Cpc stuvia - Study guides, Class notes & Summaries

When coding in operative report what action would NOT be recommended? - ANSWERSCoding 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? - ANSWERSMedicare administrative contractor (MAC) MAC stands for what!? - ANSWERSMedicare administrative contractor What is the definition of coding? - ANSWERSTranslating documentation into numerical/alphabetical codes used to obtai...

CPC Exam ICD Conventions & Guidelines Precedence - ANSWER Instructions and Guidelines of the classification take precedence over guidelines. Section I - ANSWER general coding guidelines and chapter specific guidelines Section II - ANSWER selection of principal diagnosis for non outpatient settings Section III - ANSWER Additional diagnoses in non-outpatient settings Section IV - ANSWER Outpatient coding and reporting E&M - ANSWER physicians' work New Patient - ANSWER one wh...

Which statement is TRUE for reporting external cause codes of morbidity (V00-Y99)? A. All external cause codes do not require a seventh character. B. Only report one external cause code to fully explain each cause. C. Report code Y92.9 if the place of occurrence is not stated. D. External cause codes should never be sequenced as a first-listed or primary code - ANSWER D. External cause codes should never be sequenced as a first-listed or primary code Multiple choice D is the correct ans...

ABN - ANSWERAdvanced Beneficiary Notification form explains to pt. why Medicare may deny service/procedure. Reasonable estimate $100.00 or 25% whichever is greater AMA - ANSWERAmerican Medical Association APC - ANSWERAmbulatory Payment Classification ARRA - ANSWERAmerican Recovery and Reimbursement Act of 2009 ASC - ANSWERAmbulatory Surgery Center CF - ANSWERConversion Factor set by CMS $35.9335 CMS - ANSWERCenters for Medicare & Medicaid Services CPC* - ANSWERCertified Pr...

When coding in operative report what action would NOT be recommended? - ANSWER 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? - ANSWER Medicare administrative contractor (MAC) MAC stands for what!? - ANSWER Medicare administrative contractor What is the definition of coding? - ANSWER Translating documentation into numerical/alphabetical codes used to obtai...