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In CPT coding, if a skin lesion was excised and the diameter of the lesion was 1.0 cm and 0.3 cm margins were excised on each side, the excised diameter of the lesion used for assigning a CPT code would be:

According to HIPAA, a patient who is competent to make their own healthcare decisions has all of the following rights EXCEPT:

In regard to risk management, when a patient is given the wrong medication or an incorrect dosage of a medication, resulting in damage to the patient, this is referred to as a:

Pebble Beach Hospital had a total of 428 discharges, including the deaths of 12 patients in the month of February.  What is the gross death rate for February?

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?