Assessment-all Covered Topics-hcc Product Training

The P3 cycle consists of the interactions between the patient, provider, and payer. The patient seeks healthcare services from the provider, who then bills the payer for the services rendered. The payer, typically an insurance company, reimburses the provider for the services covered under the patient's insurance plan. This cycle ensures that the patient receives necessary healthcare while the provider is appropriately compensated for their services.

PSVT stands for Paroxysmal supraventricular tachycardia. This is a type of abnormal heart rhythm that originates above the ventricles, in the atria or the AV node. It is characterized by sudden episodes of rapid heart rate, typically ranging from 150 to 250 beats per minute. Symptoms may include palpitations, shortness of breath, dizziness, and chest discomfort. PSVT can be triggered by various factors such as stress, caffeine, alcohol, and certain medications. Treatment options include medications, vagal maneuvers, or in some cases, catheter ablation.

The statement is true because hemiparesis, which refers to weakness or partial paralysis on one side of the body, is a common late effect of a cerebrovascular accident (CVA), also known as a stroke. Late effect codes are used to capture residual conditions or complications that arise as a result of a previous injury or illness. In this case, hemiparesis is a valid late effect code to capture the ongoing weakness or paralysis that may persist after a CVA.

Stem cell transplant is indeed a treatment for Lymphoma. Lymphoma is a type of cancer that affects the lymphatic system, and stem cell transplant is a procedure where healthy stem cells are infused into the patient's body to replace damaged or diseased cells. This can help in restoring the patient's immune system and fighting against the cancer cells. Therefore, the statement is true.

Psoriasis is a chronic autoimmune condition that affects the skin. It causes the skin cells to multiply rapidly, leading to the formation of thick, red, and scaly patches. Since psoriasis primarily affects the skin, it is considered a disease of the integumentary system, which includes the skin, hair, nails, and associated glands. The integumentary system is responsible for protecting the body from external factors and regulating body temperature. Therefore, psoriasis's impact on the skin aligns with it being a disease of the integumentary system.

The given answer, 996.81,199.2, 189.0, represents the code for Malignant neoplasm of transplanted kidney. The first code, 996.81, refers to the complications of a transplanted organ, indicating that there is a malignant neoplasm present. The second code, 199.2, specifies the site of the neoplasm, which is the kidney. The third code, 189.0, further specifies the type of neoplasm, indicating that it is malignant. Therefore, the given answer accurately represents the code for Malignant neoplasm of transplanted kidney.

The outermost layer of skin is called the epidermis. This layer acts as a protective barrier against the external environment and helps regulate water loss from the body. It contains several layers of cells, including the outermost layer of dead cells called the stratum corneum. The epidermis also contains melanocytes, which produce melanin, the pigment responsible for skin color.

The statement "Medicare is not governed by the federal government" is incorrect. Medicare is a federal health insurance program in the United States that is administered by the federal government. It provides health coverage for people who are 65 years old or older, as well as some younger individuals with disabilities. The federal government sets the rules and regulations for Medicare, and it is funded through federal taxes and premiums paid by beneficiaries. Therefore, the correct answer is False.

The correct answer is 996.68 and 041.4. This is because code 996.68 represents infection and inflammatory reaction due to other internal prosthetic devices, implants, and grafts, which includes peritoneal dialysis catheters. Code 041.4 represents infection due to Escherichia coli, which is a common cause of infections associated with peritoneal dialysis catheters. Therefore, both codes are necessary to accurately describe the E.Coli infection due to peritoneal dialysis catheters.

In the 2/3 component criteria for Medical Decision Making, the Assessment/Plan is included. This refers to the process of evaluating the patient's condition and formulating a treatment plan based on the assessment. It involves considering the patient's symptoms, medical history, physical examination findings, and any diagnostic tests or procedures that may be necessary. The Assessment/Plan is an essential part of medical decision making as it guides the healthcare provider in determining the appropriate course of action for the patient's care.

When both the old MI (Myocardial Infarction) and the current MI are mentioned in the inpatient record, it is necessary to code both of them. This is because both conditions are relevant and provide important information about the patient's medical history and current condition. Coding both helps ensure accurate and comprehensive documentation of the patient's medical record.

The correct answer is 427.31 (A.Fib)- Submittal. This is because the patient has a history of cardiac ablation for atrial fibrillation (afib) and is currently experiencing a recurrence of afib as shown on telemetry. The provider's plan to start beta blockers further supports the diagnosis of afib.

The statement suggests that "repaired aneurysm" can only be coded as a submittal from an in-patient visit. However, this is not true. A repaired aneurysm can be coded from both in-patient and outpatient visits. Therefore, the correct answer is false.

Cirrhosis of the liver due to alcoholism is classified as a chronic non-communicable disease. Chronic diseases are long-term conditions that progress slowly over time and cannot be transmitted from person to person. Cirrhosis is a condition characterized by the scarring and damage of the liver, often caused by excessive alcohol consumption. As it is not caused by a pathogen and cannot be transmitted, it is considered a non-communicable disease.

In amputation stump complications, both the amputation complication code (997.6x) and the amputation status code (V49.x) should be captured. This is because the complication code represents any specific complications related to the amputation stump, while the status code indicates the current status or condition of the amputation site. By capturing both codes, a comprehensive picture of the patient's condition can be documented.

This statement is false because it is possible to capture deep vein thrombosis (DVT) from an office visit, even if it is a chronic condition. DVT is a blood clot that forms in a deep vein, usually in the leg. It can be diagnosed through physical examination, medical history, and diagnostic tests such as ultrasound or venography. Therefore, it is possible to identify and document DVT during an office visit.

The sentence "Patient‘s risk factors include Hyperlipidemia, Htn, CAD" is valid to capture CAD because it explicitly states that CAD is one of the patient's risk factors. The other sentences mention CAD indirectly or as a potential outcome, but they do not directly state that CAD is a risk factor for the patient.

The function of the kidney is to regulate blood volume and pressure. The kidneys play a crucial role in maintaining the balance of fluids and electrolytes in the body. They help regulate blood pressure by controlling the amount of water and salt reabsorbed into the bloodstream, and by producing hormones that constrict or dilate blood vessels. Proper respiration is controlled by the respiratory system, and the conversion of blood pH to acidic is primarily carried out by the lungs and other organs, not the kidneys. Therefore, the correct answer is regulating blood volume and pressure.

The correct answer is 250.00, V58.67 because these are the only codes listed that include "IDDM" (Insulin-Dependent Diabetes Mellitus) without the mention of "Insulin". The other codes include "Insulin" in their descriptions, making them incorrect choices.

The correct code for Diabetes Ketoacidosis is 250.13. This code is specifically used to identify cases of Diabetes Ketoacidosis in medical coding. The other options (250.03, 250.12, 250.11) do not specifically indicate Diabetes Ketoacidosis and may refer to other types of diabetes or related conditions. Therefore, the correct answer is 250.13.