code for thrombolysis Assignment

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code for thrombolysis Assignment

code for thrombolysis Assignment

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97. Another name for diazepam is

A. Flexeril. B. Valium. C. Norflex. D. Myolastan.

98. The gatekeeper concept refers to the operation of

A. prospective payment organizations. B. retrospective payment organizations. C. ambulatory payment surgery centers. D. health maintenance organizations.

99. The CPT code for thrombolysis is

A. 93000. B. 92975. C. 92920. D. 93797.

100. According to HIPAA, a patient’s information may be released for

A. paternity testing. B. research. C. determining premiums based on a patient’s past medical history. D. transferring electronic medical records to remote locations.

101. Which of the following statements is true of the Affordable Care Act?

A. It includes a provision for military service members who served in Afghanistan. B. It requires health care facilities to maintain health records for at least 10 years. C. It makes it mandatory for patients to carry health insurance. D. It offers parents supplementary coverage for dependents with chronic illness

102. A patient is seen in the physician’s office after the results of an earlier mammogram demonstrated microcalcification in the right breast as well as a breast lesion. The lesion is excised using needle localization. The patient’s final diagnosis is fibrosclerosis of the right breast. What CPT and ICD-10-CM codes are assigned?

A. 19120-RT, L10.11 B. 19125-RT, N60.31 C. 19126-LT, M25.1 D. 19123-RT, H16.11

Hot Topics

AMA Coding Guidance

Hot Topics

New Year- New Opportunities to clean out the clutter

 By Maria Bounos, RN, MPM, CPC-H

When the New Year arrives, most of us make resolutions. The most common resolutions include losing a few pounds and becoming more organized. But now that we are in 2013, ICD-10 implementation seems closer and procrastination is not an option! It comes highly recommended that your New Year’s resolution list includes the opportunity to address “coding clutter.” Interesting terminology, but what exactly does “coding clutter” mean? The textbook definition of clutter states “disorderly state or collection.” Therefore, I ask you, is your facility coding and collecting data that is not meaningful? If you are unsure or believe the answer is yes, continue reading to further delve into this notion.

Excessive Coding

Excessive coding may be costing your facility time and money. A documentation review will reveal potential areas that could be strengthened by policies and procedures on what to code and what not to code. Many years ago, official coding guidelines addressed the reporting of additional diagnoses. Is your facility following these guidelines? If not, do they have a legitimate reason for collecting data above and beyond what is required? The guidelines state, for reporting purposes the definition of “other diagnoses” is interpreted as additional conditions that affect patient care in terms of requiring:

  • Clinical evaluation;
  • Therapeutic treatment;
  • Diagnostic procedures;
  • Extended length of hospital stay; or
  • Increased nursing care and/or monitoring.

In addition to the coding guidelines, the UHDDS (Uniform Hospital Discharge Data Set) further clarifies the use of secondary codes by stating not to include diagnoses that relate to an earlier episode, which has no bearing on the current hospital stay. UHDDS definitions apply to inpatients in acute care, short-term, long-term care and psychiatric hospitals as well as home-health agencies, rehab facilities, nursing facilities, etc.

Beyond reporting for reimbursement, facilities collect data to support quality measures and risk and severity adjustments as well as their own internal data needs. So it is time to ask yourself, “When was the last time a review of policies and procedures as well as an an

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