Cca exam domain stuvia - Study guides, Class notes & Summaries

Code assignment - ANSWER2nd step in reimbursement process Documentation - medical/ financial record - ANSWER1st step in reimbursement process Claim preparation - ANSWER3rd step in reimbursement process Claim to payer(s) - ANSWER4th step in reimbursement process Claim review - ANSWER5th step in reimbursement process Claim resolution - ANSWER6th step in reimbursement process 1. Coding for physicians 2. Coding for facilities - ANSWERWhat are the 2 types of outpatient coding situ...

Look at book on page 14 question 65 Given the following information, which of the following statements is correct? A. In each MS-DRG the geometric mean is lower than the arithmetic mean. b. In each MS-DRG the arithmetic mean is lower than the geometric mean. c. The higher the number of patients in each MS-DRG, the greater the geometric mean for that MS-DRG. d. The geometric means are lower in MS-DRGs that are associated with a CC or MCC. - ANSWERSA The geometric mean LOS is defined as ...

Allowable fee - Answer Average or maximum amount the third-party payer will reimburse providers for the service Block grant - Answer It is a fixed amount of money given or allocated for a specific purpose. Ex. Medicare's payment system for home health services are consolidated into the single payment Capitated payment method - Answer It is a method of payment for health services in which the third-party payer reimburses providers a fixed, per capita amount for a period. "Per capita" mea...

Code assignment - ANSWER2nd step in reimbursement process Documentation - medical/ financial record - ANSWER1st step in reimbursement process Claim preparation - ANSWER3rd step in reimbursement process Claim to payer(s) - ANSWER4th step in reimbursement process Claim review - ANSWER5th step in reimbursement process Claim resolution - ANSWER6th step in reimbursement process 1. Coding for physicians 2. Coding for facilities - ANSWERWhat are the 2 types of outpatient coding situ...

Encoder - ANSWERComputer software that helps the coding professional to assign codes. This software now includes assistance with other coding systems Computer Assisted Coding - ANSWERUtilizes natural language processing (NLP) and algorithmic software to electronically analyze entire medical charts to pre-code with both CPT procedure and ICD10 diagnostic nomenclatures Natural language processing - ANSWERConsidered a special form of data entry, it is the capability of a computer to apply ver...

Allowable fee - ANSWERAverage or maximum amount the third-party payer will reimburse providers for the service Block grant - ANSWERIt is a fixed amount of money given or allocated for a specific purpose. Ex. Medicare's payment system for home health services are consolidated into the single payment Capitated payment method - ANSWERIt is a method of payment for health services in which the third-party payer reimburses providers a fixed, per capita amount for a period. "Per capita" means ...

Identify the diagnosis codes for carcinoma in situ of vocal cord - ANSWERD02.0 Identify the diagnosis codes for melanoma of skin of right shoulder - ANSWERC43.61 Which of the following organizations is responsible for updating the procedure classification of ICD-10-PCS? a) Centers for Disease Control (CDC) b) Centers for Medicare and Medicaid Services CMS c) National Center for Health Statistics NCHS d) World Health Organization WHO - ANSWERb) CMS (Centers for Medicare and Medicaid Ser...

Correct!! software to electronically analyze entire medical charts to pre-code with both CPT procedure and ICD10 diagnostic nomenclatures Natural language processing - ANSWERConsidered a special form of data entry, it is Encoder - ANSWERComputer software that helps the coding professional to assign codes. This software now includes assistance with other coding systems Computer Assisted Coding - ANSWERUtilizes natural language processing (NLP) and algorithmic the capability of a computer...