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20 Cards in this Set
- Front
- Back
A patient comes in for a prostatectomy due to prostate cancer. Labs show the patients white blood count is elevated and the procedure is cancelled. The principal diagnosis is designated as prostate cancer and not the elevated white blood count. True or False? |
True
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In a situation where two or more conditions equally meet the definition for principal diagnosis and neither condition was treated more than the other, either diagnosis can be listed as the principal diagnosis. True or False?
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True
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Which of the following is NOT applicable when determining other diagnoses to code in addition to the principal diagnosis?
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History of illness from a previous visit not affecting this episode of care
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NOS codes represent unspecified and should not be used if a more specific code is available to describe the diagnosis. True or False?
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True
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Medicare reimbursement is based on all of the following EXCEPT:
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Admitting diagnosis
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Which of the following is NOT a chronic condition that would require continuous monitoring during a patient's hospitalization?
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Hypertension (HTN)
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See cross references are not mandatory for the coder to follow. True or False?
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False, they are mandatory
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When coding inpatient charts, coders are allowed to code from pathology and xray reports since pathologists and radiologists are physicians. True or False?
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False, only the attending M.D.s documentation is coded.
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NEC codes may be used for conditions that there is not a specific code for. True or False?
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True
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Any history code may be used as a secondary diagnosis even if it does not impact current care or influence treatment. True or False?
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False
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Abnormal findings can only be coded when the physician documents the clinical significance during the inpatient stay. True or False?
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True
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Exclude2 note codes may be coded with the initial condition if the patient has both conditions at the same time. True or False?
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True
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In the outpatient setting, the definition of principal diagnosis does not apply since outpatient visits do not allow for the continued evaluation needed to meet UHDDS criteria. True or False?
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True
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Some chronic conditions require continuous monitoring or evaluation during a patient's hospitalization and should be coded as an additional code. True or False?
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True
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Coders should never assign codes that are designated as "unacceptable principal diagnosis" because Medicare and Medicaid will not cover these conditions. True or False?
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False
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Which of the following does NOT pertain to essential modifiers?
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That they are in parenthesis, parenthesis are used for nonessential modifiers
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Reimbursement is primarily based on the principal diagnosis for inpatient encounters. True or False?
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True
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Over coding and over reporting is considered an unethical coding practice and should not be done. True or False?
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True
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Codes in brackets should always be listed as principal diagnosis. True or False?
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False, codes in brackets are secondary or subterms
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Which of the following does UHHDS NOT apply?
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Physician office visits
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