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Chapter Quiz
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1
CCI code edits screen for improperly or incorrectly reported procedure codes.
A)True
B)False
2
The term "code linkage" refers to the connection between a service that is provided and the patient's condition or illness.
A)True
B)False
3
Downcoding refers to a coding method in which lower-level codes are selected to avoid government investigation.
A)True
B)False
4
The term "external audit" may refer to an audit conducted by a consultant that the medical practice has hired.
A)True
B)False
5
An internal audit is conducted to verify that a medical practice is in compliance with reporting regulations.
A)True
B)False
6
Medical insurance specialists help ensure maximum appropriate reimbursement for services by submitting claims that are correct and compliant.
A)True
B)False
7
Reporting more than one diagnosis code indicates that the procedures are medically necessary.
A)True
B)False
8
Most payers reimburse cosmetic procedures only when medical necessity is proved.
A)True
B)False
9
It is acceptable to alter documentation after an encounter so that the record matches the descriptor of a reported procedure code.
A)True
B)False
10
The conversion factor is a dollar amount.
A)True
B)False





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