When using the word "outpatient" a medical professional understands that the care of the patient is occurring in a
Health care providers
... [Show More] office
One reason for using a standard coding system to report diagnosis's and procedure made in the medical office is
To facilitate payment from 3rd party payers
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The term that insurance companies use to refer to a procedure being performed for appropriate reasons is
Medical necessity
The ICD-10-CM is the classification system for diseases. The CM stands for
Clinical modification
T/F within the ICD-10-CM there are over 70,000 diagnosis codes
True
The diagnostic classification system was first instituted by the
World health organization
Which of the following provides a means of indexing the reason for medical services for other than current or genuine illness
V codes
T/F for an outpatient office visit only one code is allotted per office visit
False
The ICD-10 diagnosis codes
All of the above
Coding a disease to its highest level of definition means that
The disease is found easily in the ICD-10-CM
Supplementary V codes are used to
Clarify the reason for a visit to the physicians office
The ICD-10-CM is available
All of the above
The ICD-10-PCS is used for coding
Hospital and inpatient procedures
In coding the diagnosis of an ovarian cyst, the medical assistant should first look up the
Cyst
The reason the patient requests to be seen in the medical office is called the
Primary diagnosis
Which of the following statements regarding ICD-10-CM conventions is not accurate
The conventions are only guidelines
The use of standardized codes
All of the above
The CMS-1500
Is a universal claim form
Using a diagnosis code when another more accurate code is available is considered
Truncated coding
In ICD-10-CM, E codes
All of the above
An insurance plan that is self funded often has an agency that handles the claims and payments. This agency is a
Third party administrator
When a patient has coverage from more that one insurance company, the primary insurance is
The one that is billed first
The denial of an insurance claim may be caused
Inappropriate diagnostic and procedural coding
Electronic claim submission occurs
When claims are submitted immediately with a computer and modem
A statement received after a claim form has been processed by the insurance company that outlines how the payment was made is called
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