CIC Inpatient Coding Study Exam Graded A+

Your hospital uses and EHR for all documentation of all services, including coding and billing. Your town is hit with a tornado and your hospital is badly damaged including the servers, network connections and computers. How do you provide medical records for patients transferred to other facilities for their care? - ANSWER-You obtain copes from your disaster recovery server because HIPAA requires records to be secure and protected you have to have a downtime process in place for facilities with EHR's and you have a disaster recovery pan in place. This may include a disaster recovery company that houses your data and provides you with backup equipment in times of a disaster or you have off-site storage to get copies of needed medical information. Which of the following describes a violation of HIPAA's privacy rule? - ANSWER-A nurse and an orderly at a state hospital discussed the HIV/AIDS status of a patient in earshot of other patients Which of the following diseases is a malignancy of the lymphatic system? - ANSWER-Hodgkin's disease A drug which ends in the suffix -pril is considered a(n) - ANSWER-ACE inhibitor A drug which ends in the suffix -vir is considered a(n) - ANSWER-Antiviral A drug which ends in the suffix -olol is considered a(n) - ANSWER-Beta blocker A drug which ends in the suffix -itidine is considered a(n) - ANSWER-H2 antagonist A patient is admitted with neck pain following a collision with another softball player at a community baseball field. The diagnosis at the time of discharge is right internal carotid artery dissection likely secondary to trauma. The diagnoses coded for this injury are - ANSWER-I77.71, W51.XXXA, Y93.64, Y92.320 How many diagnostic categories (MDCs) are in the MS-DRG system? - ANSWER-25 What POA indicator would you use for the following scenario? A 45 yr old female presents to the ER with shortness of breath, cough and a high fever. The ER doctor gets a chest x-ray which indicates pneumonia so he admits the patient. Shortly after admission the patient deteriorates and develops sepsis. In his discharge summary the doctor indicates the patient's diagnoses as sepsis secondary to pneumonia, organism unknown. A query of the physician indicates it is unknown if the patient was septic prior to admission. What POA indicator would you assign for sepsis? - ANSWER-POA W. Means that the provider was unable to determine whether the condition was present on admission or not.