effect of ethanol, intentional self-harm) - ICD-10-CM code for Suicide Attempt using Absinthe False (Never primary, and always follow another code) - True or false: External Caus...

D - A patient is diagnosed with pressure ulcers on each heel. Each heel displays bone involvement with no evidence of necrosis. Select the diagnosis code(s). A) L97.406 B) L89.619 C) L89.610, L89.620 D) L89.619, L89.629 C - A patient with age-related osteoporosis suffers a pathologic fracture ...

Many coding professionals go on to find work as: - Consultant A medical record contains information on all but what areas? - Financial records Technicians who specialize in coding are called: - Coding specialists EHR stands for: - Electronic health record What type of provider goes through appro...

Local Coverage Determinations are administered by whom? a. State Law b. NCDs c. Each regional MAC d. LMRPs - c. Each regional MAC ABN stands for _____. a. Advanced Benefits Notification b. Advisory Beneficial Notice c. Admitting Beneficiary Notice d. Advance Beneficiary Notice - d. Advance ...