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Últimos notas y resúmenes Ultimate Medical Academy
The term used to indicate that the service or procedure is reasonable and necessary for the diagnosis or treatment of illness or injury consistent with generally accepted standards of care is 
 
1. appropriateness. 
2. evidence-based medicine. 
3. benchmarking. 
4. medical necessity. 
(Ans- 4. medical necessity. 
 
Use the following table to answer the question. 
(See the word file) 
This information is the numerical identification of the service or supply. Each item has a unique number with a...
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The term used to indicate that the service or procedure is reasonable and necessary for the diagnosis or treatment of illness or injury consistent with generally accepted standards of care is 
 
1. appropriateness. 
2. evidence-based medicine. 
3. benchmarking. 
4. medical necessity. 
(Ans- 4. medical necessity. 
 
Use the following table to answer the question. 
(See the word file) 
This information is the numerical identification of the service or supply. Each item has a unique number with a...
Identify the correct root operation, used in ICD-10-PCS, for the following: 
 
Excision gallbladder 
 
1. removal 
2. resection 
3. excision 
4. incision 
(Ans- 2. resection 
 
In ICD-10-PCS, a 1-year-old child was left in a car for 5 hours during a blizzard with extreme drop in temperature. In the hospital, hyperthermia is used to raise the child's body temperature back to normal. One session was completed. 
 
1. 6A3Z0ZZ 
2. 6A4Z0ZZ 
3. 6AB50BZ 
4. 6A550Z0 
(Ans- 1. 6A3Z0ZZ 
 
A patient is a...
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Identify the correct root operation, used in ICD-10-PCS, for the following: 
 
Excision gallbladder 
 
1. removal 
2. resection 
3. excision 
4. incision 
(Ans- 2. resection 
 
In ICD-10-PCS, a 1-year-old child was left in a car for 5 hours during a blizzard with extreme drop in temperature. In the hospital, hyperthermia is used to raise the child's body temperature back to normal. One session was completed. 
 
1. 6A3Z0ZZ 
2. 6A4Z0ZZ 
3. 6AB50BZ 
4. 6A550Z0 
(Ans- 1. 6A3Z0ZZ 
 
A patient is a...
A patient was admitted with severe sepsis due to MRSA with septic shock and acute respiratory failure with hypoxia. 
 
1. A49.01, R65.21, J96.01 
2. A41.02, R65.21, J96.01 
3. R65.21, A41.02, J96.02 
4. J96.01, R65.21, A41.02 
(Ans- 2. A41.02, R65.21, J96.01 
 
In ICD-10-PCS, facelift, open 
 
1. 0WU20KZ 
2. 0WQ20ZZ 
3. 0WB20ZZ 
4. 0W020ZZ 
(Ans- 4. 0W020ZZ 
 
A newborn infant is born in the hospital, vaginal delivery, with a unilateral hard cleft palate and cleft lip. 
 
1. Q37.1, Z38.00 
2. ...
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A patient was admitted with severe sepsis due to MRSA with septic shock and acute respiratory failure with hypoxia. 
 
1. A49.01, R65.21, J96.01 
2. A41.02, R65.21, J96.01 
3. R65.21, A41.02, J96.02 
4. J96.01, R65.21, A41.02 
(Ans- 2. A41.02, R65.21, J96.01 
 
In ICD-10-PCS, facelift, open 
 
1. 0WU20KZ 
2. 0WQ20ZZ 
3. 0WB20ZZ 
4. 0W020ZZ 
(Ans- 4. 0W020ZZ 
 
A newborn infant is born in the hospital, vaginal delivery, with a unilateral hard cleft palate and cleft lip. 
 
1. Q37.1, Z38.00 
2. ...
Etiologies of dementia include 
 
1. ischemia. 
2. brain tumors. 
3. trauma. 
4. all answers apply. 
(Ans- 4. all answers apply. 
 
A surgical procedure that is performed to realign and stabilize a fractured femur with a rod and screws is referred to as a(n) 
 
1. closed reduction with external fixation. 
2. open reduction with internal fixation. 
3. closed reduction with internal fixation. 
4. osteotomy. 
 (Ans- 2. open reduction with internal fixation. 
** Open reduction and internal fixation...
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Etiologies of dementia include 
 
1. ischemia. 
2. brain tumors. 
3. trauma. 
4. all answers apply. 
(Ans- 4. all answers apply. 
 
A surgical procedure that is performed to realign and stabilize a fractured femur with a rod and screws is referred to as a(n) 
 
1. closed reduction with external fixation. 
2. open reduction with internal fixation. 
3. closed reduction with internal fixation. 
4. osteotomy. 
 (Ans- 2. open reduction with internal fixation. 
** Open reduction and internal fixation...
A patient has end-stage kidney disease, which resulted from malignant hypertension. 
 
1. I13.11, N18.6 
2. I15.1, N18.6 
3. I12.0, N18.6 
4. I10, N18.6 
(Ans- 3. I12.0, N18.6 
** Note: know difference between Hypertensive kidney disease and Hypertensive heart and kidney disease 
 
A patient has intractable status epilepticus. 
 
