Coders are prohibited from performing assumption coding, which is ...

[chads108]

Coders are prohibited from performing assumption coding, which is the assignment of codes based on assuming, from a review of clinical evidence in the patient's record, that the patient has certain diagnoses or received certain procedures/services even though the __________.
 a. responsible physician was contacted to confirm diagnoses, procedures, and services
  b. physician query process was not implemented by the health care facility or physician
  c. provider did not specifically document those diagnoses or procedures and services
  d. risk for health care fraud and abuse is assumed by the health care facility or physician

Question 2

Which contains a computer-generated list of procedures, services, and supplies and corresponding revenue codes along with charges for each?
 a. chargemaster
 b. encounter form
  c. insurance claim
  d. uniform bill

[dudman123]

Answer to Question 1

c

Answer to Question 2

a

[chads108]

Gracias!

[amcvicar]

TYSM