RHIT 9
A discharge in which the patient was discharged from the inpatient rehabilitation facility and
returned within three calendar days (prior to midnight on the third day) is called a(n) ____ ___. -
answer interrupted stay
The PPS replaced the Medicare Physician payment system of "customary, prevailing, and reasonable
(CPR)" charges whereby physicians were reimbursed according to their historical record of the
charge for the provision of each service - answer MPFS
A service provided by a physician whose opinion or advice regarding evaluation and/or management
of a specific problem is requested by another physician is referred to as a(n)... - answer consultation
A patient with leukemia is admitted for chemotherapy 5 weeks after experiencing an acute MI. How
will the MI be coded? - answer acute MI with subsequent episode of care
In ICD-9-CM, when an exploratory laparotomy is performed followed by a therapeutic procedure,
the coder lists... - answer therapeutic procedure only
The most widely discussed and debated unique patient identifier is the patient's.. - answer SSN
The Central Office of ICD-9-CM, which published Coding Clinic, is maintained by the... - answer AHA
A nomenclature of codes and medical terms that provides standard terminology for reporting
physicians' services for third party reimbursement is ____. - answer CPT
A cancer program is surveyed for approval by the... - answer CoC
CoC - answer commission on cancer
The nursing staff would most likely use what to facilitate aggregation of data for comparison at local,
regional, national, and international levels? - answer ABC codes
The Level II (national) codes of the HCPCS coding system are maintained by the ___. - answer CMS
,A patient is admitted with alcohol withdrawl suffering from delirium tremens. The patient is a
chronic alcoholic and cocaine addict. What is the principle diagnosis? - answer delirium tremens
A patient is admitted with pneumonia. Cultures are requested to determine the infecting organism.
Which would alert the coder to ask the physician whether or not this should be coded as a gram-
negative pneumonia? - answer pseudomonas
Level I (CPT) codes of the HCPCS coding system are maintained by the ___. - answer AMA
A Patient is seen by a surgeon who determined that an emergency procedure is necessary. Identify
the modifier that may be reported to indicate that the decision to do surgery was made on this
office visit? - answer 57
A patient develops difficulty during surgery and the physician discontinues the procedure. Identify
the modifier that may be reported by the physician to indicate that the procedure was discontinued.
- answer 53
A barrier to widespread use of automated code assignment is ... - answer poor quality of
documentation
In assigning E/M codes, three key components are used. These are.. - answer history, examination,
medical decision making
A patient had an appendectomy. She was taken back to surgery the next day for evacuation of a
hematoma of the wound site. What modifier would be reported for the second visit? - answer 78
The primary goal of a hospital based cancer registry is to .. - answer improve patient care
A secondary data source that houses and aggregates extensive data about patients with a certain
diagnosis is a ___ ___. - answer disease registry
A patient was admitted to the hospital with hemiplegia and aphasia. The hemiplegia and aphasia
were resolved before discharge and the patient was diagnosed with cerebral thrombosis. What is
the correct coding and sequencing? - answer cerebral thrombosis; hemiplegia; aphasia
, A patient was admitted to the hospital for an obstetrical delivery of her third child. During the
admission, a sterilization procedure was performed for contraceptive purposes. the V25.2 code for
sterilization would be assigned as a ___ ___. - answer secondary diagnosis
A population-based cancer registry that is designed to determine rates and trends in a defined
population is a(n) ___ ___ ___ ___ ___. - answer incidence only population based registry
Given the diagnosis "Carcinoma of axillary lymph nodes and lungs, metastatic from breast", what is
the primary cancer site? - answer breast
When is it appropriate to use the category V10, history of malignant neoplasm? - answer primary
malignancy has been eradicated and no adjunct treatment is being given at the time
In order to use the inpatient CPT consultation codes, the consulting physician must... - answer
document his findings in the patients medical record
The best place to ascertain the size of an excised lesion for accurate CPT codes is the ___ ___. -
answer operative report
What is expected to enable hospitals to collect more specific information for use in patient care,
benchmarking, quality assessment, research, public health reporting, strategic planning, and
reimbursement? - answer ICD-10-CM
Case definition is important for all types of registries. Age will certainly be important criterion for
accessing a case in a(n) ____ ___ registry. - answer birth defects
To gather statistics for surgical services provided on an outpatient bases, which type of codes are
needed? - answer CPT
The Cancer Committee at your hospital requests a list of all patients entered into your cancer
registry in the last year. This information would be obtained by checking the ___ ___. - answer
accession register
The reference date for a cancer registry is.. - answer the date when data collection begins
