PART 6 Flashcards
24 year-old-female was admitted due to fever of 102 and chills. She has frequent UTIS. the uti culture was negative. She is started on IV ciprofloxacin and aminoglycoside for a period of 72 hours. after which she improved. Final diagnosis was “Possible urinary tract infection”. Which one of the following describes the action a coder should take when coding this admission?
A: Assign the code for a UTI
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A patient is seen in the hospital emergency department with a complaint of shortness of breath. A chest X Ray reveals pneumonia and the ED physician administers an injection, then prescribes an antibiotic and discharges the patient. The coding system that will be utilized for this admission is
A: ICD-10-CM and CPT/HCPCS
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Of the following, which requester is NOT required to submit the patient’s written authorization to obtain copies of the patient’s medical record from the hospital?
A: The hospital’s attorney
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According to the HIPAA Privacy Rule, PHI can be sent to the entity listed as the patient’s payor without patient authorization based on
A: TPO “Time, Place, Occasion” exception
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The HIM director receives a subpoena duces cecum on a current inpatient. There are no previous hospitalizations for this patient. The Director would
A: Tell the judge that the record is a current inpatient record and suggest a copy be sent
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A 17 year old patient requests her patient record be sent to her insurance company; the HIM professional would?
A: Return the request for authorization by patient/guardian
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The release of information from records at an alcohol-drug abuse center
A: Is strictly governed by federal regulations
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PHI refers to _____________________- protected health information.
A: Protected
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Which rule requires covered entities to assign a unique name and/ or number for identifying and tracking user identity?
A: Security Rule
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HIPAA Privacy rules
A: Provide a federal foundation for privacy requirements of health information.
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