Scenario - Jaimie Hall

question 50

Multiple Choice

Scenario - Jaimie Hall
The continuing development and improvement of computer information systems has made a powerful impression on Jaimie Hall, CEO of See-Saw City (SSC) . The current computer system at SSC is seven years old, and while still highly useful and reliable, Jaimie is wondering if a new system would be more efficient and more useful. Jaimie recognized that some of her managers would prefer to keep the old system, while others have been requesting that the company update its information capability.
-In planning how to implement the new system, Jaimie can anticipate some resistance to the new system. This resistance can come from all of the following, EXCEPT :

• A) self interest of the resisting employees.
• B) lack of understanding of the new system.
• C) uncertainty, or a lack of information.
• D) different departments pursuing different goals.
• E) all of these can create resistance.

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Definitions:

Fraudulent Coding

Involves incorrect or deceptive medical coding practices intended to unjustly increase reimbursement from healthcare payers.

Code Linkage

Analysis of the connection between diagnostic and procedural information in order to evaluate the medical necessity of the reported charges. This analysis is performed by insurance company representatives.

Diagnostic

Pertaining to the identification of the nature or cause of a health problem through examination, testing, and analysis.

Procedural Information

Details or instructions regarding how to carry out specific procedures or processes, often used in a medical, technical, or administrative context.