Reviewing the __________ to assign a more specific code to a ...

[javeds]

Reviewing the __________ to assign a more specific code to a documented diagnosis is considered appropriate.
 a. claim submitted
 b. explanation of benefits
  c. patient record
 d. remittance advice

Question 2

When inpatient record documentation appears to support the assignment of a specific code but the provider has not completely documented the diagnosis or procedure on the record's face sheet or discharge summary, the coder should __________.
 a. contact the facility's billing department to request that the denied claim be appealed
  b. initiate a meeting with the health information committee to resolve the issues
 c. query the physician to determine whether the more specific code should be assigned
  d. submit the CMS-1500 or UB-04 claim with nonspecific ICD-10-CM/PCS codes

[elizabethrperez]

Answer to Question 1

c

Answer to Question 2

c

[javeds]

Gracias!

[pratush dev]

TYSM