CCS CPT Coding

CPT coding system correct answer: Descriptive terms and identifying codes for reporting medical services and procedures Provides uniform language that describes medical, surgical, and diagnostic services Published by the American Medical Association (AMA) CPT codes correct answer: Five digits in length Descriptions reflect health care services and procedures performed in modern medical practice. Reviewed by AMA to update codes and descriptions annually Category I CPT codes correc...

Contradictory documentation may be remedied proactively by using: Correct Answer: Communication tools Tools have been developed to facilitate communication to resolve differences between handwritten and dictated reports or other instances of disparate communication. Sometimes documentation in the health record or on the charge ticket needs to be corrected or verified. Many offices develop a form as a common communication tool for use between a coder and a physician. This form can be as simpl...

Are limitations of the clinical privileges of a psychiatrist for more than 30 days reportable to the NPDB? - Yes According to TJC, who may amend the medical staff bylaws? - Governing body/board. Failure to meet the established qualifications and criteria for appointment should be reported to whom? - The applicant NCQA requires the MCO to obtain a minimum of how may years of work history? - Five years According to the NCQA what policy must an organization have in place to obtain approval to enter...

Are limitations of the clinical privileges of a psychiatrist for more than 30 days reportable to the NPDB? - Yes According to TJC, who may amend the medical staff bylaws? - Governing body/board. Failure to meet the established qualifications and criteria for appointment should be reported to whom? - The applicant NCQA requires the MCO to obtain a minimum of how may years of work history? - Five years According to the NCQA what policy must an organization have in place to obtain approv...