a 45-year-old female is admitted for blood loss anemia due to
dysfunctional uterine bleeding.
a. D50.0, N93.8
b. D62, N93.8
c. N93.8, D50.0
d. D50.0, D25.9 Correct Answer a. D50.0, N93.8
A denial of a claim is possible for all of the following reasons
except:
a. Not meeting medical necessity
b. Billing too many units of a specific service
c. Unbundling
d. Approved precertification Correct Answer d. approved
precertification
a misrepresentation that an individual knows to be false and
knows could result in an unauthorized benefit to some other
person is an example of ____________.
a. abuse
b. ethical behavior
c. fraud
d. leading query Correct Answer c. fraud
a patient is admitted with acute exacerbation of COPD, chronic
renal failure, and hypertension.
,a. J44.1, J44.9, I12.9, N18.9
b. J44.1, N18.9, I10
c. J44.9, N18.9, I10
d. J44.1, I12.9, N18.9 Correct Answer d. J44.1, I12.9, N18.9
a patient is admitted with spotting. she had been treated two
weeks previously for a miscarriage with sepsis. the sepsis had
resolved, and she is afebrile at this time. she is treated with am
aspiration dilation and curettage and products of conception are
found. which of the following should be the principal diagnosis?
a. miscarriage
b. complications of spontaneous abortion with sepsis
c. sepsis
d. spontaneous abortion with sepsis Correct Answer a.
miscarriage
a patient's clinical data documents all but which of the
following?
a. diagnoses
b. procedures
c. financial information
d. test results Correct Answer c. financial information
A record of all transactions in the computer system that is
maintained and reviewed for unauthorized access is called a(n):
a. Security breach
b. Audit trail
c. Unauthorized access
d. Privacy trail Correct Answer b. audit trail
,a special webpage that offers secure access to data is called a(n)
__________.
a. access control
b. home page
c. intranet
d. portal Correct Answer d. portal
a valid authorization must contain all of the following except:
a. a description of the information to be used or disclosed
b. a signature and stamp by a notary
c. a statement that the information being used or disclosed may
be subject to redisclosure by the recipient
d. an expiration date or event Correct Answer b. a signature
and stamp by a notary
According to CPT, a repair of a laceration that includes retention
sutures would be considered what type of closure?
a. simple
b. intermediate
c. complex
d. not specified Correct Answer c. complex
all documentation entered in the medical record relating to the
patient's diagnosis and treatment is considered __________ data.
a. clinical
b. identification
c. secondary
, d. financial Correct Answer a. clinical
all of the following should be part of the core areas of a coding
compliance plan except ___________.
a. physician query process
b. correct use of encoder software
c. coding diagnoses supported by medical record documentation
d. tracking length of stay Correct Answer d. tracking length of
stay
an electrolyte panel (80051) in the laboratory section of CPT
consists of tests for carbon dioxide (82374), chloride (82435),
potassium (84132), and sodium (84295). if each of the
component codes are reported and billed individually on a claim
form, this would be a form of ________
a. optimizing
b. unbundling
c. sequencing
d. classifying Correct Answer b. unbundling
An encoder that is built using expert system techniques such as
rule-based systems is a(n):
a. Encoder interface
b. Logic-based encoder
c. Automated code book encoder
d. Grouper Correct Answer b. logic based encoder
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