RHIT Review Cengage Domain 4 Revenue Cycle
Management ACTUAL EXAM Questions And
Verified Answers|multiple choices| 100% Passed!!
Exit Exam v4
D
O
N
O
T
Under ASC PPSs, bilateral procedures are reimbursed at _______ of the
C
payment rate for their group.
O
150%
The physician performed a fiberoptic bronchoscopy with irrigation of
PY
the bronchus. In this scenario, what should the coder code?
irrigation of bronchus only
When coding free skin grafts, which of the following is NOT an essential
item of data needed for accurate coding?
donor site
An infant was brought into the clinic with the mother reporting pale
skin, irritability, and swollen gums. The physician ordered bloodwork,
,which confirmed a diagnosis of vitamin B12 deficiency anemia due to
the vegan diet she was fed. The correct diagnosis code to report this
condition is:
D51.0 Vitamin B12 deficiency anemia due to intrinsic factor deficiency
D51.2 Transcobalamin II deficiency
D51.3 Other dietary vitamin B12 deficiency anemia
D51.9 Vitamin B12 deficiency anemia, unspecified
D51.3
D
The operative report stated that a complete hysterectomy was
O
performed. However, within the body of the report, it states a
laparoscopic instrument was used. The coder should query the
N
physician with:
O
"What approach was used to perform the hysterectomy?"
T
In ICD-10-PCS, pleurocentesis right side, device left in
0B9N30Z Drainage, pleura, right, percutaneous, drainage device
C
0BCN4ZZ Extirpation, pleura right, percutaneous endoscopic, no device
O
0BPQ40Z Removal, pleura, percutaneous endoscopic, drainage device
0BV34ZZ Restriction, main bronchus, right, no device
PY
0B9N30Z
What prospective payment system reimburses the provider according
to determined rates for a 60-day episode of care?
home health resource groups
Under the RBRVS, each HCPCS/CPT code contains three components,
each having assigned relative value units. These three components
,are physician work, practice expense, and malpractice insurance
expense.
The documentation under History of Present Illness [HPI] states, "The
patient denies any sore throat or coughing." In the last paragraph,
under Plan, it states "The patient was given a prescription for
Tessalon." Tessalon is a cough suppressant. The coder should query the
physician about the contradiction.
A Medicare patient was seen by Dr. Zamora, who is a nonparticipating
D
physician. The charge for the office visit was $125. The Medicare
beneficiary had already met his deductible. The Medicare Fee Schedule
O
amount is $100. Dr. Zamora does not accept assignment. The office
manager will apply a practice termed as "balance billing," which means
N
that the patient is
O
financially liable for charges in excess of the Medicare Fee Schedule, up
T
to a limit.
Dr. Mathis diagnosed the patient with melanoma in situ of his upper
C
eyelid. The correct diagnosis code to report this is:
O
D03.10 Melanoma in situ of unspecified eyelid, including canthus
PY
D03.11 1Melanoma in situ of right upper eyelid, including canthus
D03.12 1 Melanoma in situ of left upper eyelid, including canthus
Query the physician
A Category 5 hurricane hit the area and the patient was brought into
the ED with lacerations all over his face and hands from broken glass
shattered by a wind gust. The first code to report, after those for his
specific injuries, should be:
X37.0XXA Cataclysmic storm, hurricane, initial encounter
, X37.9XXA Unspecified cataclysmic event, initial encounter
X37.8XXA Other cataclysmic storms, initial encounter
X39.8XXA Other exposure to forces of nature, initial encounter
X39.8XXA
A patient has intractable status epilepticus. The correct diagnosis code
to report this condition is:
G40.201 Localization-related (focal)(partial) symptomatic epilepsy and
epileptic syndromes with complex partial seizures, not intractable, with
D
status epilepticus
G40.301 Generalized idiopathic epilepsy and epileptic syndromes, not
O
intractable, with status epilepticus
G40.311 Generalized idiopathic epilepsy and epileptic syndromes,
N
intractable, with status epilepticus
O
G40.319 Generalized idiopathic epilepsy and epileptic syndromes,
intractable, without status epilepticus
T
G40.311
C
The infant was diagnosed with congenital talipes equinovarus affecting
O
the right foot. The correct diagnosis code to report this condition is:
Q66.6 Other congenital valgus deformities of feet
PY
Q66.71 Congenital pes cavus, right foot
Q66.01 Congenital talipes equinovarus, right foot
Q65.9 Congenital deformity of hip, unspecified
Q66.01
The patient does not like outside activities. After the blood test results
came back, her physician diagnosed her with Vitamin D deficiency and
gave her a prescription. The diagnosis code to report the medical
necessity for the encounter is:
Management ACTUAL EXAM Questions And
Verified Answers|multiple choices| 100% Passed!!