1. G40.201 
2. G40.319 
3. G40.301 
4. G40.311 
(Ans- 4. G40.311 
 
A patient is admitted with bleeding esophageal varices with alcoholic liver cirrhosis and portal h...
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A patient has end-stage kidney disease, which resulted from malignant hypertension. 
 
1. I13.11, N18.6 
2. I15.1, N18.6 
3. I12.0, N18.6 
4. I10, N18.6 
(Ans- 3. I12.0, N18.6 
** Note: know difference between Hypertensive kidney disease and Hypertensive heart and kidney disease 
 
A patient has intractable status epilepticus. 
 
1. G40.201 
2. G40.319 
3. G40.301 
4. G40.311 
(Ans- 4. G40.311 
 
A patient is admitted with bleeding esophageal varices with alcoholic liver cirrhosis and portal h...
) A critical early step in designing an EHR is to develop a(n) ________in which the characteristics of each data element are defined. 
 
A) Accreditation manual 
B) Core content 
C) Continuity of care record 
D) Data dictionary 
(Ans- D) Data dictionary 
 
(2) Once hospital discharge abstract systems were developed and their ability to provide comparative data to hospitals was established, it became necessary to develop: 
 
A) Data sets 
B) Data elements 
C) Electronic data interchange 
D) Bi...
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) A critical early step in designing an EHR is to develop a(n) ________in which the characteristics of each data element are defined. 
 
A) Accreditation manual 
B) Core content 
C) Continuity of care record 
D) Data dictionary 
(Ans- D) Data dictionary 
 
(2) Once hospital discharge abstract systems were developed and their ability to provide comparative data to hospitals was established, it became necessary to develop: 
 
A) Data sets 
B) Data elements 
C) Electronic data interchange 
D) Bi...
If a patient has an excision of a malignant lesion of the skin, the CPT code is determined by the body area from which the excision occurs and which of the following? 
 
A) Length of the lesion as described in the pathology report 
B) Dimension of the specimen submitted as described in the pathology report 
C) Width times the length of the lesion as described in the operative report 
D) Diameter of the lesion as well as the margins excised as described in the operative report 
(Ans - D) Diameter...
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If a patient has an excision of a malignant lesion of the skin, the CPT code is determined by the body area from which the excision occurs and which of the following? 
 
A) Length of the lesion as described in the pathology report 
B) Dimension of the specimen submitted as described in the pathology report 
C) Width times the length of the lesion as described in the operative report 
D) Diameter of the lesion as well as the margins excised as described in the operative report 
(Ans - D) Diameter...
Abbreviated Injury Scale (AIS) 
(Ans- An anatomically-based, consensus-derived global severity scoring system that classifies each injury by region according to its relative importance on a 6-point ordinal scale (1 = minor and 6 = maximal). AIS is the basis for the Injury Severity Score (ISS) calculation of the multiply injured patient (AAAM 2008) 
 
Abbreviations 
(Ans- Shortened forms of words or phrases; in healthcare, when there is more than one meaning for an approved abbreviation, only o...
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Abbreviated Injury Scale (AIS) 
(Ans- An anatomically-based, consensus-derived global severity scoring system that classifies each injury by region according to its relative importance on a 6-point ordinal scale (1 = minor and 6 = maximal). AIS is the basis for the Injury Severity Score (ISS) calculation of the multiply injured patient (AAAM 2008) 
 
Abbreviations 
(Ans- Shortened forms of words or phrases; in healthcare, when there is more than one meaning for an approved abbreviation, only o...
As the compliance officer for a large physician practice group, you are interested in researching the original requirements for meaningful use of certified EHRs for use in an upcoming presentation. You begin by googling (Ans- HITECH Act 
 
A major contribution to a successful CDI program is the ability of the CDI specialist to demonstrate to the medical staff as well as to administration the powerful impact that precise documentation has on the internal and external data reporting. In this role,...
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As the compliance officer for a large physician practice group, you are interested in researching the original requirements for meaningful use of certified EHRs for use in an upcoming presentation. You begin by googling (Ans- HITECH Act 
 
A major contribution to a successful CDI program is the ability of the CDI specialist to demonstrate to the medical staff as well as to administration the powerful impact that precise documentation has on the internal and external data reporting. In this role,...
reasonable accommodations 
(Ans- disabled 
accommodations might include altering their work schedule, modifying office equipment or software 
 
performance standards 
 (Ans- managers report amount, efficiency and quality of work being done. 
Employees need to know expectations 
 
Performance appraisal 
 (Ans- review and evaluation methods used to assess employee and team performance 
360 performance appraisal method utilizes team members as part of the appraisal process 
 
coding productivity...
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reasonable accommodations 
(Ans- disabled 
accommodations might include altering their work schedule, modifying office equipment or software 
 
performance standards 
 (Ans- managers report amount, efficiency and quality of work being done. 
Employees need to know expectations 
 
Performance appraisal 
 (Ans- review and evaluation methods used to assess employee and team performance 
360 performance appraisal method utilizes team members as part of the appraisal process 
 
coding productivity...