Ahima Test
MMR vaccine correct answersmeasles, mumps, rubella - Measles is one code and mumps & rubella are
the additional code x2
DTaP vaccine correct answersdiphtheria and tetanus and accellular pertussis - Diphtheria is one code and
the other two are the additional code x2
blood in urine correct answershematuria
The Breach Notification Rule, found in the ______ Rule of HIPAA, states that when _____ individuals
have had their confidential data exposed and the covered entity has outdated contact information for
them, that the covered entity must_____ for ______ days correct answersOmnibus Rule, less than 500
individuals but more than 10, post a notice on their website for 90 days
Sally calls the coding department to contest the duplicate procedures that her adult sister received while
admitted to an inpatient mental health facility. Sally has her sister's date of birth, her name but not her
ID number. She says her sister is too depressed to advocate for herself and Sally just wants the charges
reviewed. What do you do? correct answersTell Sally you'll review her sister's chart while she was
hospitalized and process a corrected claim if needed.
HIPAA Privacy Rule Section 164.510(b)(3) allows providers to discuss PHI with family members if they
determine it is in the patient's best interest for coordination of treatment or payment, unless the patient
has expressed wishes that their information is not shared with family.
Facility payments are based on: correct answersIPPS using DRGs
The Inpatient Prospective Payment System drives value-based care by paying inpatient stays based on
DRGs (Diagnosis-Related Group(s)) which are groups of diagnoses with similar weights in order to
determine "how much" a patient's stay ought to cost. These drivers force hospitals to work to be most
efficient in their use of resources to come in under what they will be paid in order to avoid losing money.
MMR vaccine correct answersmeasles, mumps, rubella - Measles is one code and mumps & rubella are
the additional code x2
DTaP vaccine correct answersdiphtheria and tetanus and accellular pertussis - Diphtheria is one code and
the other two are the additional code x2
blood in urine correct answershematuria
The Breach Notification Rule, found in the ______ Rule of HIPAA, states that when _____ individuals
have had their confidential data exposed and the covered entity has outdated contact information for
them, that the covered entity must_____ for ______ days correct answersOmnibus Rule, less than 500
individuals but more than 10, post a notice on their website for 90 days
Sally calls the coding department to contest the duplicate procedures that her adult sister received while
admitted to an inpatient mental health facility. Sally has her sister's date of birth, her name but not her
ID number. She says her sister is too depressed to advocate for herself and Sally just wants the charges
reviewed. What do you do? correct answersTell Sally you'll review her sister's chart while she was
hospitalized and process a corrected claim if needed.
HIPAA Privacy Rule Section 164.510(b)(3) allows providers to discuss PHI with family members if they
determine it is in the patient's best interest for coordination of treatment or payment, unless the patient
has expressed wishes that their information is not shared with family.
Facility payments are based on: correct answersIPPS using DRGs
The Inpatient Prospective Payment System drives value-based care by paying inpatient stays based on
DRGs (Diagnosis-Related Group(s)) which are groups of diagnoses with similar weights in order to
determine "how much" a patient's stay ought to cost. These drivers force hospitals to work to be most
efficient in their use of resources to come in under what they will be paid in order to avoid losing money.
