What should a hospital do when a state law requires more...
Which of the following activities is considered an unethical practice?
What diagnosis would the coder expect to see when a patient with...
Where would a coder who needed to locate the histology of a tissue...
Which of the following reports include names of the...
Who is responsible for writing and signing discharge summaries...
Which of the following is a core ethical obligation of health...
Which of the following activities would be in violation of AHIMA's...
On review of the audit trail for an EHR system, the HIM director...
Documentation regarding a patient's marital status, dietary,...
Documentation in the history of use of drugs, alcohol, and/or tobacco...
Identify the acute-care record report where the...
Although the HIPAA Rule allows patient access to personal health...
Identify the acute care record report where the following information...
In a routine health record quantitative analysis review it...
Identify the punctuation mark that is used to supplement words or...
The codes in the musculoskeletal section of CPT may be used by:
What penalties can be enforced against a person or entity that...
ICD-9-CM defines the "newborn period" as birth through the...
Which of the following would be classified to an ICD-9-CM category for...
The coder notes that the physician has presribed Retrovir for the...
CPT was developed and is maintained by:
What is the basic formula for calculating each MS-DRG hospital...
The clinical statement, "microscopic sections of the gallbladder...
The coder notes the patient is taking prescribed Haldol. The...
When correcting erroneous information in a health record, which...
Which of the following provides organizations with the ability to...
A patient with known COPD and hypertension under treatment was...
Category II codes cover all but one of the following topics. Which is...
Referencing the CPT codebook, a list of codes describing procedures...
Under the HIPAA privacy standard, which of the following types of...
Which of the following documentation must be included in a...
Community Hospital implemented a clinical document improvement...
Tissue transplated from one individual to another of the same species...
How does Medicare or other third-party payers determine whether the...
What type of standard establishes uniform definitions for clinical...
"Late pregnancy" (category code 645) is used to demonstrate...
The hospital is revising its policy on medical record documentation....
Dr. Jones has signed a statement that all of her dictated reports...
Mohs micrographic surgery involves the surgeon acting as:
If an orthopedic surgeon attempted to reduce a fracture but was...
A hospital is planning on allowing coding professionals to work at...
In hospitals, automated systems for registering patients and tracking...
Both HEDIS and the Joint Commission's ORYX program are designed to...
What is the name of the organization that develops the billing form...
A coding analyst consistently enters the wrong code for patient...
Today, Janet Kim visited her new dentist for an appointment. She was...
Which organization developed the first hospital standardization...
What is the name of the national program to detect and correct...
Which of the following ethical principles is being followed when an...
What is abstracting?
What healthcare organization collects UHDDS data?
Which answer below is not correct for assignment of the MS-DRG?
The ___________ is a type of coding thta is a natural outgrowth of the...
Observation E/M codes (99218 through 99220) are used in physician...
An employee in the physical therapy department arrives early...
Which of the following would not be found in a medical history?
According to ICD-9-CM, an elderly primigravida is defined as a...
Identify the correct ICD-9-CM diagnosis code(s) for a patient who...
During a review of documentation practices, the HIM...
Identify the ICD-9-CM diagnosis code(s) for uncontrolled type II...
In coding arterial catheterizations, when the tip of the catheter is...
What type of standard establishes methods for creating unique...
Identify the correct ICD-9-CM diagnosis code for a male patient with...
Identify the correct ICD-9-CM diagnosis code for a patient with...
Identify the correct ICD-9-CM diagnosis code(s) and proper sequencing...
When coding a selective catheterization in CPT, how are codes...
Which of the following would be the best technique to ensure that...
Mercy Hospital personnel need to review the medical records for...
What was the goal of the new MS-DRG system?
Per the HIPAA Privacy Rule, which of the following requires...
Identify the correct ICD-9-CM diagnosis code for a patient with an...
Identify the correct CPT procedure code for incision and drainage of...
A child was examined and treated for child abuse in the emergency...
Which of the following is not an accepted accrediting body for...
What is the maximum number of procedure codes that can appear on a...
The discharge summary must be completed within ________ after...
Mr. Smith is seen in his primary care physician's office for his...
Per CPT guidelines, a separate procedure is:
A hospital currently includes the patient's social...
What type of organization works under contract with the CMS to conduct...
Identify the correct ICD-9-CM diagnosis code(s) for a patient with...
Identify the correct ICD-9-CM diagnosis code(s) for a patient with...
What are possible "add-on" payments that a hospital...
Identify the correct sequence and ICD-9-CM diagnosis code(s) for...
What is the maximum number of diagnosis codes that can appear on the...
Which of the following specialized patient assessment tools must be...
Identify the correct ICD-9-CM diagnosis codes and sequence for a...
Identify the correct ICD-9-CM diagnosis code(s) for a patient with...
Identify the correct ICD-9-CM diagnosis code(s) for a patient with...
Identify the correct ICD-9-CM diagnosis code(s) and sequence for a...
During an audit of health records, the HIM director finds...
A 22-year-old patient presents for a closure of a patent ductus...
Identify the correct ICD-9-CM diagnosis codes for metastatic carcinoma...
Identify the correct ICD-9-CM diagnosis code(s) for a patient with...
Identify the correct sequence and ICD-9-CM diagnosis code(s) for a...
Identify the correct ICD-9-CM diagnosis code(s) for a patient with...
Identify the correct ICD-9-CM diagnosis code(s) for a patient with...
Identify the correct ICD-9-CM diagnosis code(s) for neutropenic fever.
From the health record of a patient newly diagnosed with a malignancy:...