CCDS WITH VERIFIED ANSWER
A. Bleeding gastric ulcer - CORRECT ANSWER -A patient is admitted from
the emergency department (ED) with a diagnosis of weakness and
anemia. After admission and further treatment with packed red blood cells
(PRBC), GI consult, and endoscopy, the physician includes the following
diagnoses in the discharge summary: anemia, suspected bleeding gastric
ulcer, and GERD. What would be the most appropriate principle diagnosis?
A.Bleeding gastric ulcer
B.Anemia
C.GERD
D. Weakness
B. Neoplasm of occipital region - CORRECT ANSWER -A patient is
admitted with new-onset seizures. Head CT reveals a mass in the occipital
region. The physician documents possible brain tumor, and the patient is
transferred to another hospital for further workup. What would be the
most appropriate principal diagnosis based upon this documentation?
A.Seizure
B.Neoplasm of occipital region
C.Head mass
D. Head tumor
C. 1,2, and 3
1.Calculated annually
2.Dependent upon indirect costs for graduate medical education and new
technology
3.Adjusted based upon number of low-income patients cared for -
CORRECT ANSWER -A hospital's base rate or blended rate is:
CCDS WITH VERIFIED ANSWER
,1.Calculated annually
2.Dependent upon indirect costs for graduate medical education and new
technology
3.Adjusted based upon number of low-income patients cared for
4.Not adjusted based upon capital expenses
A. 1 and 2
B.2 and 3
C.1,2, and 3
D. 1,2,3, and 4
D. Reflect the severity of illness (SOI) and resource consumption of the
patient's care - CORRECT ANSWER -The final MS-DRG assigned to a
patient's medical record should:
A.Reflect the amount of time the physician spent with the patient
B.Depend upon the patient's length of stay
C.Be assigned by the physician
D. Reflect the severity of illness (SOI) and resource consumption of the
patient's care
C. Poisoning - CORRECT ANSWER -A patient is admitted from the
emergency department with the diagnosis of acute respiratory failure due
to overdose of pain medication and an aspiration pneumonia. What is the
principal diagnosis?
A.Acute respiratory failure
B.Aspiration pneumonia
C.Poisoning
D. Adverse effect of medication
CCDS WITH VERIFIED ANSWER
,D. All of the conditions should be coded - CORRECT ANSWER -A patient
is admitted with pneumonia, stage 1 chronic renal failure, chronic anemia,
and COPD, While hospitalized the patient receives IV antibiotics, inhalers,
oxygen, IV fluids at 50mL/hr, and iron tablets. Keeping the guidelines for
coding of secondary diagnoses in mind, which condition should be coded?
A.Pneumonia only
B.Pneumonia and COPD only
C.Pneumonia, COPD, and anemia
D. All of the conditions should be coded
D. Fractured ulna - CORRECT ANSWER -Which of the following is an
example of a hospitalacquired condition?
A.Fat embolism
B.IV phlebitis
C.Pneumonia
D. Fractured ulna
C. A diagnosis that is listed as possible in the history and physical -
CORRECT ANSWER Which of the following is an example of
documentation that would meet the present on admission criteria for
coding?
A.A diagnosis that is indicated in the history and physical and ruled out in
the discharge
summary
B.A diagnosis found in a previous medical record
C.A diagnosis that is listed as possible in the history and physical
D. An acute condition identified on the third day of admission
CCDS WITH VERIFIED ANSWER
, A. Colon cancer - CORRECT ANSWER -A patient is admitted with
abdominal pain and the history and physical indicated a diagnosis of
probable colon cancer. On day two, the physician documents acute renal
failure in the progress notes and the patient receives IV fluids. The
discharge summary lists possible metastatic colon cancer and acute renal
failure. The principal diagnosis would be:
A.Colon cancer
B.Acute renal failure
C.Abdominal pain
D. Metastatic neoplasm of the colon
D. 1,2, and 3
1.Include identification of the patient's SOI
2.Identify conditions that are present on admission
3.Support medical necessity - CORRECT ANSWER -Accurate
documentation should:
1.Include identification of the patient's SOI
2.Identify conditions that are present on admission
3.Support medical necessity
A.1 and 2
B.2 and 3
C.1 and 3
D. 1,2, and 3
B. Anemia - CORRECT ANSWER -A patient with a history of metastatic
lung cancer is directly admitted from the doctor's office with a diagnosis of
anemia secondary to chemotherapy. The patient receives two units of
CCDS WITH VERIFIED ANSWER
A. Bleeding gastric ulcer - CORRECT ANSWER -A patient is admitted from
the emergency department (ED) with a diagnosis of weakness and
anemia. After admission and further treatment with packed red blood cells
(PRBC), GI consult, and endoscopy, the physician includes the following
diagnoses in the discharge summary: anemia, suspected bleeding gastric
ulcer, and GERD. What would be the most appropriate principle diagnosis?
