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Introduction to Medical Coding II, Exams of Nursing

An overview of the medical coding classification system, including CPT, HIPAA, ICD-10, ICD-10-CM, and ICD-10-PCS. It explains the role of medical coding professionals in the medical billing process and the importance of accurate coding. The document also covers inpatient coding and the selection of the principle diagnosis.

Typology: Exams

2022/2023

Available from 10/09/2023

gerald-leetch
gerald-leetch 🇺🇸

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Coding II Questions with answers

CPT

✔Current Procedural Terminology - a medical coding classification system; the standard medical code set used to report medical, surgical, and diagnostic procedures and services for payment HIPAA ✔Health Insurance Portability and Accountability Act; the statute that protects health insurance coverage and patient confidentiality and created standards for electronic medical record transactions. ICD- ✔International Classification of Diseases, 10th Revision; the system used by physicians and other healthcare providers to define, classify, and code the universe of diseases, disorders, injuries, and other related health conditions ICD-10-CM ✔10th Revision, Clinical Modifications; an additional listing that assists in the storage and retrieval of diagnostic information ICD-10-PCS ✔10th Revision, Procedure Classification System; U.S. cataloging system for procedural codes that track various health interventions provided by medical professionals; created by CMS to track statistics inpatient coding ✔a review of the entire medical record for the length of stay and selection of the principle diagnosis medical coding ✔the transformation of healthcare diagnosis, procedures, medical services, and equipment into universal medical alphanumeric codes; process that accurately assigns codes to the description of a patient's condition and communicates the correct information to insurance companies medical coding professionals ✔healthcare employees or contracted services that review clinical records and correctly assign standard codes during the medical billing process

medical procedure ✔a course of action, often a test, intended to achieve a result in the delivery of healthcare: determining, measuring, or diagnosing a patient condition or parameter medical record ✔written account of a patient's examination and treatment outpatient coding ✔a review of the medical record that focuses on the date of service and selection of the first-listed diagnosis code and secondary diagnoses to support the services provided; most of the coding done in the healthcare industry principle diagnosis ✔the condition that prompted admission to the hospital; the chief reason for an inpatient stay Superbill ✔an itemized form used by healthcare providers that reflects rendered services; main data source for creation of a healthcare claim for submission to payers for reimbursement workflow ✔a series of steps that accomplishes a specific task