Mat 628 Domain Iv - Questions & Answers Rationale (Scored 98%) Latest Update 2023

67) During an outpatient visit the attending physician did not define a problem at the conclusion of an emergency department (ED) visit. The coder should: A) Assign a code from the list of conditions in the history that occurred in the past B) Assign a code for the reason for the last visit to the ED C) Assign codes for abnormal laboratory findings D) Assign a code for the chief complaint as the reason for the visit {Ans: D) Assign a code for the chief complaint as the reason for the visit in absence of a diagnosis or defined problem, the chief complaint should be coded as the reason for the visit}50) The use of the outpatient code editor (OCE) is designed to: A) Correct documentation of home health visits B) Facilitate reporting of adverse events C) Reduce the use of computer assisted coding D) Identify incomplete or incorrect claims {Ans: D) The code editor software reviews many data elements and compares them to what data specifications are required in order to weed out incomplete or incorrect claims.}62) Determining medical necessity for outpatient services includes all of the following except: A) Local coverage determinations (LCDs) B) National coverage