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A.mBleedingmgastricmulcerm-
mCORRECTmANSWERmAmpatientmismadmittedmfrommthememergencymdepartmentm(ED)mwithmamdiagn
osismofmweaknessmandmanemia.mAftermadmissionmandmfurthermtreatmentmwithmpackedmredmbloodm
cellsm(PRBC),mGImconsult,mandmendoscopy,mthemphysicianmincludesmthemfollowingmdiagnosesminmthe
mdischargemsummary:manemia,msuspectedmbleedingmgastricmulcer,mandmGERD.mWhatmwouldmbemth
emmostmappropriatemprinciplemdiagnosis?
m
m A.mBleedingmgastricmulcer
m B.mAnemia
m C.mGERD
m D.mWeakness
B.mNeoplasmmofmoccipitalmregionm-mCORRECTmANSWERmAmpatientmismadmittedmwithmnew-
onsetmseizures.mHeadmCTmrevealsmammassminmthemoccipitalmregion.mThemphysicianmdocumentsmposs
iblembrainmtumor,mandmthempatientmismtransferredmtomanothermhospitalmformfurthermworkup.mWhat
mwouldmbemthemmostmappropriatemprincipalmdiagnosismbasedmuponmthismdocumentation?
m
m A.mSeizure
m B.mNeoplasmmofmoccipitalmregion
m C.mHeadmmass
,m D.mHeadmtumor
C.m1,2,mandm3
1.mCalculatedmannually
2.mDependentmuponmindirectmcostsmformgraduatemmedicalmeducationmandmnewmtechnology
3.mAdjustedmbasedmuponmnumbermofmlow-incomempatientsmcaredmform-
mCORRECTmANSWERmAmhospital'smbasemratemormblendedmratemis:
m
1.mCalculatedmannually
2.mDependentmuponmindirectmcostsmformgraduatemmedicalmeducationmandmnewmtechnology
3.mAdjustedmbasedmuponmnumbermofmlow-incomempatientsmcaredmfor
4.mNotmadjustedmbasedmuponmcapitalmexpenses
m
m A.m1mandm2m
m B.m2mandm3
m C.m1,2,mandm3
m D.m1,2,3,mandm4
D.mReflectmthemseveritymofmillnessm(SOI)mandmresourcemconsumptionmofmthempatient'smcarem-
mCORRECTmANSWERmThemfinalmMS-DRGmassignedmtomampatient'smmedicalmrecordmshould:m
A.mReflectmthemamountmofmtimemthemphysicianmspentmwithmthempatient
B.mDependmuponmthempatient'smlengthmofmstay
C.mBemassignedmbymthemphysician
D.mReflectmthemseveritymofmillnessm(SOI)mandmresourcemconsumptionmofmthempatient'smcare
,C.mPoisoningm-
mCORRECTmANSWERmAmpatientmismadmittedmfrommthememergencymdepartmentmwithmthemdiagnosi
smofmacutemrespiratorymfailuremduemtomoverdosemofmpainmmedicationmandmanmaspirationmpneumon
ia.mWhatmismthemprincipalmdiagnosis?
A.mAcutemrespiratorymfailure
B.mAspirationmpneumonia
C.mPoisoning
D.mAdversemeffectmofmmedication
D.mAllmofmthemconditionsmshouldmbemcodedm-
mCORRECTmANSWERmAmpatientmismadmittedmwithmpneumonia,mstagem1mchronicmrenalmfailure,mchro
nicmanemia,mandmCOPD,mWhilemhospitalizedmthempatientmreceivesmIVmantibiotics,minhalers,moxygen
,mIVmfluidsmatm50mL/hr,mandmironmtablets.mKeepingmthemguidelinesmformcodingmofmsecondarymdiagn
osesminmmind,mwhichmconditionmshouldmbemcoded?
A.mPneumoniamonly
B.mPneumoniamandmCOPDmonly
C.mPneumonia,mCOPD,mandmanemia
D.mAllmofmthemconditionsmshouldmbemcoded
D.mFracturedmulnam-mCORRECTmANSWERmWhichmofmthemfollowingmismanmexamplemofmamhospital-
acquiredmcondition?
A.mFatmembolism
B.mIVmphlebitis
C.mPneumonia
D.mFracturedmulna
, C.mAmdiagnosismthatmismlistedmasmpossibleminmthemhistorymandmphysicalm-
mCORRECTmANSWERmWhichmofmthemfollowingmismanmexamplemofmdocumentationmthatmwouldmmee
tmthempresentmonmadmissionmcriteriamformcoding?
A.mAmdiagnosismthatmismindicatedminmthemhistorymandmphysicalmandmruledmoutminmthemdischargemsu
mmary
B.mAmdiagnosismfoundminmampreviousmmedicalmrecord
C.mAmdiagnosismthatmismlistedmasmpossibleminmthemhistorymandmphysical
D.mAnmacutemconditionmidentifiedmonmthemthirdmdaymofmadmission
A.mColonmcancerm-
mCORRECTmANSWERmAmpatientmismadmittedmwithmabdominalmpainmandmthemhistorymandmphysicalmi
ndicatedmamdiagnosismofmprobablemcolonmcancer.mOnmdaymtwo,mthemphysicianmdocumentsmacutemr
enalmfailureminmthemprogressmnotesmandmthempatientmreceivesmIVmfluids.mThemdischargemsummaryml
istsmpossiblemmetastaticmcolonmcancermandmacutemrenalmfailure.mThemprincipalmdiagnosismwouldmb
e:
A.mColonmcancer
B.mAcutemrenalmfailure
C.mAbdominalmpain
D.mMetastaticmneoplasmmofmthemcolon
D.m1,2,mandm3
1.mIncludemidentificationmofmthempatient'smSOI
2.mIdentifymconditionsmthatmarempresentmonmadmission
3.mSupportmmedicalmnecessitym-mCORRECTmANSWERmAccuratemdocumentationmshould: