Answer Happy

Which workflow is correct for CAC? O CAC searches and evaluates EHR documentation; CAC produces a list of diagnosis and procedure codes; coding professional applies guidelines to select appropriate codes from CAC list Coding professional evaluates EHR documentation; coding professional compares their list to CAC list of suggested codes; coding professional finalizes codes CAC searches and evaluates EHR documentation; CAC produces a list of diagnosis and procedure codes; CAC list is transferred to patient account Coding professional codes medical record; CAC evaluates EHR documentation; both coding lists are compared; clinical data analyst chooses which codes should be reported for the encounter
All of the following are examples of abuse, except: O Knowingly billing for a service that the provider did not furnish O Misinterpreting coding guidance for a diagnosis code Inadvertently reporting component codes instead of a single comprehensive code O Accidently billing for a service not provided at the level billed
24 Which of the following measures improper payments in various settings for Medicare? 27 A/B MAC Medical Review 30 Recovery Audit Program Contractor (RAC) 33 Unified Program Integrity Contractor (UPIC) Comprehensive Error Rate Testing (CERT) program 36
24 In which improper payment review program are Medicare contractors paid on a contingency fee? 27 CERT program 30 O A/B MAC medical reviews 33 Recovery Audit Program v Office of Inspector General (OIG) 36