CIC INPATIENT CODING STUDY EXAM GUIDE VERIFIED 2024 (SCORES 100%)

Your hospital uses and EHR for all documentation of all services, including coding and billing. Your town is hit with a tornado and your hospital is badly damaged including the servers, network connections and computers. How do you provide medical records for patients transferred to other facilities for their care? - CORRECT ANSWER-You obtain copes from your disaster recovery server because HIPAA requires records to be secure and protected you have to have a downtime process in place for facilities with EHR's and you have a disaster recovery pan in place. This may include a disaster recovery company that houses your data and provides you with backup equipment in times of a disaster or you have off-site storage to get copies of needed medical information. Which of the following describes a violation of HIPAA's privacy rule? - CORRECT ANSWER-A nurse and an orderly at a state hospital discussed the HIV/AIDS status of a patient in earshot of other patients Which of the following diseases is a malignancy of the lymphatic system? - CORRECT ANSWER-Hodgkin's disease A drug which ends in the suffix -pril is considered a(n) - CORRECT ANSWER-ACE inhibitor A drug which ends in the suffix -vir is considered a(n) - CORRECT ANSWER-Antiviral A drug which ends in the suffix -olol is considered a(n) - CORRECT ANSWER-Beta blocker A drug which ends in the suffix -itidine is considered a(n) - CORRECT ANSWER-H2 antagonist A patient is admitted with neck pain following a collision with another softball player at a community baseball field. The diagnosis at the time of discharge is right internal carotid artery dissection likely secondary to trauma. The diagnoses coded for this injury are - CORRECT ANSWER-I77.71, W51.XXXA, Y93.64, Y92.320 How many diagnostic categories (MDCs) are in the MS-DRG system? - CORRECT ANSWER-25 What POA indicator would you use for the following scenario? A 45 yr old female presents to the ER with shortness of breath, cough and a high fever. The ER doctor gets a chest x-ray which indicates pneumonia so he admits the patient. Shortly after admission the patient deteriorates and develops sepsis. In his discharge summary the doctor indicates the patient's diagnoses as sepsis secondary to pneumonia, organism unknown. A query of the physician indicates it is unknown if the patient was septic prior to admission. What POA indicator would you assign for sepsis? - CORRECT ANSWERPOA W. Means that the provider was unable to determine whether the condition was present on admission or not. What is the correct CMS definition for POA indicator W? - CORRECT ANSWERClinically undetermined. Provider unable to clinically determine whether the condition was present at the time of inpatient admission. It is required by CMS that all hospitals submit POA indicator for all primary and secondary diagnosis that are present upon admission to the hospital. This POA indicator helps to determine reimbursement for existing conditions and helps track hospital acquired conditions. The inpatient admission certification must be signed by whom? - CORRECT ANSWERThe admitting or attending physician A 74 year old Medicare patient is seen in the outpatient cardiac catheterization department of the hospital for atypical chest pain. The left heart catheterization reveals that the patient has 3-vessel coronary artery disease. The patient returns to the hospital two days later with a Non-STEMI and is taken to the operation room for a 3-vessel CABG. Under what Medicare rule will the left heart catheterization technical component be bundled into the inpatient stay? - CORRECT ANSWER-Three day payment window Which type of DRG system uses degrees of severity of Illness and Risk of Mortality to determine the DRG? - CORRECT ANSWER-APR-DRG Under the OPPS,-----is a term that refers to an item that will not receive separate payment because it is considered an integral part of another service that is paid under the OPPS. - CORRECT ANSWER-Packaging/Bundling Under APCs payment status indicator C Indicates: - CORRECT ANSWER-Inpatient only procedure If a patient is admitted for surgery, The Joint Commission requires that a history and physical be available for review in the patient's medical record: - CORRECT ANSWERNo more than 30 days prior to surgery, or within 24 hours after admission, but, prior to the surgery The local coverage determination provided discusses coverage for inpatient, observation and outpatient services. Based on the guidelines in the LCD which statement is true: - CORRECT ANSWER-(1)Condition Code 44 can only be applied to a claim if the physician changes the patient status from inpatient to outpatient prior to discharge. (2)Condition Code 44 is reported on the outp