Ultimate Medical Academy

If a patient has an excision of a malignant lesion of the skin, the CPT code is determined by the body area from which the excision occurs and which of the following? A) Length of the lesion as described in the pathology report B) Dimension of the specimen submitted as described in the pathology report C) Width times the length of the lesion as described in the operative report D) Diameter of the lesion as well as the margins excised as described in the operative report (Ans - D) Diameter...

Abbreviated Injury Scale (AIS) (Ans- An anatomically-based, consensus-derived global severity scoring system that classifies each injury by region according to its relative importance on a 6-point ordinal scale (1 = minor and 6 = maximal). AIS is the basis for the Injury Severity Score (ISS) calculation of the multiply injured patient (AAAM 2008) Abbreviations (Ans- Shortened forms of words or phrases; in healthcare, when there is more than one meaning for an approved abbreviation, only o...

As the compliance officer for a large physician practice group, you are interested in researching the original requirements for meaningful use of certified EHRs for use in an upcoming presentation. You begin by googling (Ans- HITECH Act A major contribution to a successful CDI program is the ability of the CDI specialist to demonstrate to the medical staff as well as to administration the powerful impact that precise documentation has on the internal and external data reporting. In this role,...

reasonable accommodations (Ans- disabled accommodations might include altering their work schedule, modifying office equipment or software performance standards (Ans- managers report amount, efficiency and quality of work being done. Employees need to know expectations Performance appraisal (Ans- review and evaluation methods used to assess employee and team performance 360 performance appraisal method utilizes team members as part of the appraisal process coding productivity...

Inpatient occupancy rate: (Ans- (Service days x 100) / (number of beds x service days) = percentage rate % Under HIPAA, which of the following is not named as a covered entity? (Ans- Outsourced transcription company; they would be business associates of a covered entity A standard of performance or best practice for a particular process or outcome is called a(n)_____ (Ans- Benchmark The breach notification requirement applies to_____ (Ans- Unsecured PHI only Which of the follow...

OASIS data are used to assess the ___ of home health services. (Ans- Outcome A statement or guideline that directs decision making or behavior is called a: (Ans- Policy Examples of high-risk billing practices that create compliance risks for healthcare organizations include all of the following, except: (Ans- Returned Overpayments Healthcare fraud is all of the following except: (Ans- Unnecessary Costs to a program Corporate compliance programs became common after adoption of...

Standardizing medical terminology to avoid differences in naming various medical conditions and procedures (such as the synonyms bunionectomy, McBride procedure, and repair of hallus valgus) is one purpose of: (Ans- Vocabulary Standards Ensuring the patient information is reliable and the same across the entire patient encounter is: (Ans- Data Consistency Which health record uses an itemized list of the patient's present and past health problems? (Ans- Problem-Oriented health record...

The evaluation of coders is recommended at least quarterly for the purpose of measurement and assurance of: A. Speed B. Data quality and integrity C. Accuracy D. Effective relationships with physicians and facility personnel (Ans- Data quality and integrity Coders should be evaluated at least quarterly, with appropriate training needs identified, facilitated, and reassessed over time. Only through this continuous process of evaluation can data quality and integrity be accurately measu...

The overutilization or inappropriate utilization of services and misuse of resources, typically not a criminal or intentional act is called which of the following? a. Fraud b. Abuse c. Waste d. Audit (Ans- c Waste is the overutilization or inappropriate utilization of services and misuse of resources, and typically is not a criminal or intentional act. Waste includes practice like over prescribing and ordering tests inappropriately (Foltz et al. 2016, 448). Examples of high-risk bill...

The accounts not selected for the billing report is a daily report used to track accounts that are: a. Awaiting payment in accounts receivable b. Paid at different rates c. In bill hold or in error and awaiting billing d. Pulled for quality review (Ans- c. In bill hold or in error and awaiting billing The accounts not selected for billing report is a daily report used to track the many reasons that accounts may not be ready for billing. This report is also called the discharged not fi...