question

the hippa small code set collects

answer

race, ethnicity, type of facility, and type of unit

question

SNOMED (Systemized Nomenclature of Medicine) was originally developed by the

answer

College of American Pthologists

question

Which is an example of a third-party payer?

answer

blue cross and blue shield

question

Which is a secondary purpose of the patient record?

answer

Evaluating quality of care

question

A physician lists "viral pneumonia" as the final diagnosis. However, the coder notes that laboratory results sate "gram-negatibve bacteria." There is also documentation of chest pain, fever & dyspnea due to pneumonia. What should the coded do?

answer

query the physician regarding the diagnosis of pneumonia

question

Observations about the patient's physical findings or lab results would be found in the _______ heading of a POR's SOAP note

answer

objective

question

Automated case abstracting software is used by hospitals to

answer

collect data for statistical analysis

question

Which statement about reporting datat to payers is true?

answer

The UB-04 claim is submitted by hospitals to third party payers for reimbursement purpose.

question

Medical management software is used most frequently by

answer

Medical assistants

question

The CMS-1500 claim is submitted by

answer

physician offices

question

The process of converting patient records to an electronic image and saving them on storage media is called

answer

document imaging

question

A physician query generated during inpatient hospitalization is considered

answer

concurrent

question

The Health Insurance Portability and Accountability Act of 1996 legislation

answer

expanded continuity of health insurance coverage

question

To code the diagnosis "allergic rash due to penicillin," the coder would need to assign a(n):

answer

Table of Drugs and Chemical code

question

Which is the last section of the ICD-9-CM Index to Diseases?

answer

Alphabetic Index to External Causes of Injury

question

ICD-9-CM Appendix E contains which of the following?

answer

Glossary of Mental Disorders

question

ICD is published by the

answer

WHO

question

When a coder has difficulty locating an E code main term in the Index to External Causes of Illness and Injury, referencing Appendix _____ may be helpful

answer

D

question

The Glossary of Mental Disorders is found

answer

DSM

question

The AHFS List can be referenced in the ICD-9-CM Table of Drugs and Chemicals by locating main term:

answer

Drug

question

Which of the following is reported to state cancer registries?

answer

M Codes

question

A morphology code contains the letter M followed by ____ digits before the slash.

answer

3

question

The ICD-9-CM Alphabetic Index to External Causes of Illness of Injury is located in the

answer

Index to Disease

question

ICD-9-CM code 473.8 Other Chronic Sinusitis is an example of the use of

answer

NEC

question

Which is used to identify manifestation codes in the ICD-9-CM Index of Diseases?

answer

slanted brackets

question

The ICD-9-CM Index to Diseases entry for "amyloid neuritis" lists two codes, 277.3 [357.4]. How is code 357.4 reported?

answer

357.4 is reported second

question

In the ICD-9-CM Index to Procedures entry "Venotomy, Abdominal," the word Abdominal is a

answer

subterm

question

Which code is an "other and other specified code"?

answer

364.8

question

Which code is an "unspecified code"?

answer

364.9

question

Which statement regarding etiology/manifestation codes is correct?

answer

The etiology code is always sequenced first

question

Which statement regarding the phrase due to is correct?

answer

Due to indicates the presence of a cause-and-effect relationship between two conditions

question

Which statement regarding usage of the word with is correct?

answer

With is located in the ICD-9-CM Index to Diseases and Index to Procedures.

question

Which is a mandatory instruction?

answer

see

question

Which is equivalent to "unspecified" and "unqualified"?

answer

NOS

question

The word and in a little should be interpreted as:

answer

and/or

question

Barlow syndrome is an example of a(n)

answer

eponym

question

A patient suffered a fracture of the radius and ulna due to a fall on the ice a year ago. The patient presents today with pain due to nonunion of the fracture. Which should be coded as a late effect?

answer

nonunion

question

Which of the following diagnostic statements is an example of a late effect?

answer

Traumatic arthritis of the knee.

question

A malignant neoplasm that is localized, circumscribed, encapsulated, and noninvasive but has not spread to deeper or adjacent tissues or organs is:

answer

in stu

question

Adenocarcinoma of prostate gland. Squamous cell carcinoma, bronchogenic, left lung.

answer

185, M8140/3,162.9, M8070/3

question

Hypertensive cardiovascular disease with congestive heart failure; benign essential hypertension. report codes

answer

402.11, 428.0

question

Acute gangrenous appendicitis. Postoperative paralytic ileus. Appendectomy. report codes

answer

540.9, 997.4, 47.09

question

Hemiplegia secondary to cerebral artery thrombosis one year ago. Report code (s)

answer

438.20

question

Infected second-degree burns of the hand from boiling water. Report codes

answer

994.20, 958.3, E924.0

question

Uremia; cardiomegaly; malignant hypertension. Report code(s)

answer

403.00, 429.3

question

Gram-negative septicemia due to bacteroides. report code

answer

038.3

question

Displacement of cardiac pacemaker electrode. Report code

answer

996.01

question

A 19-year-old patient was treated as an inpatient for "fever of unknown origin." Report codes

answer

780.6, 011.90

question

Malunion of fracture, right ankle. Patient fell down stairs three months ago and fractured her ankle, it was healing until recently, when the patient complained of pain and the physician noted the malunion. Report codes.

