Coding is Correct Answer: the process of translating this written or dictated medical record into a series
of numeric or alpha-numeric codes
Proper code assignment is determined by Correct Answer: content of the medica
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Coding is Correct Answer: the process of translating this written or dictated medical record into a series
of numeric or alpha-numeric codes
Proper code assignment is determined by Correct Answer: content of the medical record and by the
unique rules that governs each code set
What are 3 things that Coder must master Correct Answer: 1. anatomy
2. medical terminology
3. must be detail-oriented
Medical coders assign a code to what Correct Answer: 1. Each diagnosis
2. Service/procedure
3. Supply, using the classification system when applicable
The classification system determines ______ Correct Answer: the amount health care providers will be
reimbursed if the patient is covered by Medicare, Medicaid, or other insurance programs using the
system
A coder must evaluate the medical record for Correct Answer: 1. completeness and accuracy
2. communicate regularly with physicians and the health care professional to clarify DX or obtain
additional PT info.
Techicians who speciallize in coding inpatient hospital services are referred as Correct Answer: 1. Health
information coders
2. medical record coders
3. Coder/abstractors
4. Coding Specialist
What is MS-DRGs and what does it do? Correct Answer: 1. Medicare Severity-Diagnosis Related Groups
2. Determines the amt the hospital will be reimbursed if the PT is covered by Medicare or other
insurance programs
What is EHR Correct Answer: Electronic health record
Skilled coders may become Correct Answer: consulatants, educators or medical auditors
What is the difference between Hospital and Physican Services Correct Answer: 1. Outpatient coding
(physician services)- learning CPT, HCPCS, LEVEL II, ICD-9 CM codes Volume 1 and 2
2. Inpatient coding (Hospital services)- Learning CPT, ICD-9 CM codes Volumes 1,2,3 and MS-DRGS
What is APC and who uses it Correct Answer: Ambulatory Payment Classification- outpatient facility
coders (physician services
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