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RHIA Chap 3 Cont

PRG2017/Classification Systems and Secondary Data Sources

QuestionAnswer
A population based cancer registry that is designed to determine rates and trends in a define population is a incidence only population based registry
Given the diagnosis "carcinoma of axillary lymph nodes and lungs ,metastatic from breast" what is the primary cancer site? breast
According to CPT, in which of the following cases would an established E/M code be used? Tom is seen by Dr X for a sore throat. Dr X is on call for Toms regular MD Dr Y. The last time that Tom saw Dr Y was a couple years ago.
In order to used the inpatient CPT consultation codes, the consulting MD must document his finding in the patient medical record
According to the AMA, medical decision making is measure by all of the following except specialty of the treating MD
CPT provides Level I modifiers to explain all of the following situation EXCEPT when a patient sees a surgeon for follow up care after surgery
The best place to ascertain the size of an excised lesion for accurate CPT coding is the.. operative report
Which of the following is expected to enable hospital s to collect more specific information for use in patient care, benchmarking, quality assessment, research, public health reporting, strategic planning, and reimbursement? ICD-10-CM
Case definition is important for all types of registries. Age will certainly be an important criterion for accessing a case in... birth defects
To gather statistics for surgical services provided on an outpatient basis, which of the following codes are needed? CPT codes
The Caner Committee at your hospital requests a list of all patients entered into your cancer registry. this information would be obtained by checking the accession register
The reference date for a cancer registry is the date when data collection began
The abstract completed on pts in your hospital contain the following items: pt demo., prehospital interventions, vital signs , px and treatments prior to hospitalization, transport modality, injury severity score. The hospital uses this data for its.... trauma registry
In relation to birth defects registries, active surveillance systems use trained staff to identify cases in all hospitals, clinics, and other facilities through review of patient records, indexes, vital record and hospital logs
In regard to quality of coding, the degree to which the same results (same codes) are obtained by different coders or on multiple attempts by the same coder refers to reliability
The healthcare cost and utilization project 9HCUP) consist of a set of databases that include data on inpatients whose care is paid for by third party payers. HCUP is an initiative of the... Agency for Healthcare Research and Quality
The coding supervisor notices that the coders are routinely failing to code all possible diagnoses and procedures for a patient encounter. This indicates to the supervisor that there is a problem with... completeness
When coding free skin grafts, which of the following is NOT an essential item of data needed for accurate coding? donor site
In CPT, Category III codes include codes to describe emerging technologies
The information collected for your registry includes patient demographic info, dx codes, function status, and histocompatibility info. This type of registry is called... transplant registry
The method of calculating errors in a coding audit that allows for benchmarking with other hospitals, and permits this reviewer to track error by case type, is the record over record method
The most common type of registry located in hospitals of all sizes and in every region of the country is.. Cancer Registry
A radiologist is asked to review a patient's CT scan that was taken at another facility. The modifier 26 attaché dot the code indicates that the MD is billing for what component of the procedure? professional
The committee that is responsible for establishing the quality improvement priorities of the cancer program and for monitoring the effectiveness of quality improvement activities is the... Cancer committee
According to CPT, antepartum care includes all of the following except monthly visits up to 36 weeks
The Cancer Committee at Wharton General Hospital want to compare long term survival rates for pancreatic cancer by evaluating medical vs surgical treatment of cancer. The best source of these data is... cancer registry abstracts
A list of collection of clinical words or phrases with their meaning is... clinical vocabulary
The main difference between concurrent and retrospective coding is... when the coding is done
A EPG procedure would most likely be done to facilitate eating
CMS published a final rule indicating a compliance date to implement ICD-10-CM and ICD-10-PCS. The use of these two code sets became effective on October 1,2015
Mappings between ICD-9-Cm and ICD-10-CM were developed and released by the National Center for Health Statistics to facilitate the transition from one code set to another. They are called GEMS (general equivalency mappings)
The code structure for ICD-10-CM differs from the code structure of ICD-9-CM. An ICD-10-CM code consists of three to seven characters
The first character for all of the codes assigned in ICD-10-CM is an alphabet
ICD 10-PCS was implemented in the US to code hospital inpatient procedures
ICD-10-PCS codes have a unique structure. An example of a valid code in the ICD-10-PCS 2W3FX1Z
ICD-10-PCS utilizes the third character in the Medical and Surgical section to identify the "root operation" The name of the root operation that describes "cutting out or off, without replacing a portion of a body part " is excision
in ICD-10-PCS to code "removal of a thumbnail" the root operation would be extraction
In ICD-10-CM if no bilateral code is provided and the condition is bilateral, the guidelines direct the coder to... assign separate codes for both he left and the right side
An example of a valid code in ICD-10-CM is Z3A.34
Created by: kodom001
 

 



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