Uhdds inpatient coding Study guides, Class notes & Summaries

Previous conditions - If the provider has included a diagnosis in the final diagnostic statement, such as the discharge summary or the face sheet, it should ordinarily be coded. Some providers include in the diagnostic statement resolved conditions or diagnoses and status-post procedures from previous admission that have no bearing on the current stay. Such conditions are not to be reported and are coded only if required by hospital policy. However, history codes (categories Z80-Z87) may be...

UHDDS Inpatient Coding Guidelines...

UHDDS Inpatient Coding Guidelines Exam Questions and Answers Codes for symptoms, signs, and ill-defined conditions - Answer️️ -Codes for symptoms, signs, and ill-defined conditions from Chapter 18 are not to be used as principal diagnosis when a related definitive diagnosis has been established. Two or more interrelated conditions, each potentially meeting the definition for principal diagnosis - Answer️️ -When there are two or more interrelated conditions (such as diseases in the...

Admission Following Postoperative Observation - *A patient undergoing outpatient surgery may require postoperative admission to an observation unit to monitor a condition that develops postoperatively.* Principal Diagnosis and " After study" - *The principal diagnosis is NOT the admitting diagnosis* BUT the diagnosis found after workup or surgery that proves to be the reason for admission. UHDDS application - Definitions and guidelines for selection of principal diagnosis and other (seco...

Admission Following Medical Observation - A patient may be treated in a hospital's observation unit to determine if the condition improves sufficiently for the patient to be discharged. If the condition either worsens or doesn't improve, the physician may decide to admit the patient as an inpatient. Principal diagnosis: Report the medical condition that led to the hospital admission. UHDDS application - Originally developed for hospital reporting of inpatient data elements. Application of...

Mary Smith, RHIA, has been charged with the responsibility of designing a data collection form to be used on admission of a patient to the acute-care hospital in which she works. The first resource that she should use is: UHDDS UACDS MDS ORYX - a When the CCI editor flags that a comprehensive code and a component code are billed together for the same beneficiary on the same date of service, Medicare will pay for: The component code but not the comprehensive code The compr...

CCA Exam Prep AHIMA Questions With Complete Solutions (Verified And Updated) Mary Smith, RHIA, has been charged with the responsibility of designing a data collection form to be used on admission of a patient to the acute-care hospital in which she works. The first resource that she should use is: UHDDS UACDS MDS ORYX - answera When the CCI editor flags that a comprehensive code and a component code are billed together for the same beneficiary on the same date of service, Medicare will...

7 yo pt admitted to ED for tx of shortness of breath and given epinephrine and nebulizer tx. Shortness of breath and wheezing are unabated following tx, so what dx should be suspected? - ANSWER Asthma with status asthmaticus Pt admitted with high temp, lethargy, hypotension, tachycardia, oliguria, elevated WBC, and has more than 100K organisms of E. coli per cc of urine. Attending phys documents "urosepsis", so what is the next step for the coder? - ANSWER Since PD is a nonspecific term and...

AHIMA RHIT PRACTICE EXAM-1 2024 *Data Repository* - correct answer This database is used in *every industry to store large amounts of information* Data Modeling - correct answer This is the process of determining a *users information needs and identifying relationships among the data.* *Fee-for-Service* - correct answer A healthcare payment method in which provider *receives payment for services rendered.* Hospital Payment Monitoring Program - correct answer One of the purpose of ...

The second character of the ICD-10-PCS coding system defines the ___________. a. Section b. Body System c. Root Operation d. Body Part e. Qualifier - ANSWER b. Body System Which of the following is the UHDDS definition for principal diagnosis? a. A diagnosis affecting the current hospital stay b. The condition established after study to be chiefly responsible for occasioning the admission c. A condition that coexists as the time of admission d. A condition that aff...