Author Question: Even though physicians will continue to use CPT to report procedures performed in their offices, ... (Read 21 times)

luminitza · **on:** Jun 27, 2018

Even though physicians will continue to use CPT to report procedures performed in their offices, they will still be affected by ICD-10-PCS documentation requirements. Why is this?

a. Because CMS will compare the physician office documentation to their hospital documentation to make sure it is consistent.
b. CMS mandates hospitals to have clinical documentation improvement programs that have strict ICD-10-PCS documentation requirements.
c. Because hospitals will be using PCS codes to report inpatient procedures these same physicians perform.
d. Payers, especially managed care plans, expect the new documentation requirements to be met before they will approve payment for claims.

Question 2

When coding anemia in cancer, which of the following is NOT true?

a. ICD-9-CM directs coders to sequence the codes according to the reason for the encounter.
b. ICD-10-CM guidelines direct coders to sequence always the neoplasm first.
c. In ICD-9-CM, anemia is sequenced first when it is the primary reason for the encounter.
d. ICD-10-CM guidelines direct coders to sequence always the anemia first.