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Critical Thinking Exercise
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1
What is the proper order in which to select a diagnosis code?
2
What are some of the possible consequences of inaccurate coding and incorrect billing?
3
Why is accurate coding important to the financial management of a medical practice?
4
How can improving physicians’ documentation of diagnoses and procedures help ensure compliance?
5
A patient asked a medical assistant to help her out of a tough financial spot. Her medical insurance authorized her to receive four radiation treatments for her condition, one every 35 days. Because she was out of town, she did not schedule her appointment for the last treatment until today, which is 1 week beyond the approved period. The health plan will not reimburse her for this procedure. The patient asks the MA to change the date on the record to last Wednesday so that it will be covered, explaining that no one will be hurt by this change, and anyway, she pays the insurance company plenty. What type of action is the patient asking the MA to do? How should the request be handled?
6
What does the existence of a compliance plan in the workplace indicate about the medical practice?







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