Talia Wants to Be Unique, but Not Be "Weird

question 61

True/False

Talia wants to be unique, but not be "weird." She is trying to achieve optimal distinctiveness.

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Definitions:

Diagnosis Code

Diagnosis Code refers to a code assigned to a diagnosis based on a standardized system, such as the International Classification of Diseases (ICD), used for healthcare billing and statistics.

Upcoding

Reporting a higher-level code than is appropriate for the service that was rendered, resulting in higher reimbursement; when a facility coder assigns a diagnosis code that does not match patient documentation, with the intention of increasing reimbursement to the facility through the DRG system, serious penalties and fines will be levied against the facility for submitting fraudulent claims.

DRG System

Diagnosis-Related Group (DRG) system is a way of categorizing hospital cases into groups for the purposes of payment, reflecting typical resource usage for a stay.

External Causes Of Injuries

Factors outside the body that can cause physical harm, such as accidents, violence, or environmental exposure.