How will the medical staff know which diagnosis is primary, secondary, and so forth, for the patient?
a. The back-office medical assistant will advise the administrative staff.
b. The patient will inform the staff upon returning to the front desk.
c. The physician will document details regarding the diagnosis on the superbill and in the patient file.
d. The diagnosis is never provided to the administrative medical staff.
c. The physician will document details regarding the diagnosis on the superbill and in the patient file.
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How does risk adjustment affect payments to managed care plans?
a. Risk adjustment shifts risk from the payer to the MCO b. Risk adjustment takes into account the enrollees' health status c. Risk adjustment provides an incentive for improving quality d. Risk adjustment reduces out-of-pocket costs for the enrollees
PCS OG CR provide no guidelines for Ancillary procedures
A) True B) False