Medical Coding exam 1
Questions with expert curated
solutions ( GUARANTEED
SUCCESS )
What is coding? - answer The application of a number of systems
used to uniformly document and track health care services
delivered.
Used for:
Billing & reimbursement
practice profiling
Quality measurement
importance of documentation - answer required for payment. It
provides the justification & support for the procedures and
services you render by making the medical necessity of your
service clear to the 3rd party
Why Code? - answer It's how we get paid.
Optimal Reimbursement
Avoid denials/delay in payment
Avoid audit by coding properly
, Documentation must support code
"If it isn't documented, you didn't do it"
ICD-9 CM codes - answer International Classification Of Disease,
9th Revision, Clinical Modifications
Initially developed by the World Health Organization as a way to
report morbidity and mortality statistics worldwide
Not initially meant to be used for billing purposes
Maintained and updated yearly by the National Center for Health
Statistics
ICD-9 characteristics - answer Codes are a series of 3-5 numbers,
the last two numbers separated by a decimal (111.11)
3 digits before decimal = general category
2 digits post decimal = specific description
(4th Digit = Subcategory)
(5th Digit = Subclassification)
Codes are divided into 17 primary chapters
Separated out by body systems etc.
NEC - Not Elsewhere Classifiable - answer can be used in two
instances:
Questions with expert curated
solutions ( GUARANTEED
SUCCESS )
What is coding? - answer The application of a number of systems
used to uniformly document and track health care services
delivered.
Used for:
Billing & reimbursement
practice profiling
Quality measurement
importance of documentation - answer required for payment. It
provides the justification & support for the procedures and
services you render by making the medical necessity of your
service clear to the 3rd party
Why Code? - answer It's how we get paid.
Optimal Reimbursement
Avoid denials/delay in payment
Avoid audit by coding properly
, Documentation must support code
"If it isn't documented, you didn't do it"
ICD-9 CM codes - answer International Classification Of Disease,
9th Revision, Clinical Modifications
Initially developed by the World Health Organization as a way to
report morbidity and mortality statistics worldwide
Not initially meant to be used for billing purposes
Maintained and updated yearly by the National Center for Health
Statistics
ICD-9 characteristics - answer Codes are a series of 3-5 numbers,
the last two numbers separated by a decimal (111.11)
3 digits before decimal = general category
2 digits post decimal = specific description
(4th Digit = Subcategory)
(5th Digit = Subclassification)
Codes are divided into 17 primary chapters
Separated out by body systems etc.
NEC - Not Elsewhere Classifiable - answer can be used in two
instances:
