HCM 425 Quiz 4 - Questions and Answers The procedure or service provided is linked with the _________ that provided medical necessity for performing the procedure or service. Diagnosis Which is a form required by Medicare for all outpatient and physician office procedures/services that are not covered by the Medicare program? advance beneficiary notice Medical practices and health care facilities should routinely participate in an auditing process, which involves reviewing patient records and CMS-1500 or UB-04 claims to __________. assess coding accuracy and completeness of documentation CMS develops national coverage determinations on an ongoing basis, and __________ create(s) edits for NCD rules, which are local coverage determinations. Medicare administrative contractors The outpatient code editor (OCE) is software that edits outpatient __________ by hospitals, community mental health centers, comprehensive outpatient rehabilitation facilities, and home health agencies. claims submitted Which part of the SOAP note contains the chief complaint and the patient's description of the presenting problem?