Matching ICD-10-CM Diagnosis Codes to CPT and HCPCS Level II

question 87

Multiple Choice

Matching ICD-10-CM diagnosis codes to CPT and HCPCS level II procedure and service codes on a claim submitted for a patient encounter ensures that services and procedures are reasonable and necessary for the diagnosis or treatment of an illness or injury. This concept is called __________.

• A) advance beneficiary notice of nonpayment
• B) medical necessity
• C) quality assurance
• D) utilization management

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Definitions:

Monopolistic Competition

A market structure characterized by many firms selling products that are similar but not identical, allowing for some degree of market power and differentiated competition.

Pure Monopoly

A market structure where a single company or entity exclusively controls the entire supply of a particular product or service, facing no competition.

Consumer Tastes

Preferences or inclinations of consumers that influence their buying behavior and decisions.

Legislative Changes

Amendments or introductions of new laws and regulations by a governing body.