A discharge in which the patient was discharged from the inpatient rehabilitation facility and
returned within three calendar days (prior to midnight on the third day) is called a(n) ____ ___. -
answer interrupted stay
The PPS replaced the Medicare Physician payment system of "customary, prevailing, and reasonable
(CPR)" charges whereby physicians were reimbursed according to their historical record of the
charge for the provision of each service - answer MPFS
A service provided by a physician whose opinion or advice regarding evaluation and/or management
of a specific problem is requested by another physician is referred to as a(n)... - answer consultation
A patient with leukemia is admitted for chemotherapy 5 weeks after experiencing an acute MI. How
will the MI be coded? - answer acute MI with subsequent episode of care
In ICD-9-CM, when an exploratory laparotomy is performed followed by a therapeutic procedure,
the coder lists... - answer therapeutic procedure only
The most widely discussed and debated unique patient identifier is the patient's.. - answer SSN
The Central Office of ICD-9-CM, which published Coding Clinic, is maintained by the... - answer AHA
A nomenclature of codes and medical terms that provides standard terminology for reporting
physicians' services for third party reimbursement is ____. - answer CPT
A cancer program is surveyed for approval by the... - answer CoC
CoC - answer commission on cancer
The nursing staff would most likely use what to facilitate aggregation of data for comparison at local,
regional, national, and international levels? - answer ABC codes
The Level II (national) codes of the HCPCS coding system are maintained by the ___. - answer CMS
,A patient is admitted with alcohol withdrawl suffering from delirium tremens. The patient is a
chronic alcoholic and cocaine addict. What is the principle diagnosis? - answer delirium tremens
A patient is admitted with pneumonia. Cultures are requested to determine the infecting organism.
Which would alert the coder to ask the physician whether or not this should be coded as a gram-
negative pneumonia? - answer pseudomonas
Level I (CPT) codes of the HCPCS coding system are maintained by the ___. - answer AMA
A Patient is seen by a surgeon who determined that an emergency procedure is necessary. Identify
the modifier that may be reported to indicate that the decision to do surgery was made on this
office visit? - answer 57
A patient develops difficulty during surgery and the physician discontinues the procedure. Identify
the modifier that may be reported by the physician to indicate that the procedure was discontinued.
- answer 53
A barrier to widespread use of automated code assignment is ... - answer poor quality of
documentation
In assigning E/M codes, three key components are used. These are.. - answer history, examination,
medical decision making
A patient had an appendectomy. She was taken back to surgery the next day for evacuation of a
hematoma of the wound site. What modifier would be reported for the second visit? - answer 78
The primary goal of a hospital based cancer registry is to .. - answer improve patient care
A secondary data source that houses and aggregates extensive data about patients with a certain
diagnosis is a ___ ___. - answer disease registry
A patient was admitted to the hospital with hemiplegia and aphasia. The hemiplegia and aphasia
were resolved before discharge and the patient was diagnosed with cerebral thrombosis. What is
the correct coding and sequencing? - answer cerebral thrombosis; hemiplegia; aphasia
, A patient was admitted to the hospital for an obstetrical delivery of her third child. During the
admission, a sterilization procedure was performed for contraceptive purposes. the V25.2 code for
sterilization would be assigned as a ___ ___. - answer secondary diagnosis
A population-based cancer registry that is designed to determine rates and trends in a defined
population is a(n) ___ ___ ___ ___ ___. - answer incidence only population based registry
Given the diagnosis "Carcinoma of axillary lymph nodes and lungs, metastatic from breast", what is
the primary cancer site? - answer breast
When is it appropriate to use the category V10, history of malignant neoplasm? - answer primary
malignancy has been eradicated and no adjunct treatment is being given at the time
In order to use the inpatient CPT consultation codes, the consulting physician must... - answer
document his findings in the patients medical record
The best place to ascertain the size of an excised lesion for accurate CPT codes is the ___ ___. -
answer operative report
What is expected to enable hospitals to collect more specific information for use in patient care,
benchmarking, quality assessment, research, public health reporting, strategic planning, and
reimbursement? - answer ICD-10-CM
Case definition is important for all types of registries. Age will certainly be important criterion for
accessing a case in a(n) ____ ___ registry. - answer birth defects
To gather statistics for surgical services provided on an outpatient bases, which type of codes are
needed? - answer CPT
The Cancer Committee at your hospital requests a list of all patients entered into your cancer
registry in the last year. This information would be obtained by checking the ___ ___. - answer
accession register
The reference date for a cancer registry is.. - answer the date when data collection begins
