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MBC 107 Exam 2 Flashcards | StudBud
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MBC 107 Exam 2
MBC 107 Exam 2
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1
The first-listed diagnosis for an outpatient can be a ____ when a diagnosis has not been established by the physician
complication
comorbidity
qualified diagnosis
sign or symptom
2
ICD-10-PCS codes are reported for emergency department settings
False
True
3
What type of hospital specializes in treating individuals with mental health diagnosis?
general hospitals
long-term acute care hospitals
short-term hospitals
behavioral health hospitals
4
The assignment of codes to conditions and diseases that are not specifically documented by the physician is called _____
reconciling remits
optimizing reimbursement
DRG creep
assumption coding
5
The concept of assigning codes to conditions or procedures not documented to that specific level of detail
denying claims
maximizing lengths of stay
optimizing reimbursement
assumption coding
6
ICD-10-CM codes are assigned to outpatient and physician office _ for healthcare planning, reimbursement, and statistics
services
equipment
diagnoses
procedures
7
It is appropriate to report 2ndary codes for history (of) conditions treated or medically managed during the encounter
False
True
8
A screening code may be a ___ code if the reason for the visit is specifically the screening exam
first-listed
secondary
comorbidity
complication
9
A code is considered ___ if not coded to the full number of characters required for that code
invalid
reported
complete
suitable
10
Coding guidelines are a companion to ICD-10-CM. Coding conventions ensure _____
education and research
maximum reimbursement
quality healthcare
accurate coding
11
Two or more hospitals owned, managed, or leased by a single organization are called ____
ancillary centers
multi-hospital systems
single hospitals
nursing facilities
12
What type of hospital concentrates on a particular population of patients or diseases?
general hospitals
long-term acute care hospitals
specialty hospitals
acute care hospitals
13
To find the most accurate ICD-10-CM codes, coders review ___ to locate conditions and diseases
encounter forms
UB-04 claims
patient records
chargermasters
14
To report ICD-10-CM codes, documentation should describe the _______
procedure performed
service provided
equipment supplied
patient's condition
15
If there is conflicting information in a record, coders should generate a ___ to the attending physician
letter of appeal
remittance advice
physician query
claim form
16
The maximum length of stay for an outpatient is 24 hours, 59 minutes, and 59 seconds
True
False