Which one is a valid reason a chase should be pended?, Medical record contains invoice., Audio only visit, Incorrect member, What is your pend code?, PC304, PC403, If the Assessment states “Diabetes, HTN, Breast cancer,” which conditions would be captured for coding?, All conditions listed, None without supporting documentation, DM, HTN, DM, From which section of the note can conditions from the BCBSMI Chronic Conditions List be coded without requiring additional supporting documentation?, PMH/PL, Anywhere in the nore, Assessment and Plan and PMH/PL, What medication method is being utilized?, 1:many, 1:1, PMH: Diabetes with neuropathy. Medication List: Metformin. Based on the documentation provided, what would you code?, E11.40, E11.9, How many times does the HCC/RxHCC need to be validated in your project?, Once, Twice, Every time its supported, What resource should be used to verify the HCC/RxHCC assignment for an ICD-10 code?, Google, Crosswalk, If no supported HCCs or valid face-to-face encounters are identified within the chase, what should the coder’s next step be?, Create a chase level annotation, Pend it, Do you need a valid signature for each progress note?, No, however the rendering provider must be an RA-acceptable provider, Yes, the documentation must meet CMS requirements in order to be coded from the note.

BCBSMI Coding Guidelines

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