____ Procedure that was performed for the definitive treatment of the main condition or complication of the condition.
Fill in the blank with correct word.
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Q. 2) When does an ER coder report EM codes?
A. For all professional physician services
B. When the physician is employed by the hospital
C. When critical care is provided
D. When the hospital does not use APCs
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Q. 3) ____ The physician's assessment of the patient's current health status.
Fill in the blank with correct word.
(
Q. 4) What type of report describes microscopic and macroscopic examination of a specimen or foreign body?
A. Laboratory report
B. Imaging report
C. Operative report
D. Pathology report
(
Q. 5) On day 3, blood cultures were drawn and antibiotics were switched to Ancef.
Identify the portion of the medical record in which the following statements would MOST likely be found.
(
Q. 6) Diagnosis documentation on the face sheet may be utilized as the:
A. admit diagnosis.
B. principal diagnosis.
C. discharge diagnosis.
D. primary diagnosis.
(
Q. 7) Which of the following is administrative data?
A. Problem list
B. Physician orders
C. Release of information form
D. Radiology report
(
Q. 8) When coding CPT procedures, coders should check whether a _______ is needed.
A. modifier
B. diagnosis
C. lab test
D. follow up visit
(
Q. 9) Financial data is collected on the:
A. insurance form.
B. patient history questionnaire.
C. HPI.
D. face sheet.
(
Q. 10) Unremarkable except for father with Parkinson's disease.
Identify the portion of the medical record in which the following statements would MOST likely be found.
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