Which item is NOT included in the policies and procedures section of a coding compliance plan?

Prepare for the RHIT Domain 5 Test with our engaging quiz. Test your knowledge with multiple choice questions, clarify doubts with hints and explanations, and boost your readiness for the exam!

The correct choice identifies an item not typically included in the policies and procedures section of a coding compliance plan. A coding compliance plan primarily focuses on ensuring accurate coding practices and adherence to regulatory standards specific to coding in healthcare. The policies and procedures section would cover aspects directly related to coding accuracy, compliance with coding guidelines, and the processes for coding-related tasks.

The physician query process, unbundling, and the assignment of discharge disposition codes are all integral components of coding compliance. The physician query process addresses how queries should be handled to ensure clarity and accuracy in coding, which is essential for compliant documentation practices. Unbundling refers to the inappropriate separation of bundled services that should be billed collectively, a crucial compliance issue that must be specified in coding policies. The assignment of discharge disposition codes is part of coding processes and fully aligns with maintaining accurate patient records and compliance.

Utilization review, however, pertains to the assessment of the necessity and efficiency of healthcare services rather than the direct coding practices. While it is important in the context of overall healthcare compliance, it does not fit under the specific focus of coding compliance plans, which are more narrowly tailored to coding practices and related policies. This distinction makes it clear why it is the correct answer.

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