Auditing
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
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| show | Wrong not A
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| show | A.Retrospective
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| show | B. To ensure accuracy of documentation
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| 4. A private payer has denied a physician offices billing claim but did not provide a reason. What should happen next? | show 🗑
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| 5. A patient presents with a cold. What level of risk will probably be assigned to this case? | show 🗑
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| 6. The medical assistant is documenting a chronological description of the development of the patients current illness. The medical assistant is probably documenting the | show 🗑
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| 7. Federal law requires that all claims paid by Medicare | show 🗑
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| show | D. and external audit
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| show | D. effectively use "Documentation Guidelines for Evaluation and Management Services".
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| 10. Which one of the following choices required compliance programs including audits, for healthcare organizations? | show 🗑
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| show | B. Limited
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| 12. Which type of history requires a problem oriented review of systems? | show 🗑
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| show | D. Medical decision making
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| show | C. Detailed
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| show | D. Extensive
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| 16. A patient presents in unstable condition. A code 99233 is assigned. What will probably happen with this claim? | show 🗑
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| 17. Which codes are the ones most likely to trigger an audit? | show 🗑
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| show | C. Review of symptoms
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| 19. "CC: sore throat. ROS: Positive for left side throat redness and swelling". This is an example of which type of review of system? | show 🗑
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| show | C. 9
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| show | A. 99201
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| 22. If audits aren't performed on a regular basis, | show 🗑
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| 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? | show 🗑
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| show | B. prospective
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| show | D. PFSH
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| show | C. Twice yearly
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| 27. Which one of the following choices is one purpose of an audit | show 🗑
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| 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? | show 🗑
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| show | A. brief HPI
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| show | D. High
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| show | WRONG not B.
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Created by:
Lulumac16