Which type of coding error involves reporting items or services that are NOT documented in the medical record?
Unbundling
Reporting services provided by unlicensed or unqualified personnel
Assumption coding
Upcoding
Answer: Assumption coding
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What does the following excerpt mean in relation to the service provided: "Suzie will schedule an appointment next week if abdominal cramping increases in severity or frequency
Suzie displayed appropriate good humor when she commented that she has discontinued any sexual activity for the future"? a. This service is actually part of the case management medical team conference since the physician had no direct contact with the patient. b. The physician provided risk reduction counseling and behavior change intervention because the patient said she wouldn't engage in risky sexual activity anymore, which supports preventive medicine services c. The telephone call did not result in an E/M service within the following 24 hours, which supports a non–face-to-face physician service d. This service should not be reported since the patient will be seen within the next week after the telephone contact
Clinitests are chemical tablets that are added to a urine specimen, and the resulting color is compared against a reaction chart to determine the presence of certain ________
a. blood cells b. carbohydrates c. proteins d. sugars