Query the physician - Study guides, Class notes & Summaries

RHIT (Coding) EXAM PRACTICE Questions and Answers Latest Updated 2024/2025 (Graded A+) According to CPT, a repair of a laceration that includes retention sutures would be considered what type of closure? A) Complex B) Intermediate C) Not specified D) Simple - ANSWER-A) Complex (115) The patient was admitted with nausea, vomiting and abdominal pain. The physician documents the following on the discharge summary: acute cholecystitis, nausea, vomiting and abdominal pain. Which of the follo...

An insurance and coding specialist is reviewing a patient's encounter form that is documented in the medical record prior to competing a CMS-1500 form. She notices that the physician upcoded the encounter form. The specialist has the ethical obligation to first Correct Answer: query the physician A patient had surgery two weeks ago to repair a dislocated ankle, and returns today to have a flexor tendon in the hand repaired. Which of the following modifiers should be reported for today's se...

A coder notes that the patient is taking prescribed Haldol. The final diagnoses on the progress notes include diabetes mellitus, acute pharyngitis, and malnutrition. What condition might the coder suspect the patient has that the physician should be queried to confirm? - Answer Mental or behavior problems In conducting a qualitative review, the clinical documentation specialist sees that the nursing staff has documented the patient's skin integrity on admission to support the presence of ...

CCS Practice Exam 2 Complete QueA 23 year old female is admitted for vaginal bleeding following a miscarriage two weeks prior to this admission. She afebrile at this time and is treated with an aspiration dilation and curettage. Products of conception are found. Which of the following should be the principle diagnosis? a. O03.1, Delayed or excessive hemorrhage following incomplete spontaneous abortion b. O08.1, Delayed or excessive hemorrhage following ectopic and molar pregnancy c. R57.9, Sh...

A 65-year-old white male was admitted to the hospital on 1/15 complaining of abdominal pain. The attending physician requested an upper GI series and laboratory evaluation of CBC and UA. The x-ray revealed possible cholelithiasis, and the UA showed an increased white blood cell count. The patient was taken to surgery for an exploratory laparoscopy, and a ruptured appendix was discovered. The chief complaint was: a. Abdominal pain b. Cholelithiasis c. Exploratory laparoscopy d. Rupt...

Certified Coding Specialist (CCS) Final Exam Questions and Answers Latest Updated 2024/2025 | Scored A+. A patient is treated for esophageal varices with hemorrhage due to cirrhosis. The diagnostic codes that would be assigned are: I85.01 Esophageal varices with bleeding I85.11 Secondary esophageal varices with bleeding Certified Coding Specialist (CCS) Final Exam Prep Questions and Answers | Latest Updated 2024/2025 | Scored A+ K74.60 Unspecified cirrhosis of liver - correct answer d. K7...

CCS Practice Medical Billing Exam Review with 100% Correct Answers |LATEST!!| The prospective payment system used to reimburse home health agencies for patients with Medicare utilizes data from the MDS (Minimum Data Set). OASIS (Outcome and Assessment Information Set). UHDDS (Uniform Hospital Discharge Data Set). UACDS (Uniform Ambulatory Core Data Set). *Ans* OASIS (Outcome and Assessment Information Set). This is the amount collected by the facility for the services it bills. char...

Clinical Documentation Toolkit Questions and Answers 2024 What is CDI? Any manual or electronic notation made by a clinical care provider or their authorized "medical scribe." What is the purpose of CDI? The diagnosis and procedures documented in the record need to be clearly supported by clinical indicators so that the ICD-10-CM/PCS codes assigned are accurate and correctly assigned. Written Query The method of clarification used by CDI professionals. Verbal and electronic a...

CCS PRACTICE EXAM 2 LATEST EXAM ACTUAL EXAM 200 QUESTIONS AND CORRECT DETAILED ANSWERS A 23 year old female is admitted for vaginal bleeding following a miscarriage two weeks prior to this admission. She afebrile at this time and is treated with an aspiration dilation and curettage. Products of conception are found. Which of the following should be the principle diagnosis? a. O03.1, Delayed or excessive hemorrhage following incomplete spontaneous abortion b. O08.1, Delayed or excessi...

A 23 year old female is admitted for vaginal bleeding following a miscarriage two weeks prior to this admission. She afebrile at this time and is treated with an aspiration dilation and curettage. Products of conception are found. Which of the following should be the principle diagnosis? a. O03.1, Delayed or excessive hemorrhage following incomplete spontaneous abortion b. O08.1, Delayed or excessive hemorrhage following ectopic and molar pregnancy c. R57.9, Shock, unspecified d. T81.10XA, P...