Practice

Question 1

What recommendation should be made to providers regarding medication lists?

Answer 1

Medication lists should only be updated when a new medication is prescribed.

Question 2

What can a CDI do when a provider utilizes acronyms that are not commonly used?

Answer 2

Create an acronym and abbreviation list to keep on file.

Question 3

What feedback should you give regarding lab reports with no abnormal findings comments?

Answer 3

Circle and sign the abnormal results to confirm they were seen.

Also, address the abnormality in the diagnosis and treatment plan.

Question 4

How often does Medicare adjust the normalization factor?

Answer 4

Annually, the risk score represents the average annual Medicare costs for an individual. Medicare normalizes the risk score to maintain an average risk score of 1.0.

Question 5

Is Depression considered a chronic condition?

Answer 5

Yes

Question 6

Is Parkinson’s a type of Dementia

Answer 6

Yes

Question 7

Alzheimers is a type of dementia what do you need to remember when coding this?

Answer 7

Code also Dementia w/ or w/out behavioral disturbance

Question 8

Hypertension has a causal relationship with…

Answer 8

Heart Disease

Kidney Disease

Question 9

EPO resistant Anemia D63.1 with CKD says to code what first?

Answer 9

underlying chronic kidney disease

Question 10

4 MIPS performance categories

Answer 10

Quality (replaces PQRS)
Interoperability replaces meaningful use
Improvement Activities (new)
Cost (replaces VM)

Question 11

HEDIS measures

Answer 11

Use of imagining studies for low back pain
Use of opioids at High Dosage
Fall Risk mgmt
Flu Vaccination for Adults

Question 12

Category II code modifiers

Answer 12

1P- Exclusion due to medical reasons
2P-Exclusion due to Patient reasons
3P-Eclusion due to System Reasons
8P-Exclusion due to Reason not specified

Question 13

Orientation to time and place falls under what category in 1197 E/M?

Answer 13

Psychiatric

Question 14

Which year allowed only organ systems for a comprehensive examination?

Answer 14

1995 which would NOT include head, face and neck

Question 15

When a PCP transfers to a specialist what should they include?

Answer 15

A request for opinion

Question 16

What record are Chapter 15 codes used on

Answer 16

ONLY on the maternal record

Question 17

What must be done if a provider codes urosepsis?

Answer 17

Query the provider because urosepsis does not have a default code

Question 18

Can pulmonary hypertension be coded w/out an underlying condition code?

Answer 18

Yes

Question 19

Can a condition only mentioned in the Impression with no documentation to support a history or exam be coded?

Answer 19

No

Question 20

True of False: A signed pain mgmt agreement is helpful for a provider to provide understanding to the patient about the risks of opioid use and potential addiction?

Answer 20

True

Question 21

When is adjuvant therapy performed?

Answer 21

Before the primary treatment

Question 22

If there is no path report to confirm malignancy what must you code?

Answer 22

Neoplasm of unspecified behavior

Question 23

How often are HCC scores normalized?

Answer 23

Yearly

Question 24

Age for breast cancer screening?

Answer 24

50-74

Question 25

The best approach when querying a physician regarding documentation is to approach the problem as one of:

Answer 25

I. Evidence based medicine
II. Financial motive
III. Malpractice liability
IV. Documentation impact on reimbursement
V. Documentation impact on compliance