CPT defines a separate procedure as - ANSWER Procedure considered an integral part of a more major service
No combination code available - ANSWER Use separate codes for hypertension and acute renal failure
Document
...
CPT defines a separate procedure as - ANSWER Procedure considered an integral part of a more major service
No combination code available - ANSWER Use separate codes for hypertension and acute renal failure
Documentation from the nursing staff or other allied health professionals' notes can be used to provide specificity for code assignment for which of the following diagnoses? - ANSWER Body Mass Index (BMI)
POA Indicator - Y - ANSWER Y-Yes, present at the time of inpatient admission
POA Indicator - N - ANSWER N-No, not present at the time of inpatient admission
POA Indicator - U - ANSWER U-Unknown, documentation is insufficient to determine if condition is present on admission and you cannot speak to the physician to figure it out
POA Indicator - W - ANSWER W-Clinically undetermined, provider is unable to clinically determine whether condition was present on admission or not
POA Indicator - E - ANSWER E-Exempt, unreported/not used, some facilities will leave these blank, others will use the letter "E"
Present on Admission Indicator (POA) - ANSWER A Present On Admission (POA) indicator is required on all diagnosis codes for the inpatient setting except for admission. The indicator should be reported for principal diagnosis codes, secondary diagnosis codes, Z-codes, and External cause injury codes.
The use of the outpatient code editor (OCE) is designed to: - ANSWER Identify incomplete and incorrect claims
Medicare's identification of medically necessary services is outlined in: - ANSWER Local Coverage Determinations (LCDs)
Medically unlikely edits are used to identify: - ANSWER Maximum units of service for a HCPCS code
National Correct Coding Initiative (NCCI) Edits are released how often? - ANSWER Quarterly
In 2000, CMS issued the final rule on the outpatient prospective payment system (OPPS). The final rule: - ANSWER Divided ou
[Show More]