Classification systems and secondary data sources Flashcards

1
Q

Meme common prescription given for glaucoma

A

Pilocarpine

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2
Q

What type of conditions is digoxin prescribed?

A

Maintenance therapy in congestive heart failure or atrial fib atrial flutter paroxysmal atrial
tachycardia

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3
Q

Which classification system was developed to standardize terminology and codes used for clinical laboratories?

A

LOINC codes

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4
Q

Which classification system is used to classify neoplasms according to site, morphology, and behavior?

A

International classification of diseases for oncology ICD –o

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5
Q

Which classification system was designed with electronic systems in mind is currently being used for problem lists, ICU UNIT monitoring, medical research studies, clinical trials, disease surveillance, and images?

A

SNOMED-CT

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6
Q

The cancer program is surveyed for approval by what buddy?

A

The commission on cancer of the American College of surgeons

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7
Q

what organism is significant of Graham negative pneumonia?

A

Pseudomonas

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8
Q

A procedure which is discontinued due to a patient’s difficulty during surgery is reported with what modifier?

A

53

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9
Q

Name one barrier to widespread use of automated code assignment

A

Poor quality of documentation

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10
Q

What modifier is commonly used for return to surgery which is unplanned and during the global period of another surgery

A

58

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11
Q

What is the primary goal of A hospital based cancer registry?

A

To improve patient care

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12
Q

Name the population-based cancer registry it is designed to determine rates and trends in a defined population

A

Incidence only population-based registered

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13
Q

What is required for billing and inpatient CPT consultation code

A

The physicians documentation of his findings in the patient’s medical record

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14
Q

If a specialist consult with an inpatient one day and another day returns to follow up with the patient, what codes would you bill?

A

Initial consult day one, subsequent hospital day two

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15
Q

Where’s the best place to determine the size of an excise lesion for accurate CPT coding?

A

The operative report

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16
Q

What type of code and it was a hospital to go to more specific information for use in patient care benchmarking quality assessment research public health reporting strategic planning and reimbursement?

A

ICD 10 CM

17
Q

Name one important criterion for assessing the case in the birth defect registry

A

Age

18
Q

To obtain information collected during a specific time. In your hospital which registry would be the most helpful

A

Accession registry

19
Q

What is the reference date for cancer registry?

A

The date when the data collection began

20
Q

What type of information is collected as part of the trauma Registry

A

Patient demographics, prehospital interventions, vital signs on admission, procedures and treatment prior to hospitalization, transport modality, and injury severity score

21
Q

What is an active surveillance system?

A

One that uses train staff to identify cases in all hospitals clinics and other facilities through reviewed patient records, indexes, vital records, and hospital logs

22
Q

Describe coding reliability

A

When the same codes are obtained by different coders or by the same code her on multiple attempts

23
Q

What is the health care cost utilization project? (HCUP)

A

A set of databases that include data on in patients who cares paid for by third-party payers

24
Q

HCUP is initiative of which agency

A

Agency for healthcare research and quality

25
Q

For accurate coating of a skin graft which site is an essential?

A

The recipient site

26
Q

What is the method of calculating errors in a coding on it that allows for benchmarking with other hospitals and permits the reviewer to track Errors case by case?

A

Record over record method

27
Q

What is most common type of registry located in hospitals of all sizes and every region of the country

A

Cancer registry

28
Q

What is the primary responsibility of the cancer committee?

A

To establish quality improvement priorities of the cancer program and monitoring effectiveness of quality improvement activities

29
Q

According to CPT antepartum care includes what?

A

Initial subsequent history, physical examination, between chemical analysis,

30
Q

What would be a good resource for comparing long-term survival rates of a specific cancer in patients treated surgically versus medically?

A

Cancer registry abstracts

31
Q

Define clinical vocabulary

A

A list or collection of clinical words or phrases with their meaning

32
Q

Name one procedure conducted to facilitate eating

A

PEG

33
Q

What is the name for the route operation that describes cutting out or off without replacing a portion of a body part?

A

Excision

34
Q

If No bilateral code is provided in the condition is bilateral so should you Code?

A

Assign separate codes for both the left and the right side

35
Q

Name the special form which plays a central role in planning and providing care nursing, psychiatric, and rehab facilities

A

The interdisciplinary care form

36
Q

Which codes SET is used for proper reimbursement and MS-DRG

A

ICD-10 and PCS