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Presents a "view" of all the documents you typically use for coding. It is where you begin coding using the CAC features.
What is the Coder View?
Allows coder to view the next step in the coding path for each item in the window.
What is FastForward Coding?
Enables you to see a list of patients that meet certain criteria and begin taking necessary action on the records.
What is a Worklist?
The __________ workflow allows you to complete professional services coding and facility coding for outpatient codes in the same workflow.
What is Single Path Coding?
In order to start the CDI Workflow, the CDIS must _________________________.
What is click or a URL or a desktop icon?
On the Documents and Codes tab, this pane displays the selected document.
What is the Reading Pane?
The coder begins scanning documents and coding in this tab
What is the Documents and Codes tab?
When you open a visit, you see this if the software finds a potential document coding issue such as multiple notes from one provider on the same day.
What is a system-generated alert?
In the Codefinder pane, 3M ™ Coding and Reimbursement System (CRS) sessions are represented as boxes at the top of the window. The facility coding session is shown in this color.
What is blue?
A ______ enables you to specify the type of review you are doing and to document clinical findings discovered during your review.
What is a Finding?
This pane lists the auto-suggested codes generated from the selected document.
What is the Codes Pane?
The Coder prepares final codes in this tab.
What is the Codefinder tab?
In the CRS Summary window, you can _______ the codes in the secondary codes list or move a secondary code into the principal position, and you can move a single code or multiple codes.
What is resequence?
In the single-path coding workflow, professional services documents in the Documents list sort with ________ documents at the top and _______ documents at the bottom.
What is codeable and noncodeable?
The process when the CDI and Coder final codes do not match.
What is a DRG Reconciliation?
Highlighted terms or phrases in the patient documents. Possible diagnosis and procedure codes, physician names, and negating terms.
What are Annotations?
Identifies conditions that are present when the patient arrives for care in the hospital.
What is Present on Admission?
In order to start coding in the Professional Services workflow, the Coder must __________________
What is click on a URL or a Desktop Icon?
As an addendum to a HCPCS or CPT procedure code, a _______ describes a specific circumstance or an unusual event that supplements the definition of the procedure.
What is a modifier?
The _______ provides a consolidated view of the documents the clinical documentation improvement specialist needs to use to complete a documentation review.
What is the CDI View?
Are derived using Natural Langauge Processing. The software "reads" the patient documents and provides _______ codes for diagnoses and procedures.
What are Auto-Suggested Codes?
If you need more information before you can code a document, you can create this and send it to the provider.
What is a Query?
This feature provides an efficient way to complete professional evaluation and management (E/M) service coding. It has detailed checklists you can complete to derive precise CPT codes for the procedures that make up a physician-patient encounter.
What is Worksheet Services?
When you are finished coding, you click the Complete button once to complete the record. To submit the final facility codes to the abstractor, click ______________ button.
What is Submit and Close? In the DOD Training Pillar, it will be Submit and Next.
A ________ review can be performed to have a senior reviewer check another reviewer's work on the record, either as a quality checkpoint or because it was requested.
What is a second-level review?