Exit Exam v4
D
O
N
O
T
Under ASC PPSs, bilateral procedures are reimbursed at _______ of the
C
payment rate for their group.
O
150%
The physician performed a fiberoptic bronchoscopy with irrigation of
PY
the bronchus. In this scenario, what should the coder code?
irrigation of bronchus only
When coding free skin grafts, which of the following is NOT an essential
item of data needed for accurate coding?
donor site
An infant was brought into the clinic with the mother reporting pale
skin, irritability, and swollen gums. The physician ordered bloodwork,
,which confirmed a diagnosis of vitamin B12 deficiency anemia due to
the vegan diet she was fed. The correct diagnosis code to report this
condition is:
D51.0 Vitamin B12 deficiency anemia due to intrinsic factor deficiency
D51.2 Transcobalamin II deficiency
D51.3 Other dietary vitamin B12 deficiency anemia
D51.9 Vitamin B12 deficiency anemia, unspecified
D51.3
D
The operative report stated that a complete hysterectomy was
O
performed. However, within the body of the report, it states a
laparoscopic instrument was used. The coder should query the
N
physician with:
O
"What approach was used to perform the hysterectomy?"
T
In ICD-10-PCS, pleurocentesis right side, device left in
0B9N30Z Drainage, pleura, right, percutaneous, drainage device
C
0BCN4ZZ Extirpation, pleura right, percutaneous endoscopic, no device
O
0BPQ40Z Removal, pleura, percutaneous endoscopic, drainage device
0BV34ZZ Restriction, main bronchus, right, no device
PY
0B9N30Z
What prospective payment system reimburses the provider according
to determined rates for a 60-day episode of care?
home health resource groups
Under the RBRVS, each HCPCS/CPT code contains three components,
each having assigned relative value units. These three components
,are physician work, practice expense, and malpractice insurance
expense.
The documentation under History of Present Illness [HPI] states, "The
patient denies any sore throat or coughing." In the last paragraph,
under Plan, it states "The patient was given a prescription for
Tessalon." Tessalon is a cough suppressant. The coder should query the
physician about the contradiction.
A Medicare patient was seen by Dr. Zamora, who is a nonparticipating
D
physician. The charge for the office visit was $125. The Medicare
beneficiary had already met his deductible. The Medicare Fee Schedule
O
amount is $100. Dr. Zamora does not accept assignment. The office
manager will apply a practice termed as "balance billing," which means
N
that the patient is
O
financially liable for charges in excess of the Medicare Fee Schedule, up
T
to a limit.
Dr. Mathis diagnosed the patient with melanoma in situ of his upper
C
eyelid. The correct diagnosis code to report this is:
O
D03.10 Melanoma in situ of unspecified eyelid, including canthus
PY
D03.11 1Melanoma in situ of right upper eyelid, including canthus
D03.12 1 Melanoma in situ of left upper eyelid, including canthus
Query the physician
A Category 5 hurricane hit the area and the patient was brought into
the ED with lacerations all over his face and hands from broken glass
shattered by a wind gust. The first code to report, after those for his
specific injuries, should be:
X37.0XXA Cataclysmic storm, hurricane, initial encounter
, X37.9XXA Unspecified cataclysmic event, initial encounter
X37.8XXA Other cataclysmic storms, initial encounter
X39.8XXA Other exposure to forces of nature, initial encounter
X39.8XXA
A patient has intractable status epilepticus. The correct diagnosis code
to report this condition is:
G40.201 Localization-related (focal)(partial) symptomatic epilepsy and
epileptic syndromes with complex partial seizures, not intractable, with
D
status epilepticus
G40.301 Generalized idiopathic epilepsy and epileptic syndromes, not
O
intractable, with status epilepticus
G40.311 Generalized idiopathic epilepsy and epileptic syndromes,
N
intractable, with status epilepticus
O
G40.319 Generalized idiopathic epilepsy and epileptic syndromes,
intractable, without status epilepticus
T
G40.311
C
The infant was diagnosed with congenital talipes equinovarus affecting
O
the right foot. The correct diagnosis code to report this condition is:
Q66.6 Other congenital valgus deformities of feet
PY
Q66.71 Congenital pes cavus, right foot
Q66.01 Congenital talipes equinovarus, right foot
Q65.9 Congenital deformity of hip, unspecified
Q66.01
The patient does not like outside activities. After the blood test results
came back, her physician diagnosed her with Vitamin D deficiency and
gave her a prescription. The diagnosis code to report the medical
necessity for the encounter is:
