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1. You would expect to find documentation regarding the assessment of an
obstetric patient's lochia, fundus, and perineum on the - CORRECT ANSWER
postpartum record.
2. Procedure-to-Procedure (PTP) Edits review claims for codes that report -
CORRECT ANSWER procedures that cannot or should not be provided to the
same patient on the same day.
3. It is September 15th, and you have just received the upcoming year's ICD-
10-PCS code set updates. The next step is to ________. - CORRECT ANSWER
put in a change ticket for the hospital's chargemaster to be updated
4. You are conducting an educational session on benchmarking. You tell your
audience that the key to benchmarking is to use the comparison to -
CORRECT ANSWER improve your department's processes.
5. A physician has come to the HIM department because he wants a new
smartphone to be able to access patient records. This way he can enter
orders when he is outside of the hospital. You need to direct the IT
department to - CORRECT ANSWER encrypt the phone so access is
protected.
,6. The APC payment system is based on what coding system(s)? - CORRECT
ANSWER CPT/HCPCS codes
7. The Joint Commission requires that all medical records be completed within
___________ following patient discharge. - CORRECT ANSWER 30 days
8. You have been hired to work with a computer-assisted coding (CAC)
initiative. The technology that you will be working with is - CORRECT
ANSWER natural language processing.
9. External audits may be conducted by several organizations in the federal
government as well as the private sector, including ________. - CORRECT
ANSWER Humana Fraud Department
RAC
OIG
10.When writing a query to a physician regarding ambiguous details in the
documentation, one must be careful to never let the question - CORRECT
ANSWER imply an answer that will lead to a higher reimbursement rate.
11.If the National Coverage Determination indicates that Medicare will not pay
for a specific procedure, you may have to have the patient sign - CORRECT
ANSWER an Advance Beneficiary Notice (ABN).
12.All health care facilities are obligated by federal legislation to provide a safe
and protected workplace for all staff and volunteers. This legislation is
known as - CORRECT ANSWER OSHA.
,13.Employing the SOAP style of progress notes, choose the "assessment"
statement from the following: - CORRECT ANSWER sciatica unimproved
with hot pack therapy.
14.A patient was seen in the outpatient department with a chronic cough and
the record states "rule out lung cancer." What should be coded as the
patient's diagnosis? - CORRECT ANSWER chronic cough
15.A final progress note is appropriate as a discharge summary for a
hospitalization in which the patient - CORRECT ANSWER was an obstetric
admission with a normal delivery and no complications.
16.Security devices that form barriers between routers of a public network and
a private network to protect access by unauthorized users are called -
CORRECT ANSWER firewalls.
17.NCCI edits were developed by the Centers for Medicare and Medicare
Services (CMS) to - CORRECT ANSWER both reinforce accurate coding and
identify noncompliant coding processes.
18.Your facility would like to improve physician documentation in order to
allow improved coding. As coding supervisor, you have found it very
effective to provide the physicians with - CORRECT ANSWER feedback on
specific instances when improved documentation would improve coding.
19.NCCI stands for - CORRECT ANSWER National Correct Coding Initiative.
, 20.While CAC systems are convenient, the codes they determine must be
validated to ensure accuracy. One method to do this would be - CORRECT
ANSWER a prospective audit.
21.The outpatient method for reimbursement from CMS for Medicare is -
CORRECT ANSWER Ambulatory Patient Classification (APC).
22.All of these are acceptable destruction methods when health records are no
longer required, EXCEPT - CORRECT ANSWER deleting files from the server.
23.One excellent source to guide you to perform ethical coding is ________. -
CORRECT ANSWER AHIMA
24.Which of the following contains a list of coding edits developed by CMS in
an effort to promote correct coding nationwide and to prevent the
inappropriate unbundling of related services? - CORRECT ANSWER National
Correct Coding Initiative (NCCI)
25.Which of the following could influence a facility's case mix? - CORRECT
ANSWER accuracy of coding
changes in DRG weights
changes in the services offered by a facility
The patient was brought in by ambulance to the Emergency Department. An EKG
and bloodwork were completed, and the patient was discharged, with a
recommendation to see his cardiologist. The next day, the cardiologist admitted