Author: Anonymous

Select the correct CPT codes for the following scenario: Tracheostoma revision with flap rotation 31613   Tracheostoma revision; simple, without flap rotation 31614  Tracheostoma revision; complex, with flap rotation 31750  Tracheoplasty; cervical 31830  Revision of tracheostomy scar

During a retrospective review of records of surgical cases, the health information analayst notes that two records are lacking preoperative diagnosis documentation and four records do not have documentation of specimens removed.  This type of review is referred to as:

In ICD-10-CM, when a code that requires a seventh character only has six characters, a placeholder using the letter _____________ must be used.

In the HIM deparatment, the Data Integrity Specialists can access and make changes to data in the master patient index. The coders, however, have access rights to the electronic health records, but do not have the capability to make changes. The ability to assign rights to users based on the information needed and functions they perform is managed through the use of:

Which of the following would a coding manager put into place to ensure that the coding staff is coding records at an optimal level?

John is the HIM Manager of the centralized coding department for a five hospital system.  As he has many responsibiities, he has delegated the task of conducting monthly coding audits to his two coding supervisors.  The delegation of this task is which managerial function?

Which of the following does NOT require mandatory disclosure of protected health information according to the HIPAA privacy rule?

You have received an authorization for copies of patient Joe Smith’s records to be sent to his attorney,  however the expiration date documented on the authorization has passed.  What action is appropriate according to HIPAA privacy rules?

HL7, which is a standard that enables information systems to communicate and send data to one another, is which type of standard?

Using the information in the table below, calculate the case mix index for the three MS-DRGs: MS-DRG # of Patients Relative Weight 127 320 1.45 089 150 1.23 088 73 1.30