RHIT EXAM PREP PRACTICE QUESTIONS (Coding) with 100% CORRECT ANSWERS

RHIT EXAM PREP PRACTICE QUESTIONS (Coding) with 100% CORRECT ANSWERS A) Code sepsis as the principal diagnosis with urinary tract infection due to E.coli as secondary diagnosis B) Code urinary tract infection with sepsis as the principal diagnosis C) Query the physician to ask if the patient has septicemia because of the symptomatology D) Query the physician to ask if the patient had septic shock so that this may be used as the principal diagnosis - Answer-C) Query the physician to ask if the patient has septicemia because of the symptomatology (118) The practice of using a code that results in a higher payment to the provider than the code that actually reflects the service or item provided is known as: A) Unbundling B) Upcoding C) Medically unnecessary services D) Billing for services not provided - Answer-B) Upcoding (119) A 65 year-old patient with a history of lung cancer is admitted to a healthcare facility with ataxia and syncope and a fractured arm as a result of falling. The patient undergoes a closed reduction of the fracture in the emergency department as well as a complete workup for metastatic carcinoma of the brain. The patient is found to have metastatic carcinoma of the lung to the brain and undergoes radiation therapy to the brain. Which of the following would be the principal diagnosis in this case? A) Ataxia B) Fractured arm C) Metastatic carcinoma of the brain D) Carcinoma of the lung - Answer-C) Metastatic carcinoma of the brain (120) A patient was admitted for abdominal pain with diarrhea and was diagnosed with infectious gastroenteritis. The patient also had angina and chronic obstructive pulmonary disease. Which of the following would be the correct coding and sequencing for this case? A) Abdominal pain; infectious gastroenteritis; chronic obstructive pulmonary disease; angina B) Infectious gastroenteritis; chronic obstructive pulmonary disease; angina C) Gastroenteritis; abdominal pain; angina D) Gastroenteritis; abdominal pain; diarrhea; chronic obstructive pulmonary disease; angina - Answer-B) Infectious gastroenteritis; chronic obstructive pulmonary disease; angina