QUESTIONS SET 8 Flashcards

1
Q

Microbiological lab culture and sensitivity tests were performed on the skin scrapings of a groin lesion on a 27-year-old male patient who presented to a local health department clinic. The results confirm infection with Treponema pallidum. He was given a prescription for penicillin and told to return for follow-up in two weeks. His diagnosis is

A. syphilis.
B. HIV.
C. herpes.
D. HPV.

A

syphilis.

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2
Q

Which of the following data fields types is best used for the health record number?

a. alphanumeric
b. auto-numbering
c. numeric
d. time and date

A

auto-numbering

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3
Q

You are developing an entity relationship diagram. In the entity of the patient shown below, which of the attributes is the primary key?

A. combination of last and first names
B. last name
C. street address
D. health record number

A

health record number

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4
Q

Which of the following is the appropriate method for destroying electronic data?

a. Burning
b. Degaussing
c. Pulverizing
d. Shredding

A

Degaussing

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5
Q

In performing an internal audit for coding compliance, which of the following would be suitable case selections for auditing?

a. Infrequent diagnosis and procedure codes
b. Medical and surgical MS-DRGs by low dollar and low volume
c. Medical and surgical MS-DRGs by high dollar and high volume
d. Low admission diagnoses

A

Medical and surgical MS-DRG by high dollar and high volume

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6
Q

You are the coding manager and are completing a review of a new coder’s work. The case facts are that the patient was admitted for the treatment of dehydration secondary to chemotherapy for primary liver cancer. The new coder sequenced the principal diagnosis as liver carcinoma. Which of the following would be the correct principal diagnosis?

a. Liver carcinoma
b. Admission for chemotherapy
c. Dehydration
d. Complication of chemotherapy

A

Dehydration

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7
Q

A patient is admitted with pneumonia. Cultures are requested to determine the infecting organism. Which of the following , if present, would alert the coder to ask the physician whether or not this should be coded as gram-negative pneumonia?

A. Pseudomonas.
B. Clostridium.
C. Staphylococcus.
D. Listeria.

A

Pseudomonas

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8
Q

CPT provides Level I modifiers to explain all of the following situations EXCEPT

A. when a patient sees a surgeon for follow-up care after surgery.
B. when a service or procedure is partially reduced or eliminated at the physician’s discretion.
C. when one surgeon provides only postoperative services.
D. when the same laboratory test is repeated multiple times on the same day.

A

When a patient sees a surgeon for follow-up care after surgery

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9
Q

A radiologist is asked to review a patient’s CT scan that was taken at another facility. The modifier-26 attached to the code indicates that the physician is billing for what component of the procedure?

A. professional.
B. technical.
C. global.
D. confirmatory.

A

professional

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10
Q

ICD-10-PCS codes have a unique structure. An example of a valid code in the ICD-10-PCS system is

a) L03.311.
b) B2151.
c) 013.2.
d) 0W50ZZ

A

0W50ZZ

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