Ccs Genereal Quiz VII

The Joint Commission considers management that supports decision making to be important for safety and quality. What kind of management supports decision making?

• Resource management

• Risk management

• Information management

• Case management

A toddler comes into the hospital admitted from the ER with the following: shortness of breath, wheezing, runny nose, and positive RSV test. The final diagnosis was viral infection upon discharge three days later. What condition should the coder query for in this scenario?

• Acute bronchiolitis

• Acute bronchitis

• Croup

• Laryngitis

The ___________ Act encouraged healthcare providers to adopt electronic health records and improve privacy and security protections for healthcare data. This was achieved through financial incentives for adopting EHRs and increased penalties for violations of the HIPAA Privacy and Security Rules.

• LOWTECH

• HILYFE

• LOJAK

• HITECH

A 7-year-old patient was admitted to the emergency department for treatment of shortness of breath. The patient is given epinephrine and nebulizer treatments. The shortness of breath and wheezing are unabated following treatment. What diagnosis should be suspected?

• Acute bronchitis

• Asthma with status asthmaticus

The hemic and lymphatic system covers procedures of 

• The spleen

• Bone marrow

• Stem cells

• The lymph nodes 

• All of the above

Ectopic pancreatic malignant neoplasms involving the stomach are coded to malignant neoplasm of ___________, unspecified (C25.9)

• Stomach

• Pancreas

• Duodenum

• Ileum

A patient has a principal diagnosis of pneumonia (J18.9) (MS-DRG 195). Which of the following may legitimately change the coding of the pneumonia in accordance with the UHDDS and relevant clinical documentation?

• Sputum culture reflects growth of normal flora

• Patient has a high fever

•  Patient is found to have dysphagia with aspiration

• Patient has nonproductive cough

Whether a substance is present or absent in specimen is a _____________ measurement

A drug assay is a _____________ test to detect a specific drug and to quantify the amount of that drug that is present.

The CPT anesthesia complication codes are for extreme age (1 and 70), hypothermia, ______________, and emergency conditions 

When a patient goes home with an order for home health to start one week after an inpatient admission, this is categorized as a(n):

• Discharge

• Transfer

• Readmission

• Outlier

Hemorrhage resulting in blood loss anemia codes to_______________________ secondary to blood loss (chronic)

• Hematemesis

• Iron deficiency anemia

• Aphagia

• Hematoma

A completed and signed operative report needs clarification of the size of the skin lesions that were removed. What process is used for that clarification?

• Ammendment

• Addendum

Hippa requires organizations to have both privacy and security officers

• True

• False

The principal procedure by uhdds definition is for________________________

• Outpatient procedures

• Any given procedure

• Definitive treatment or treatment of a complication

• Anlingus

Reflex sympathetic dystrophy is coded as ____________________________

• Fibromyalgia

• Pain, NOS

• Complex Regional Pain Syndrome

• Upper Quadrant Paralysis

A patient is diagnosed with infertility due to endometriosis and undergoes an outpatient laparoscopic laser destruction of pelvic endometriosis. Which condition is coded secondary

Munchausen’s syndrome by proxy (MSBP) is also referred to as “factitious disorder imposed on another” or “factitious disorder by proxy.” The __________________ receives this diagnosis.  

• Perpatrator

• Victim

• Both

• None of the above

Ulcers can also occur in part of the intestine just beyond the stomach. These are called ___________.

• Large intestine

• Peptic

• Duodenal

• B and C are correct

Tests for antigens show if the disease is ____________. Tests for antibodies (assay tests) show what will treat the disease. 

Medicare payment to physicians for services rendered is made under the:

• OPPS

• RBRVS (Resource Based RElative Value Scale

• APC

• Conditions of Participation

The electronic transactions and code sets standards are found under which part of HIPAA?

• Administrative Simplification

• Privacy Rule

• Security Rule

• Health Information Technology

A payer’s policy does not cover tetanus injections when provided as a preventive service but will cover them when provided as a postinjury service. If the injection is provided in the emergency department, what part of the claim will need to be modified to indicate the injection was a postinjury service rather than a preventive service?

• Diagnosis code

• Procedure code

• Revenue code

• Disposition code

The only CPT modifiers used in the Pathology and Laboratory  section are _______________

A procedure site documented as involving the periosteum is coded to the corresponding ________ body part.

• Bowel

• Bone

• Lower GI Tract

Chemistry tests are typically ______________in nature

A comprehensive consultation includes everything in a limited consultation with the addition of a review of the ______________________

Modifier ___ is not used with Pathology or Laboratory codes.