CCDS QUESTIONS AND ANSWERS WITH CERTIFIED SOLUTIONS

CCDS QUESTIONS AND ANSWERS WITH CERTIFIED SOLUTIONS A patient is admitted from the emergency department (ED) with a diagnosis of weakness and anemia. After admission and further treatment with packed red blood cells (PRBC), GI consult, and endoscopy, the physician includes the following diagnoses in the discharge summary: anemia, suspected bleeding gastric ulcer, and GERD. What would be the most appropriate principle diagnosis? A. Bleeding gastric ulcer B. Anemia C. GERD D. Weakness A. Bleeding gastric ulcer A patient is admitted with new-onset seizures. Head CT reveals a mass in the occipital region. The physician documents possible brain tumor, and the patient is transferred to another hospital for further workup. What would be the most appropriate principal diagnosis based upon this documentation? A. Seizure B. Neoplasm of occipital region C. Head mass D. Head tumor B. Neoplasm of occipital region A hospital's base rate or blended rate is: 1. Calculated annually 2. Dependent upon indirect costs for graduate medical education and new technology 3. Adjusted based upon number of low-income patients cared for 4. Not adjusted based upon capital expenses A. 1 and 2 B. 2 and 3 C. 1,2, and 3 D. 1,2,3, and 4 C. 1,2, and 3 1. Calculated annually 2. Dependent upon indirect costs for graduate medical education and new technology 3. Adjusted based upon number of low-income patients cared for The final MS-DRG assigned to a patient's medical record should: A. Reflect the amount of time the physician spent with the patient B. Depend upon the patient's length of stay C. Be assigned by the physician D. Reflect the severity of illness (SOI) and resource consumption of the patient's care D. Reflect the severity of illness (SOI) and resource consumption of the patient's care A patient is admitted from the emergency department with the diagnosis of acute respiratory failure due to overdose of pain medication and an aspiration pneumonia. What is the principal diagnosis? A. Acute respiratory failure B. Aspiration pneumonia C. Poisoning D. Adverse effect of medication C. Poisoning A patient is admitted with pneumonia, stage 1 chronic renal failure, chronic anemia, and COPD, While hospitalized the patient receives IV antibiotics, inhalers, oxygen, IV fluids at 50mL/hr, and iron tablets. Keeping the guidelines for coding of secondary diagnoses in mind, which condition should be coded? A. Pneumonia only B. Pneumonia and COPD only C. Pneumonia, COPD, and anemia D. All of the conditions should be coded D. All