answered to pass
According to the UHDDS, the definition of a secondary diagnosis is a condition that: - correct
answer ✔✔Receives clinical evaluation, therapeutic treatment, further evaluation, extends the
length of stay, increases nursing monitoring and care
The most challenging type of provider query is issued for: - correct answer ✔✔Establishing
clinical validation
A facility recently implemented a computer-assisted coding (CAC) program to assist their coding
staff. Since that time, the coding manager has found that one coder, who previously struggled to
meet productivity, is now leading the coding staff in productivity. A review shows that he is
accepting all CAC suggested codes without validation. Is there an ethical issue here? - correct
answer ✔✔The Standards of Ethical Coding from AHIMA state that CAC programs should be
used as a tool, but require coding professionals to use their knowledge in order to assign the
correct codes
Facilities may use X modifiers in place of which modifier? - correct answer ✔✔59
According to the UHDDS, section III, the definition of other diagnoses is all conditions that: -
correct answer ✔✔The UHDDS item 11-b defines other diagnoses as "all conditions that coexist
at the time of admission, that develop subsequently or that affect the treatment received or the
length of stay"
A patient's discharge summary does not contain a diagnosis that is documented by the
anesthesiologist in a preoperative evaluation and that the diagnosis would impact MS-DRG
assignment. The coder finds no evidence that the diagnosis contradicts documentation from the
attending physician. The coder should: - correct answer ✔✔The anesthesiologist is a provider
participating in the patient's care. As long as the anesthesiologist's documentation does not