Medical Coding Practice Test

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What is a coding audit?

A review of patient care outcomes

A process for evaluating coding accuracy

A coding audit is specifically defined as a process for evaluating coding accuracy. This involves a detailed examination of the documentation supporting the coding that has been used for patient encounters. The primary goal of a coding audit is to ensure that the codes assigned reflect the services provided, adhere to established coding guidelines, and comply with regulations.

Conducting a coding audit helps identify discrepancies or errors in coding practices, which can lead to improved billing accuracy, reduced claim denials, and enhanced reimbursement processes for healthcare providers. It also aids in maintaining compliance with laws and regulations governing medical coding.

In contrast, reviewing patient care outcomes focuses on the quality of care rather than the coding itself. A review of billing software pertains to the tools used for billing and may not necessarily reflect coding practices or accuracy. Updating coding guidelines involves revising the instructions on how to use coding systems but does not directly assess the accuracy of current coding practices. Therefore, the focus of a coding audit on evaluating coding accuracy makes it the correct choice.

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A review of billing software

A procedure for updating coding guidelines

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