Flashcards
HIM 401 Flashcards
Cards in this deck (5)
- 1What are the two Computer-Assisted Coding (CAC) application designs?-Natural language processing (NLP): uses technology based on artificial intelligence that extracts data and terms from a text-based document and converts them into medical codes.
-Structured data input: used when menu selections and drop-down pick lists are used for documentation rather than handwritten or dictated notes, which is automatically generated and reviewed by a coding professional. - 2Why is an encoder important and what does it promote?- Enables coders to assign codes based on using text typed into a look-up screen analogous to the coder looking up a term in the index of the printed codebook. Cites official coding guidelines and provides code optimization guidance, which requires user interaction.
-Encoders Promote accuracy and consistency in the coding of diagnoses and procedures. - 3What are the differences between the two levels of the Healthcare Common Procedure Coding System (HCPCS)?-Level I: composed of CPT codes; represents medical services and procedures performed by physicians and other healthcare providers; has five-digit numeric codes.
-Level II: contains codes that represent products, supplies, and services not included in the CPT codes; has five-character alphanumeric codes. - 4Interpret the five axes of the Diagnostic and Statistical Manual of Mental Diseases (DSM)-Axis I: includes the mental disorders or illnesses comparable to general medical illnesses.
-Axis II: includes personality disorders.
-Axis III: includes general medical illnesses
-Axis IV: covers life events or social problems that affect the patient.
-Axis V: the overall level of the patient’s functioning determined by the Global Assessment of Functioning (GAF). - 5Who maintains the Current Procedural Terminology (CPT), who is involved, and what is the objective?-Maintained by the CPT Editorial Panel; the panel is made up of physicians, industry, and government; the objective is to revise, update, and modify the CPT.