(02.01 LC)What was the ruling for the McCulloch v. Maryland…
(02.01 LC)What was the ruling for the McCulloch v. Maryland Supreme Court case?
(02.01 LC)What was the ruling for the McCulloch v. Maryland…
Questions
(02.01 LC)Whаt wаs the ruling fоr the McCullоch v. Mаryland Supreme Cоurt case?
Fill in the blаnks belоw by using this Wоrd Bаnk (sоme words will not be used): аdministrative clinical coding common complete complex compliant consumers decision diagnosis facility medication mild non-compliant non-complex overcharging procedure quality quantity severe time treatment undercharging uniquely 1. How does CPOE reduce errors and improve patient safety? A CPOE system can help reduce errors by ensuring providers produce standardized, legible, and [BLANK-1] orders. CPOE technology includes clinical [BLANK-2] support tools that can automatically check for drug interactions and [BLANK-3] allergies when drugs are ordered. 2. Describe the barcoding process. Patients are issued a wristband upon admission to the hospital. The wristband has a barcode that [BLANK-4] identifies the patient. All drugs and supplies are barcoded. When the nurse or other healthcare provider uses supplies for the patient or administers drugs, the provider scans the barcode for the supply item and then scans the barcode on the patient’s wristband. The scanning process tracks exactly which items were used, the [BLANK-5], and the [BLANK-6] of delivery. 3. Identify and discuss a risk area that is of concern when the CDM is not properly maintained. [BLANK-7] for services—revenue loss [BLANK-8] for services—compliance Incorrect HCPCS or diagnosis code—revenue loss Incorrect revenue code—revenue loss 4. Why is the charge description construction an important CDM task? Charge descriptions must meet the needs of the providers and also be understandable by [BLANK-9] of healthcare. 5. How does CDM maintenance support the revenue integrity principle of compliance adherence and appropriate reimbursement? CDM maintenance includes ensuring that all data elements in the CDM are accurate. If data elements are inaccurate, then reimbursement could be wrong and, therefore, [BLANK-10]. CDM maintenance also includes updating data elements based on changes to payer-specific rules and regulations regarding billing. This is compliance adherence because it shows the rules and regulations are being followed. 6. Match each coding system on the left with its description of uses on the right. Enter a, b, or c a. ICD-10-CM and ICD-10-PCS [BLANK-11] Medical and surgical supplies b. HCPCS Level II [BLANK-12] Physician inpatient or outpatient procedures c. CPT [BLANK-13] Diagnoses and inpatient procedures 7. Describe the difference between WHO versions of ICD and the US versions of ICD (clinical modification). The WHO develops ICD. ICD is then adopted by different countries. Those countries, such as the US, modify the code set to meet the needs of their country. For example, the U.S. version includes more chronic conditions than the WHO version of ICD. In the US, the modification is called the [BLANK-14] modification. 8. Match the governing bodies on the left with their associated code sets on the right. Enter a, b, or c a. CMS [BLANK-15] ICD-10-PCS b. NCHS [BLANK-16] CPT c. AMA [BLANK-17] ICD-10-CM 9. Describe the difference between hard and soft coding Hard coding is when the charge description master is used to code repetitive or [BLANK-18] services. Soft coding is when coding professionals assess medical record documentation and then assign diagnosis and procedure codes. Soft coding requires the intervention and expertise of a [BLANK-19] professional. 10. How does single path coding support the revenue integrity principle of operational efficiency? Single path coding allows for the assignment of codes to the [BLANK-20] claim and physician claim during the same workflow. This improves the efficiency of the coding process and therefore supports the principle of operational efficiency.