Verified Answers | A+
which medicare part is reimbursed based on the
risk adjustment models - ANSWER -part c
which regulation strengthens HIPAA rules by
addressing privacy and security concerns
who typically employs risk adjustment coders - associated with the electronic transmission of
ANSWER -health plans health information - ANSWER -Health
Information Technology for Economic and
Clinical Health Act (HITECH)
is a health plan required to follow the minimum
necessary rule - ANSWER -yes, health
plans are covered entities and are therefore what is coding - ANSWER -translating a
required to follow the minimum necessary rule written or dictated medical record into a series of
alphanumeric codes
what is an example of fraud - ANSWER -
reporting a diagnosis or co-morbidity that does which organ is in the thoracic cavity -
not exist to obtain higher reimbursement ANSWER -lungs
which part of medicare is also called medicare what does the term distal indicate -
advantage - ANSWER -part c ANSWER -farther from the point of
attachment
which health insurance assistance program is
sponsored by federal and state governments - blood is received back into the left atrium of the
ANSWER -medicaid heart through.... - ANSWER -pulmonary
veins
what OIG document should a medicare
advantage participant review for potential the root of the nail is also known as what -
problem areas that will receive special scrutiny in ANSWER -germinal matrix
the upcoming year - ANSWER -OIG work
plan
the documentation states: Past Surgical history:
she had a lumpectomy of the breast for DCIS 12
which code set is used by risk adjustment coders years ago which successfully eradicated the CA
- ANSWER -icd-10-cm
, AAPC CRC Study Guide Test Questions With 100%
Verified Answers | A+
how would this be reported - ANSWER - with a TIA - ANSWER -g45.9
personal history of breast cancer
the physician was called to the hospital floor for
the documentation states: soft druse, some the medical management of a patient admitted
calcified one day ago with a reduced oxygen level due to
aspiration pneumonia and COPD. no chest pain
what system would have this documentation - at present, but still SOB and some swelling in his
ANSWER -ocular lower extremities. patient was tachypneic
yesterday; lungs reveal course crackles in both
bases, right worse than left. the physician writes
instructions to continue with intravenous antibiotic
which organ does pulmonary refer to - treatment and respiratory support with ventilator
ANSWER -lungs management. he reviewed the chest X-ray which
shows gastric contents in the lungs and labs.
patient is improving and a pulmonary consultation
has been requested - ANSWER -j69.0,
what is a PEG tube - ANSWER -a tube t17.810a, j44.9
inserted into the stomach for long term feeding
a patient with chronic DVT in the lower leg
angina pectoris refers to which system - requires heparin to maintain therapeutic
anticoagulation levels. he has regular PTTs
ANSWER -cardiovascular
drawn to monitor his level of anticoagulation -
ANSWER -i82.5z1, z79.01
what is cholelithiasis - ANSWER -stones in
the gallbladder
ch. 3, question 5
diagnosis with severe exacerbation of chi, poorly
controlled hon, and worsening ckd and acute
a patient with diabetes type 2 presents with ED.
after examination, the provider diagnosis the renal failure - ANSWER -i13.0, i50.9, n17.9,
patient with ED due to diabetic autonomic n18.9
neuropathy. - ANSWER -e11.43, n52.1
a patient suffering an abdominal aortic aneurysm
involving the renal undergoes endovascular
a patient is transported from the nursing home
repair deploying a fenestrated visceral autograft
for facial drooping, slurred speech, and
using 2 visceral artery endoprostheses -
dizziness. the patient was admitted for testing.
after an MRI, the provider diagnosed the patient ANSWER -i71.4, i72.2