Match the following
-The term used when a code reports a procedure that is less involved than that documented in the patient chart.
A) downcoded
B) retrospective
C) internal
D) prospective
E) complete review of systems
F) upcoded
G) external
H) code edits
I) extended review of systems
J) problem-pertinent review of systems

Question

Quizplus · Accepted Answer

Downcoding is the term used when a code reports a procedure that is less involved than that documented in the patient chart.

Answer: D 
 Prospective is a term used to describe a type of payment system in which payment is made based on a predetermined fee schedule.

Answer: H 
 Code edits are preprogrammed rules that flag potential errors in medical claims, such as unbundling or incorrect coding. They can be either hard or soft edits.

Answer: J 
 Problem-pertinent review of systems is a limited review of systems that focuses only on the symptoms or issues that are relevant to the current medical problem being treated.

Match the Following -The Term Used When a Code Reports a Procedure That