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Terminology and Definitions in Healthcare: PMPs, Notes, Audits, and Encoding, Quizzes of Medical Records

Definitions and answers to common terms used in the healthcare industry, including project management plans (pmps), notes, audits, and encoding. Learn about the components of pmps, the requirements for signing and timing notes, the types of audits performed by payers and internally, and the role of encoding programs in healthcare.

Typology: Quizzes

2018/2019

Uploaded on 01/01/2019

wendolyne-saenz
wendolyne-saenz 🇺🇸

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TERM 1
PMPs can be used for what three
components?
DEFINITION 1
Financial record keeping, billing, and schedule appointments
TERM 2
True or False Notes have to be signed, dated,
verified, and timed.
DEFINITION 2
Falsethe correct answer is that notes have to be signed,
dated, and timed.
TERM 3
What type of audit is performed by payers
before claims are processed?
DEFINITION 3
Prepayment audits
TERM 4
What type of audit is performed internally
after claims are submitted?
DEFINITION 4
Retrospective
TERM 5
True or False RAC audit Medicare claims to
recover incorrect payments from previously
paid services.
DEFINITION 5
True
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TERM 1

PMPs can be used for what three

components?

DEFINITION 1

Financial record keeping, billing, and schedule appointments

TERM 2

True or False Notes have to be signed, dated,

verified, and timed.

DEFINITION 2

Falsethe correct answer is that notes have to be signed,

dated, and timed.

TERM 3

What type of audit is performed by payers

before claims are processed?

DEFINITION 3

Prepayment audits

TERM 4

What type of audit is performed internally

after claims are submitted?

DEFINITION 4

Retrospective

TERM 5

True or False RAC audit Medicare claims to

recover incorrect payments from previously

paid services.

DEFINITION 5

True

TERM 6

What is an encoder?

DEFINITION 6

its a program that aids you through the abstracting process

and assists with inputting the correct diagnosis, procedural,

or service codes

TERM 7

What is another encoding program for that

leads coders to the right right MSDRG?

DEFINITION 7

the MSDRG-software

TERM 8

What facility uses MSDRG-software?

DEFINITION 8

Acute care hospitals