answer

733.81

question

The Resident Assessment and Validation and Entry (RAVEN) data entry system is used in:

answer

nursing facilities

question

Services provided to patients that include withdrawal management, drug and alcohol detoxification, an chemical dependence and substance abuse treatment programs would be provided by:

answer

chemical dependency program

question

Hospice provides medical care to:

answer

all age groups

question

The goal of hospice care is:

answer

palliative

question

A long-term care hospital is defined in Medicare law as hospitals that have an average inpatient length of stay greater than__days.

answer

25

question

A patient is admitted on July 28 and discharged on August 4. The LOS is calculated as __days

answer

7

question

According to Medicare, during a benefit period, Medicare will pay up to __ days of skilled nursing care in a skilled nursing facility.

answer

100

question

A Comprehensive Severity Index (CSI) score of level __ indicates that signs & symptoms are catastrophic, life-threatening, or likely to result in organ failure.

answer

4

question

A condition that coexists at the time of admission is a

answer

comorbidity

question

An intermediate care facility provides services for the

answer

developmentally disabled

question

A nursing facility that provides medically necessary care to inpatients on a daily basis that is performed by or under the supervision of skilled medical personnel is

answer

a skilled nursing facility

question

Resource utilization groups classify patient reimbursement for

answer

skilled nursing facilities

question

A patient is admitted to a health care facility on 4/04xx & discharged on 5/02xx. Given the length of stay, the patient is most likely a patient is a ___ facility.

answer

long-term

question

A patient suffers from Alzheimer's disease. The patient would most likely be placed in

answer

Adult day care

question

In a skilled nursing facility, a patient maybe assigned to one of __ RUGS

answer

53

question

A patient was admitted to the hospital in severe respiratory distress w/ an admitting diagnosis of "rule out carcinoma of the lung." The patient has had a long history of chronic obstructive bronchitis. After work-up & treatment, the patient was discharged. The attending physician documented the following diagnoses on the face sheet; chronic obstructive bronchitis & acute bronchitis due to pneumococcus, essential hypertension, arteriosclerotic heart disease. The following procedures were documented on the face sheet: bronchoscopy w/ biopsy. The principal code is

answer

491.22

question

A patient was admitted to the hospital following an automobile accident in which he suffered five closed fractured ribs, which resulted in a lung laceration opening into the thorax & hemothorax. During hospitalization, the patient complained of chest pain. EKG is normal. The patient also complained of severe headaches, CT scan of the brain was negative. A chest tune was inserted for drainage, & the next day a thoracotomy was performed to close the lung laceration. The principal diagnosis code is

answer

861.32

question

A patient was admitted following an attempted suicide. The patient ingested an unknown amount of Diazepam. During impatient hospitalization, the patient was treated w/ gastric lavage. The attending physician documented the following diagnosis on the face sheet; depression w/ anxiety, attempted suicide by ingestion of Valium, & hypotension. The principal diagnosis code is

answer

969.4

question

A pt admitted from the emergency department w/ transient ischemic attack (TIA) & a severe headache. Carotid arteriogram revealed the TIA was due to insufficiency of right carotid artery associated on the 5th postoperative day. The principal procedure code is

answer

435.8

question

Following a fall at work in which his head hit machinery, a patient was admitted unconscious & was observed for neurological problems & other injuries. The patient returned to his preexisting conscious level w/in 2 hrs. of admission, complaining of admission, complaining of a headache, especially on moving his head. No other injuries were identified by x-ray or CT brain scan. The patient was discharged home the next w/ a final diagnosis of concussion w/ prolonged unconsciousness. The principal diagnosis cod is

answer

850.3

question

A premature twin was transferred to the nursery after delivery. Her mate was stillborn. The birth occurred precipitously, & the baby has hyaline membrane disease. Although early hospital course was precarious, the baby gained weight & her respiratory status improved. 8 wks. after delivery, the baby was discharged from the hospital w/ a weight of 5lbs. The principal diagnosis code is

answer

V32.00

question

A pt. was admitted to the hospital w/ disturbed coordination & weakness of his extremities to rule out multiple sclerosis. Electromyography & other tests were performed; but at discharge, multiple sclerosis had not been positively confirmed or ruled out. The physician documented the following final diagnosis: rule out multiple sclerosis, muscular incoordination, muscular weakness, & fatigue. The principle diagnosis code is

answer

340

question

OASIS is a core set of comprehensive assessments for

answer

Adult home care patients

question

Personal care services, use of durable medical equipment, skilled nursing services, & physical therapy are all services covered under

answer

home health care

question

Which of the following services reflects skilled services?

answer

Insertion of catheter

question

The type of care that allows people who are seriously ill to remain at home & receive treatment is called

answer

home health care

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