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Bernard Bunter is seen today for an acute myocardial infarction. Bernard had to have a coronary artery bypass graft surgery performed, which was done without difficulty. Two days later, Bernard developed post-op anemia. Bernard also has hypertension and congestive heart failure. Which of the conditions is a co-morbidity?


A) Acute myocardial infarction
B) Anemia
C) Hypertension
D) Congestive heart failure and hypertension

E) A) and C)
F) All of the above

Correct Answer

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What is the correct code for a patient who was discharged to a nursing home today after a three-day hospital stay due to dementia?


A) F03.90
B) F03.91
C) F10.27
D) F10.97

E) All of the above
F) C) and D)

Correct Answer

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Which of the following is included in the DRG system calculation?


A) Labor costs
B) Nonlabor costs
C) Both labor and nonlabor costs
D) Neither labor nor nonlabor costs

E) A) and C)
F) C) and D)

Correct Answer

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What does the abbreviation CC stand for?


A) Complications
B) Complications and co-morbidities
C) Complications and chronic conditions
D) Chronic conditions

E) All of the above
F) A) and C)

Correct Answer

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Mary Matthews was found to have a breast lump during a mammogram last month. She is admitted today for a breast biopsy of her left breast. The pathology report returns with infiltrating papillary breast carcinoma of the left breast. Mary's mother had breast cancer in her fifties. What is the correct code assignment?


A) D05.12
B) D05.12, Z80.3
C) C50.312
D) C50.912, Z80.3

E) A) and D)
F) B) and C)

Correct Answer

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What does the abbreviation MCC stand for?


A) Major complications
B) Major complications and co-morbidities
C) Major complications and chronic conditions
D) Major chronic conditions

E) B) and C)
F) B) and D)

Correct Answer

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In an inpatient setting, if a patient had a condition when he or she was admitted to the hospital, which POA indicator will the coder assign?


A) U
B) W
C) N
D) Y

E) A) and C)
F) All of the above

Correct Answer

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In outpatient coding, which of the following are you permitted to code?


A) Rule out
B) Probable
C) Suspected
D) None of these

E) None of the above
F) A) and D)

Correct Answer

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Which of the following claim forms are POA indicators required to be reported on?


A) UB-04
B) 837
C) Both UB-04 and 837
D) Neither UB-04 nor 837

E) None of the above
F) A) and C)

Correct Answer

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Who typically assigns the DRG for the patient's case?


A) The coder
B) The physician
C) The coding supervisor
D) The DRG grouper

E) C) and D)
F) None of the above

Correct Answer

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Carolyn Crimson was admitted for acute appendicitis. The day after surgery, she had a hemorrhage and hematoma and was taken back to surgery. Which is the correct POA assignment for this case?


A) K35.80-Y, K91.840-N
B) K35.80-N, K91.841-N
C) K35.80-Y, K91.840-Y
D) K35.80-Y, K91.841-N

E) A) and B)
F) A) and C)

Correct Answer

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Which of the following is signed by the attending physician?


A) Discharge summary
B) Hospital course
C) Discharge instructions
D) Discharge disposition

E) A) and B)
F) A) and C)

Correct Answer

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In an inpatient setting, if a condition is exempt from POA reporting, which POA indicator will the coder assign?


A) 1
B) W
C) N
D) Y

E) None of the above
F) A) and C)

Correct Answer

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Which of the following is a separate condition or illness present in the same patient at the same time as another unrelated condition or illness?


A) Complication
B) Co-morbidity
C) Major complication or co-morbidity
D) Infection

E) B) and D)
F) A) and C)

Correct Answer

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Which of the following is NOT part of the clinical information collected in the UHDDS?


A) Provider information
B) Diagnoses
C) Procedures
D) External causes of injury

E) B) and D)
F) A) and C)

Correct Answer

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Jamie Jupson was brought in today with a severe headache. An MRI was ordered, and it was determined that Jamie has a glioblastoma in her frontal lobe. What is the correct code assignment?


A) C71.1
B) R51, C71.1
C) G97.1, C71.2
D) R51, C71.2

E) B) and D)
F) C) and D)

Correct Answer

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In an inpatient setting, if a patient did not have a condition when he or she was admitted to the hospital, which POA will the coder assign?


A) U
B) W
C) N
D) Y

E) B) and D)
F) B) and C)

Correct Answer

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Bernard Bunter is seen today for an acute myocardial infarction. Bernard had to have a coronary artery bypass graft surgery performed, which was done without difficulty. Two days later, Bernard developed post-op anemia. Bernard also has hypertension and congestive heart failure. Which of the conditions is a complication?


A) Acute myocardial infarction
B) Anemia
C) Hypertension
D) Congestive heart failure and hypertension

E) All of the above
F) None of the above

Correct Answer

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Which of the following documents does the patient receive a copy of?


A) Discharge summary
B) Hospital course
C) Discharge instructions
D) Discharge disposition

E) All of the above
F) A) and D)

Correct Answer

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Which of the following is one of the factors in DRG assignment?


A) Admitting diagnosis
B) Principal diagnosis
C) Present on admission status
D) Type of physician

E) A) and D)
F) B) and D)

Correct Answer

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