Auditing
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
|
|
||||
|---|---|---|---|---|---|
| 1. Which one of the following choices would probably flagged during an audit? | Wrong not A
🗑
|
||||
| 2. You're performing an audit on patient record after the provider has already received payment. This procedure is known as a(n) | A.Retrospective
🗑
|
||||
| 3. Which one of the following choices is a reason that physicians offices should regularly perform internal audits | B. To ensure accuracy of documentation
🗑
|
||||
| 4. A private payer has denied a physician offices billing claim but did not provide a reason. What should happen next? | C. The physician office should file an appeal
🗑
|
||||
| 5. A patient presents with a cold. What level of risk will probably be assigned to this case? | A. minimal
🗑
|
||||
| 6. The medical assistant is documenting a chronological description of the development of the patients current illness. The medical assistant is probably documenting the | D. History of present illness
🗑
|
||||
| 7. Federal law requires that all claims paid by Medicare | B. Be medically reasonable and necessary
🗑
|
||||
| 8. A government investigator is performing an audit a t a physicians office to ensure that documentation and codes are complete. This procedure is known as | D. and external audit
🗑
|
||||
| 9. To ensure records are coded correctly, compliance plans focus on training physicians to | D. effectively use "Documentation Guidelines for Evaluation and Management Services".
🗑
|
||||
| 10. Which one of the following choices required compliance programs including audits, for healthcare organizations? | B. PPACA
🗑
|
||||
| 11. With low complexity medical decision making, how much data must be received? | B. Limited
🗑
|
||||
| 12. Which type of history requires a problem oriented review of systems? | B. Expanded problem focused
🗑
|
||||
| 13. Which one of the following choices refers to the complex of establishing a diagnosis &/or selecting a management option? | D. Medical decision making
🗑
|
||||
| 14. Which of the following types of history requires a pertinent social or family history | C. Detailed
🗑
|
||||
| 15. With a high complexity of medical decision making, what amount of data must be reviewed? | D. Extensive
🗑
|
||||
| 16. A patient presents in unstable condition. A code 99233 is assigned. What will probably happen with this claim? | B. It will be denied by the insurer
🗑
|
||||
| 17. Which codes are the ones most likely to trigger an audit? | B. E/M
🗑
|
||||
| 18. A medical assistant is asking the patient a series of questions to help identify the patients signs and symptoms. The medical assistant is probably documenting | C. Review of symptoms
🗑
|
||||
| 19. "CC: sore throat. ROS: Positive for left side throat redness and swelling". This is an example of which type of review of system? | D. problem pertinent
🗑
|
||||
| 20. In a single organ system psychiatric examination, what is the minimum number of detailed elements that must be identified? | C. 9
🗑
|
||||
| 21. Which one of the following codes requires three key components to be documented, along with a comprehensive history and comprehensive examination? | A. 99201
🗑
|
||||
| 22. If audits aren't performed on a regular basis, | C. Offices wont know if services provided are appropriate
🗑
|
||||
| 23. A manager wants to assess the knowledge of the coders working in the office. Which type of audit may be helpful for the manager? | A. Internal
🗑
|
||||
| 24. An audit performed before the billing claim has been submitted is known as | B. prospective
🗑
|
||||
| 25. Pertinent and complete are both examples of | D. PFSH
🗑
|
||||
| 26. An independent medical record review should be performed a minimum of ___________________ to identify coding and documentation errors. | C. Twice yearly
🗑
|
||||
| 27. Which one of the following choices is one purpose of an audit | A. to see of the healthcare organization lost money
🗑
|
||||
| 28. Which one of the following choices is an audit that's conducted after a claim has been paid to ensure that providers have accurately billed for a procedure or visit? | C. Retrospective
🗑
|
||||
| 29. "Patient complains of sore throat for the last 24 hours" is an example of | A. brief HPI
🗑
|
||||
| 30. A patient presents with multiple traumas and having seizures. Which level of risk will probably be assigned to this case? | D. High
🗑
|
||||
| 31. Which one of the following choices would probably be flagged during an audit? | WRONG not B.
🗑
|
Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Created by:
Lulumac16