Author Question: Reviewing the __________ to assign a more specific code to a documented diagnosis is considered ... (Read 31 times)

javeds · **on:** Jun 27, 2018

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