A coder acquires a working knowledge of coding systems, coding conventions and guidelines, government regulations, and third-party payer requirements to
... [Show More] ensure that documented diagnoses, services, and procedures are coded accurately for __________, research, and statistical purposes. Correct Answer: reimbursement
A coding compliance program ensures that the assignment of codes to diagnoses, procedures, and services follows established coding guidelines, and health care organizations write policies and procedures to assist in implementing the coding compliance stages of __________. Correct Answer: detection, correction, prevention, verification, and comparison
Adopting HIPAA's standard code sets has improved data quality and simplified claims submission for health care providers who routinely deal with multiple __________. Correct Answer: health plans
A hospitalist is a physician whose practice emphasizes providing care for hospital __________, and they are often internal medicine specialists who handle a patient's entire admission process. Correct Answer: inpatients
An effective coding compliance program monitors coding processes for __________. Correct Answer: completeness, reliability, validity, and timeliness
A patient record is the business record for a patient encounter that documents __________. Correct Answer: health care services provided to a patient
A physician lists "viral pneumonia" as the final diagnosis. However, the coder notes that laboratory results state "gram-negative bacteria." There is also documentation of chest pain, fever, and dyspnea due to pneumonia. What should the coder do? Correct Answer: Query the physician regarding the diagnosis of pneumonia
A secondary purpose of the patient record is to __________. Correct Answer: evaluate patient quality of care
A teaching hospital is engaged in an approved graduate medical education __________ program in medicine, osteopathy, dentistry, or podiatry. Correct Answer: residency
A third-party administrator (TPA) is an entity that __________ and may contract with a health care clearinghouse to standardize data for claims processing. Correct Answer: processes health care claims and performs related business functions for a health plan
Automated case abstracting software is used by hospitals to __________. Correct Answer: collect data for statistical analysis [Show Less]