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:

Significant Influence

The ability to engage in the decisions related to the financial and operating policies of an investee without having control over those policies.

Common Stock

A type of equity ownership in a corporation, representing a claim on part of the company's profits and a right to vote on corporate matters.

Dividends

Payments made to shareholders out of a company's profits.

Equity Method

This is a method in accounting where investments in external companies are initially logged at their acquisition cost, then later altered to account for the owner's share in the profits or losses of the company invested in.