Why Do Clinicians Have to Include Diagnosis Codes (In Addition

question 10

Multiple Choice

Why do clinicians have to include diagnosis codes (in addition to procedure codes) when submitting claims for medical services to CMS?

• A) The IRS cross-checks diagnoses against patient income tax deductions for medical care.
• B) CMS will not pay for procedures that don't relate to the diagnosis.
• C) Diagnosis-related data is transmitted to the Centers for Disease Control and Prevention so it can detect trends.
• D) CMS uses diagnosis and procedure codes to assess the competence of clinicians.

---

Definitions:

General Acceptance

The widespread agreement or approval by a majority within a particular group or society.

Poorly Defined

Lacking clear boundaries, descriptions, or criteria, making understanding or interpretation difficult.

Resist Change

The resistance to alter existing processes, habits, or conditions despite potential benefits or pressures.

Stability

Stability refers to the state of being resistant to change and not easily upset or disturbed, often seen as desirable in various contexts such as economy, emotions, and structures.