25 questions
What does the Abbreviation stand for HTN
High Blood Pressure
Hypertension
Hypotension
Hyperfluid
Pt. stands for?
Prothrombin Time
Physical Therapy
Positional Time
Patient
Dx stands for?
Disease
Disease process
Diagnosis
Diagnostic Testing
AHIMA
American Health Information Management Association
American History Informative Manager Academy
American Haelth Information Management Association
American Health Informatory Management Team
SOB
Son of a bunny
Shortness of bones
Shortness of breath
Son of a breath
Another name for a CVA
Systems Accident
Seizures
Stroke
Systemic Reaction
When coding where do you begin to code after you have a dx.
Index
Tabular
Content Page
Glossary
International Classification of Disease Tenth Revision-Cm
ICD-10-CM
ICD-9-CM
ICD-11-CM
CPT
General Coding Guidelines, are found where in the ICD-10 Coding book
Glossary
Tabular
Front
Index
Objective evidence of a disease or condition.
Symptom
Findings
Condition
Signs
Using a code on a claim form that indicates a higher level of service, or a more severe aspect of disease or injury, than that which was actual and true.
unbundling
upcoding
highest specificity
general code
Choosing a code on the basis of what the insurance company will cover (pay for) rather than accurately reflecting the truth.
upcoding
unbundling
coding for coverage
double billing
When you find unclear or missing information in the physician’s notes.
figure it out yourself
you should
ask a coworker.
You should know what the doctor is thinking
query the physician.
The paperwork in the patient's file that corroborates the codes presented on the claim form for a particular encounter is known as
medical necessity.
supporting documentation.
preexisting conditions.
bundling.
Unbundling is an illegal practice that has coders
bill for services never provided.
bill for services with no documentation.
bill using several individual codes instead of one combination code.
bill using a code for a higher level of service than what was actually provided.
An example of an eponym is
a fracture.
a wound.
Cushing’s disease.
mitral valve disease.
After abstracting the key terms, a coder will go next to the
Tabular listings.
Alphabetic Index.
external cause codes.
Appendix A.
The Tabular List (Volume 1) is organized
in alphanumeric order.
in numeric order.
in cost order, from least expensive to most expensive.
in ledger format.
When a fourth, fifth, sixth or seventh character is required and there are no previous characters ICD-10-CM uses a placeholder character with the letter ________.
G
Z
B
X
A(n) ________ is damage to the epidermal and dermal layers of the skin made by a sharp object.
bite
laceration
contusion
avulsion
A bruise or black-and-blue mark is known as a(n)
bite.
avulsion.
contusion.
puncture.
What does "A" stand for?
Subsequent Encounter
Initial Encounter
Sequelae
Nonunion Fracture
38 y/o female pt. came to doctors and c/o chest pain(CP), what would you code?
CP
Pt.
y/o
c/o
CXR
Critical Prescription
Chest Pressure
Chest xray
Chest treatment
If a pt. has a chronic dx, and comes to the doctor w/ an acute stage of the disease what would you code first?
Disease
Acute
Chronic
None of the above