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UHDDS is the abbreviation for?
Uniform hospital discharge data set
what are complications caused by avoidable conditions that will not be reimbursed?
Never events
Inpatients are admitted to hospitals in a process called ?
Registration
CMS out into place the requirement for what indicator for every reported diagnosis code for a patient?
POA
A patients other conditions at admission that affect care during the hospital being coded are called what meaning coexisting conditions ?
Comorbidities
Recovery audit contractors request for info must be answered in how many days?
45
which of the following is not considered to be a common error in generating claims?
Missing patient names
What organization determines the content of both HIPAA 837 and CMS-1500 claims?
NUCC
Under HIPAA may not?
Refuse to accept the standard transactions
In hospital coding and reporting what is true?
The principle procedure is often a surgical procedure
what refers to the payers review and reduction of a procedure code?
Downcoding
Claims that are acceptable for adjudication by payers are called?
clean claims
Name a function of the carrier block?
It allows for four-line address for the payer
the electronic transmission of claims is not required by law if a practice never sends any kind of electronic health care transactions and has less then how many full time or equivalent employees?
Ten
What refers to a coding problem in which the age of the patient and the selected code do not match?
Incorrect coding
What type of audit do payers routinely conduct to ensure that claims are compliant with the provisions of their contracts?
Post payment
