238-242 Flashcards
How does the administrative process of a patient discharge begin?
The unit staff acts upon the order provided by the health care provider.
What form is used, by the patient, to clear the appropriate sections within the MTF?
AF Form 577.
When all required disposition procedures have been completed on the inpatient unit, where is the patient’s inpatient record sent?
It is sent to the disposition office or inpatient records section (as determined by local policy).
What is the final point of clearance listed on the patient clearance record?
The disposition office.
What are C-Codes commonly referred to?
Pass through codes
What do V-codes usually identify?
Diagnoses other than disease.
What are coding manuals primarily used for?
To classify a wide variety of disease that can cause injury or disease.
What does a CPT code describe?
Medical, surgical, and diagnostic services.
What are ICD–9-CM codes?
A 3–5 digit numeric and alphanumeric codes.
Most of the coding in the MTF is done by whom?
Civilians and contractors.
When was the final rule for adoption of ICD–10-CM put into use?
January 16, 2009.
What must be done first before coding a patient encounter?
Review the medical documentation to determine the diagnosis and course of care provided/recommended.
