Questions and 100% Correct
Answers
.MAM7-year-
oldMpatientMwasMadmittedMtoMtheMemergencyMdepartmentMforMtreatmentMofMshortness
MofMbreath.MTheMpatientMisMgivenMepinephrineMandMnebulizerMtreatments.MTheMshortne
ssMofMbreathMandMwheezingMareMunabatedMfollowingMtreatment.MWhatMdiagnosisMshoul
dMbeMsuspected?
AcuteMbronchitis
AcuteMbronchitisMwithMchronicMobstructiveMpulmonaryMdisease
AsthmaMwithMstatusMasthmaticus
ChronicMobstructiveMasthmaM-MAnswerMc
.MAMcodingMauditMshowsMthatManMinpatientMcoderMisMusingMmultipleMcodesMthatMdesc
ribeMtheMindividualMcomponentsMofMaMprocedureMratherMthanMusingMaMsingleMcodeMth
atMdescribesMallMtheMstepsMofMtheMprocedureMperformed.MWhichMofMtheMfollowingMsh
ouldMbeMdoneMinMthisMcase?
RequireMallMcodersMtoMimplementMthisMpractice
ReportMtheMpracticeMtoMtheMOIG
CounselMtheMcoderMandMstopMtheMpracticeMimmediately
PutMtheMcoderMonMunpaidMleaveMofMabsenceM-MAnswerMc
.MAMdenialMofMaMclaimMisMpossibleMforMallMofMtheMfollowingMreasonsMexcept:
NotMmeetingMmedicalMnecessity
BillingMtooMmanyMunitsMofMaMspecificMservice
,Unbundling
ApprovedMprecertificationM-MAnswerMd
.MAMhealthMinformationMtechnicianM(HIT)MisMhiredMasMtheMchiefMcomplianceMofficerMfor
MaMlargeMgroupMpractice.MInMevaluatingMtheMcurrentMprogram,MtheMHITMlearnsMthatMt
hereMareMwrittenMstandardsMofMconductMandMpoliciesMandMproceduresMthatMaddressMs
pecificMareasMofMpotentialMfraudMasMwellMasMauditsMinMplaceMtoMmonitorMcompliance.
MWhichMofMtheMfollowingMshouldMtheMcomplianceMofficerMalsoMensureMareMinMplace?
ComplianceMprogramMeducationMandMtrainingMprogramsMforMallMemployeesMinMtheMorga
nization
EstablishmentMofMaMhotlineMtoMreceiveMcomplaintsMandMadoptionMofMproceduresMtoMpr
otectMwhistleblowersMfromMretaliation
AdoptMproceduresMtoMadequatelyMidentifyMindividualsMwhoMmakeMcomplaintsMsoMthatMa
ppropriateMfollow-upMcanMbeMconducted
EstablishMaMcorporateMcomplianceMcommitteeMwhoMreportMdirectlyMtoMtheMCFOM-
MAnswerMb
.MAMhealthMinformationMtechnicianMhasMbeenMaskedMtoMdesignMaMproblemMlistMforMan
MelectronicMhealthMrecordM(EHR).MWhichMofMtheMfollowingMdataMelementsMshouldMbeM
includedMonMtheMproblemMlist?
ProblemMnumber,MproblemMdescription,MdateMproblemMentered
ProblemMnumber,MproblemMname,MdateMofMconsentMforMtreatment
PatientMidentifyingMinformation,MproblemMnumber,MexaminationMresults
ProblemMname,MdateMofMonset,MphysicalMexamM-MAnswerMa
.MAMhospitalMreceivesMaMvalidMrequestMfromMaMpatientMforMcopiesMofMhisMorMherMm
edicalMrecords.MTheMHIMMclerkMwhoMisMpreparingMtheMrecordsMremovesMcopiesMofMth
eMpatient'sMrecordsMfromManotherMhospitalMwhereMtheMpatientMwasMpreviouslyMtreated.
MAccordingMtoMHIPAAMregulations,MwasMthisMactionMcorrect?
,Yes;MHIPAAMonlyMrequiresMthatMcurrentMrecordsMbeMproducedMforMtheMpatient.
Yes;MthisMisMhospitalMpolicyMoverMwhichMHIPAAMhasMnoMcontrol.
No;MtheMrecordsMfromMtheMpreviousMhospitalMareMconsideredMpartMofMtheMdesignated
MrecordMsetMandMshouldMbeMgivenMtoMtheMpatient.
No;MtheMrecordsMfromMtheMpreviousMhospitalMareMnotMincludedMinMtheMdesignatedMre
cordMsetMbutMshouldMbeMreleasedManyway.M-MAnswerMc
.MAMnotationMforMaMhypertensiveMpatientMinMaMphysicianMambulatoryMcareMprogressMn
oteMreads:M"ContinueMwithMDiuril,M500MmgsMonceMdaily.MReturnMvisitMinM2Mweeks."M
WhichMpartMofMaMPOMRMprogressMnoteMwouldMthisMnotationMbeMwritten?
Subjective
Objective
Assessment
PlanM-MAnswerMd
.MAMpatientMwasMadmittedMforMabdominalMpainMwithMdiarrheaMandMwasMdiagnosedMwi
thMinfectiousMgastroenteritis.MTheMpatientMalsoMhasManginaMandMchronicMobstructiveMpul
monaryMdisease.MWhichMofMtheMfollowingMwouldMbeMtheMcorrectMcodingMandMsequenci
ngMforMthisMcase?
AbdominalMpain;MinfectiousMgastroenteritis;MchronicMobstructiveMpulmonaryMdisease;Mangin
a
InfectiousMgastroenteritis;MchronicMobstructiveMpulmonaryMdisease;Mangina
Gastroenteritis;MabdominalMpain;Mangina
Gastroenteritis;MabdominalMpain;Mdiarrhea;MchronicMobstructiveMpulmonaryMdisease;Mangin
aM-MAnswerMb
, .MAfterMaMdeductibleMhasMbeenMpaid,MinsuredMandMinsurerMshareMcoveredMlossesMacco
rdingMtoMaMspecifiedMratio,MandMtheMinsuredMpaysMa(n)M_________Mamount.
Out-of-pocketMexpense
Coinsurance
Deductible
PremiumM-MAnswerMb
.MAnMHIMMprofessionalMwhoMreleasesMhealthMinformationMthatMheMorMsheMknowsMwill
MresultMinMgeneticMdiscriminationMisMviolatingMtheMethicalMprincipleMof:
Autonomy
Beneficence
Justice
NonmaleficenceM-MAnswerMd
.MDenialsMofMoutpatientMclaimsMareMoftenMgeneratedMfromMallMofMtheMfollowingMedits
Mexcept:
NCCIM(NationalMCorrectMCodingMInitiative)
OCEM(outpatientMcodeMeditor)
OCEM(outpatientMclaimsMeditor)
NationalMandMlocalMpoliciesM-MAnswerMc