A.Bleeding gastric ulcer
B.Anemia
C.GERD
D. Weakness
B. Neoplasm of occipital region - CORRECT ANSWER -A patient is
admitted with new-onset seizures. Head CT reveals a mass in the occipital
region. The physician documents possible brain tumor, and the patient is
transferred to another hospital for further workup. What would be the
most appropriate principal diagnosis based upon this documentation?
A.Seizure
B.Neoplasm of occipital region
C.Head mass
D. Head tumor
C. 1,2, and 3
1.Calculated annually
2.Dependent upon indirect costs for graduate medical education and new
technology
3.Adjusted based upon number of low-income patients cared for -
CORRECT ANSWER -A hospital's base rate or blended rate is:
CCDS WITH VERIFIED ANSWER
,1.Calculated annually
2.Dependent upon indirect costs for graduate medical education and new
technology
3.Adjusted based upon number of low-income patients cared for
4.Not adjusted based upon capital expenses
A. 1 and 2
B.2 and 3
C.1,2, and 3
D. 1,2,3, and 4
D. Reflect the severity of illness (SOI) and resource consumption of the
patient's care - CORRECT ANSWER -The final MS-DRG assigned to a
patient's medical record should:
A.Reflect the amount of time the physician spent with the patient
B.Depend upon the patient's length of stay
C.Be assigned by the physician
D. Reflect the severity of illness (SOI) and resource consumption of the
patient's care
C. Poisoning - CORRECT ANSWER -A patient is admitted from the
emergency department with the diagnosis of acute respiratory failure due
to overdose of pain medication and an aspiration pneumonia. What is the
principal diagnosis?
A.Acute respiratory failure
B.Aspiration pneumonia
C.Poisoning
D. Adverse effect of medication
CCDS WITH VERIFIED ANSWER
,D. All of the conditions should be coded - CORRECT ANSWER -A patient
is admitted with pneumonia, stage 1 chronic renal failure, chronic anemia,
and COPD, While hospitalized the patient receives IV antibiotics, inhalers,
oxygen, IV fluids at 50mL/hr, and iron tablets. Keeping the guidelines for
coding of secondary diagnoses in mind, which condition should be coded?
A.Pneumonia only
B.Pneumonia and COPD only
C.Pneumonia, COPD, and anemia
D. All of the conditions should be coded
D. Fractured ulna - CORRECT ANSWER -Which of the following is an
example of a hospitalacquired condition?
A.Fat embolism
B.IV phlebitis
C.Pneumonia
D. Fractured ulna
C. A diagnosis that is listed as possible in the history and physical -
CORRECT ANSWER Which of the following is an example of
documentation that would meet the present on admission criteria for
coding?
A.A diagnosis that is indicated in the history and physical and ruled out in
the discharge
summary
B.A diagnosis found in a previous medical record
C.A diagnosis that is listed as possible in the history and physical
D. An acute condition identified on the third day of admission
CCDS WITH VERIFIED ANSWER
, A. Colon cancer - CORRECT ANSWER -A patient is admitted with
abdominal pain and the history and physical indicated a diagnosis of
probable colon cancer. On day two, the physician documents acute renal
failure in the progress notes and the patient receives IV fluids. The
discharge summary lists possible metastatic colon cancer and acute renal
failure. The principal diagnosis would be:
A.Colon cancer
B.Acute renal failure
C.Abdominal pain
D. Metastatic neoplasm of the colon
D. 1,2, and 3
1.Include identification of the patient's SOI
2.Identify conditions that are present on admission
3.Support medical necessity - CORRECT ANSWER -Accurate
documentation should:
1.Include identification of the patient's SOI
2.Identify conditions that are present on admission
3.Support medical necessity
A.1 and 2
B.2 and 3
C.1 and 3
D. 1,2, and 3
B. Anemia - CORRECT ANSWER -A patient with a history of metastatic
lung cancer is directly admitted from the doctor's office with a diagnosis of
anemia secondary to chemotherapy. The patient receives two units of
CCDS WITH VERIFIED ANSWER
