Specialist Exam Sample Questions with
Verified Answers.
When documenting a patient's reason for visit, the physician assistant
typed in "sinusitis, acute" with no other details. In the ICD-9-CM coding
software, an EHR specialist notices there are several options for coding
sinusitis. Which of the following codes should the EHR specialist assign?
461.9 acute sinusitis, unspecified
When assigning an ICD-9-CM diagnosis code, which of the following is
correct? Assigning a 5th digit is required, where available
Because there is no additional information provided in the
documentation, the EHR specialist should assign the code 461.9 (acute
sinusitis, unspecified). The EHR specialist may not only use the
classification or 3-digit code when 4th or 5th digit codes are available.
Therefore, the EHR specialist should not assign the code 461 (acute
sinusitis). The code 461.1 (acute sinusitis, frontal) is specific to
sinusitis located in the frontal sinus cavity, which is not supported in the
documentation. The code 461.8 (acute sinusitis, other) is specific to a
sinusitis, which is not supported in the documentation.
What identifies past due accounts receivable? Aging reports
, What addresses privacy and security rules HIPAA Title 2
What is meaningful use initiative to share health info with other
health care professionals when necessary
When abstracting from an outpatient record to assign the ICD-9-CM
code, which of the following should an EHR specialist look for?
Diagnosis listed first in the documentation
Surgical procedure codes Surgical procedure codes with a 2-digit
classification followed by one or two digits are in the ICD-9-CM manual
and are used for coding inpatient procedures.
Current Procedural Terminology (CPT) codes — Numeric codes
developed by the American Medical Association (AMA) to standardize
medical services and procedures
Encounter form — A form the provider fills out as she sees the
patient; lists the service charges and how much the patient paid for the
services; can be submitted for billing
Face sheet — A standard structured document that contains
patient information, such as name, date of birth, insurance information,
reason for seeking medical care, and religious preference; medical staff
uses the document to quickly see the relevant points for patient care