RHIT Classification and Secondary Data Sources

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RHIT Classification and Secondary Data Sources
2013-06-23 18:57:46
RHIT Classification Secondary Data Sources

RHIT Classification and Secondary Data Sources
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  1. A coder notes that a patient is taking prescription pilocarpine. The final diagnoses on the discharge summary are congestive heart failure and diabetes mellitus. The coder should query the physician about adding.
    A. arthritis
    B. Bronchitis
    C. Laryngitis
    D. Glaucoma
    D. Glaucoma
    (this multiple choice question has been scrambled)
  2. ICD-10-CM utilizes a placeholder character. That is used as a 5th digit character placeholder at certain 6 character codes to allow for future expansion. The placeholder character is?
  3. A direction to "code first underlying disease" should be considered
  4. The "cooperating party" responsible for maintaining the ICD-9CM disease classification is the
    Nation Cernter for Health Stats NCHS
  5. Which of the following classification systems was designed with electronic systems in mind is currently being used for problem list, ICU unity, paitent care assessment, data collection, med research, clinical trail, disease survaellance and image d?
  6. The Unified Medical Language System (UMLS) is a project sponsored by the
    National Library of Medicine
  7. Code 402 Hypertensive Heart Disease would be  appropriate in which of the following
    A. Left heart Failure benign hypertension
    B. Congestive heart failure hypertension
    C. Hypertensive cardiovascular disease with congestive heart failure
    D. cardiomegaly with hypertension
    C. Hypertensive cardiovascular disease with congestive heart failure
    (this multiple choice question has been scrambled)
  8. A patient is admitted to the hospital 6 weeks post myocardial infarction with server chest pains. Which is correct?
    A. 413.0   Angina
    B. 413      Old MI
    C. 414.8   Chronic MI
    D. 410.1x  Acute MI
    D. 410.1x  Acute MI - is considered anything under 8 weeks from initial onset
    (this multiple choice question has been scrambled)
  9. A patient with Luekemia is admitted for chemo 5 week after experiencing an acute MI How will the MI be coded
    Acute MI with 5th digit 2 - subsequent episode of care
  10. The nursing staff would most likely use which of the following to facilitate aggregation of data for comparison at local, regional, and international levels
    ABC codes
  11. The Level II codes of HCPCS coding systesm are maintained by the
    Centers for Medicare and Medicaid Services
  12. A patient is admitted with alcohol withdraw suffering from delirium tremens. The patient is a chronic alcoholic and cocaine addict. Which of the following is the principal diagnosis
    A. alcoholic withdraw
    B. Chronic alcoholism
    C. Cociane dependence
    D. Delirium tremens
    D. Delirium tremens
    (this multiple choice question has been scrambled)
  13. A patient is admitted with pnuemonia. Cultures are requested to determine the infecting organism. Which of the following, if present would alert the coder to ask the physician whether or not they should add gram-negative pneumonia
    A. Staphylococcus
    B. Pseudomonas
    C. Clotridium
    D. Listeria
    B. Pseudomonas
    (this multiple choice question has been scrambled)
  14. Level I (CPT) codes of HCPCS are maintained by the
  15. A physician excises a 3.1 malignant lesion of the scalp that requires full-thickness graft from the thigh to the scalp. In CPT, which of the procedures should codes
    excision of lesion; full thickness scalp
  16. A patient is seen by a surgeon who determines the an emergency procedure is necessary. What modifier indicates that the decision to do surgery was made
  17. A patient develops difficulty during surgery and it is discontinued; which modifier
  18. A secondary data source that houses and aggregates extensive data about patients with a certain diagnosis is
    disease registry
  19. Is IUD embedded in uterine wall a mechanical complication?
  20. Is inflammation of urethra due to indwelling catheter a mechanical complication?
  21. A population based cancer registry that is designed to determine rates and trends in a defined population is
    incidence-only population-based registry
  22. In regard to quality coding, the degree to which the same results (same codes) are obtained by different coders or on multiple attempts by the same coders refers to
  23. The method of calculating errors in a coding audit that allows for benchmarking with other hospitals and permits the reviewer to track errors by case types is the
    records over records method
  24. The most common type of registry is the
    Cancer registry
  25. A patient is seen in the ER with Tachycardia and hypo tension. The patient had received an injection of tetanus toxid correctly earlier.
    hypotension, tachycardia, therapeutic use E code tetanus toxid
  26. A PEG procedure would be used to facilitate
  27. What ICD-9CM coding scheme is used to show that a therapeutic abortion resulted in a live fetus?
    code 644.21, early onset of deliver; V27 code (outcome of deliver)
  28. Prolong pregnancy is a pregnancy that has advanced beyond how many weeks
  29. The code structure for ICD-10-CM consists of
    3 to 7 characters
  30. In ICD-10 to code removal of thumnail the root operation would be
  31. In ICD-10 if no laterality is identified in the medical record, but it is a bilateral procedure then you
    assign separate codes for both the left and right side
  32. An example of a valid code in ICD-10 is
    A. Z2358.J
    B. BJRT23x
    C. 576.212D
    D. 329.6677
    C. 576.212D
    (this multiple choice question has been scrambled)