Documentation (content) - Proper code assignment is determined both by _____________ in the
medical record and by the unique rules that govern each code set in that instance
An auditor - The role a coder may take on to verify that the documentation supports the codes the
physician has selected
Query the physician - If the medical record is inaccurate or incomplete, it will not translate properly
to the language of codes. What can a coder do in order for the medical record to be complete and
accurate so they can bill properly?
Quarterly (usually) - How often are codes and insurance payment policies updated?
NPP - Non-Physician Provider (also known as mid-level providers or physician extenders)
PA - Physician assistant
NP - Nurse practitioner
Commercial and Government - The two types of primary insurances
Commercial Carriers - Private payers that may offer both group and individual plans
Medicare - The most significant government insurer; a federal health insurance program
People over 65, blind or disabled individuals, and people with permanent kidney failure or endstage renal disease - Medicare provides coverage for what kind of people?
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