CORRECT ANSWERS
- ANSWERS-
a skin lesion was removed from a patient's cheek in the dermatologist's office. The dermatologist
documents "skin lesion" in the health record. Prior to billing the pathology report returns with a diagnosis of
basal cell carcinoma? what action should be done by the coding professional for claim submission? cpt
pg376
- ANSWERS-code basal cell carcinoma
data that are collected on large populations of individuals and stored in databases are referred to
as____
Sayles pg 41
- ANSWERS-aggregate data
aggregate data is extracted from individual health records and combined to form deidentified
information about groups of patients that can be compared and organized
in developing an internal coding audit review program, what are two risk areas that should be targeted
for audit?
- ANSWERS-chargemaster description and medical mecessity
the hospital's performance improvement council has compiled the following data on the volume of
procedures performed during 2008. Given this data, which procedures should the council scrutinize in
evaluating performance?
quality pg 374
- ANSWERS-the outliers;
the initiation phase begins with the determination that a gap exists between organization performance
and expected outcomes
what are some coding compliance activities?
- ANSWERS-reviewing all rejected claims;
developing procedures for identifying coding errors;
coding diagnoses only when all applicable information is documented in the health record