Abbreviations
MRSA
Methicillin Resistant Staphylococcus Aureus
What type of code is assigned when the provider documents the reason for a patient seeking healthcare services that is not for an injury or disease.
Z Code (Z00-Z99)
When a patient is seen for management of anemia due to malignancy, which is coded first, the anemia or the malignancy?
Malignancy code reported first followed by the code for anemia.
The process of checking claims for inaccuracies and errors before sending them for processing. Also, what a surgeon does before surgery.
What is scrubbing?
EOB
Explanation of Benefits
RAF
Risk Adjustment Factor
In what section of the ICD-10-CM guidelines are there instructions on how to code for a patient receiving diagnostic services only in an outpatient setting.
Section IV
What is the maximum length of time for a myocardial infarction to be considered acute?
Four weeks (28 days)
Healthcare providers who change a patient’s diagnosis code in an attempt to get a higher level of reimbursement are guilty of this.
What is upcoding?
MAC
Medicare Administration Contractor
HCC
Hierarchical Condition Category
TRUE or FALSE: BMI codes should be reported as a secondary code only.
TRUE
The terms malignant, benign, in situ and uncertain behavior are all terms used when coding what?
Neoplasms
A designation of Patients who are admitted to the hospital for longer than 24 hours.
What are inpatients?
PPO
Preferred Provider Organization
CMS
Center for Medicaid and Medicare Services
When a patient has a condition that is both acute and chronic and there are separate entries for both, how is it reported?
Code both, sequencing the acute first.
What should the word AND be interpreted to mean when it appears in a title?
"And" or "or" - patient may have either or both.
A network of healthcare providers who agree to accept pre-determined amounts for specific services.
What is a Health Maintenance Organization?
DOS
Date of Service
CVA
Cerebral Vascular Accident
When the type of diabetes mellitus is not documented in the medical note, what is used as the default type?
Type 2
When coding for an ambulatory surgical procedure, should you code the preoperative diagnosis or the postoperative diagnosis?
Postoperative diagnosis.
A federal law designed to protect a patient’s private health information.
What is HIPAA?
MSP
Medicare Secondary Payer