The main term represents the most basic aspect of a disease or condition. For example, the main term of a diagnosis involving a broken arm is
A. broken. B. break. C. fracture. D. arm.
Performing a daily check for viruses and malware is one of the
A. requirements of the Help Desk. B. routine aspects of software maintenance. C. sensible guidelines for Internet use in health care facilities. D. functions of HIM encoders.
A coder overhears a confidential statement made outside of the court, and then, when called to testify, repeats the statement as being truth. This is an example of
A. cross-examination. B. hearsay. C. speculation. D. a direct quote.
A patient receives two venous pressure clamps for hemodialysis. What HCPCS Level II code is assigned?
A. A4751 B. A4751 × 2 C. A4918 × 2 D. A4918
The process of removing tissue for histopathology is called
A. shaving. B. debridement. C. excision. D. biopsy.
A coder would assign modifier -53 to report
A. dental procedures. B. repeat procedures. C. anesthesia administration. D. procedures cancelled due to the patient’s condition.
Alternative dispute resolution (ADR) allows
A. resolving medical malpractice suits by submitting pretrial depositions. B. lawyer-to-lawyer mediation during trial recess. C. mediating disputes with a judge in the presence of the bailiff. D. litigants to resolve disputes prior to or after the start of litigation.
Code range 99231–99233 pertains to
A. initial hospital care. B. subsequent hospital care. C. consultation services. D. hospital discharge services.
A patient comes to the emergency room complaining of abdominal pain, nausea, and intractable vomiting. Unable to pinpoint the source of the patient’s complaints, the physician decides to admit the patient to the hospital. After conducting a complete history and examination, the patient’s final diagnosis is determined to be chronic duodenal ulcer. The patient remains hospitalized for three days. The physician sees the patient on the day of discharge. What ICD-10 and CPT codes are assigned?
A. 99234, N17.9 B. 99223, I48.91 C. 99238, K26.7 D. 99291, D63.1
The specific guidelines that constitute a valid release of information under the HIPAA Privacy Rule are described as
A. OIG specifications. B. E/M levels. C. considerations in relation to risk management. D. core elements.
The suffix –centesis means
A. abnormal condition. B. calculus or stone. C. a surgical puncture for fluid removal. D. separation, breakdown, destruction.