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Vlab MS-DRG Evaluation Questions And Answers Rated 100% Correct!!

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What effect does the addition of a patient who is a pack-a-day smoker have on the DRG assignment when viral pneumonia is the principal diagnosis? - ️️no effect on the DRG Which of the following coding rules might affect the ethical and appropriate assignment of the principal diagnosis and D...

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  • October 2, 2024
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  • 2024/2025
  • Exam (elaborations)
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  • Vlab MS-DRG Evaluation
  • Vlab MS-DRG Evaluation
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PatrickKaylian
Vlab MS-DRG Evaluation
What effect does the addition of a patient who is a pack-a-day smoker have on the DRG
assignment when viral pneumonia is the principal diagnosis? - ✔️✔️no effect on the
DRG

Which of the following coding rules might affect the ethical and appropriate assignment
of the principal diagnosis and DRG for this case? Select all that apply. - ✔️✔️1.
Respiratory failure is always due to an underlying condition.
2. Careful review of the medical record is required for accurate coding and sequencing
of respiratory failure.
3.Respiratory failure may be assigned as the principal diagnosis when it meets the
definition and the selection is supported by the alphabetic and tabular listing of ICD-10-
CM.
4. The principal diagnosis should be based on physician query to determine whether the
pneumonia or the respiratory failure was the reason for the admission.



Coding guidelines indicate that which of the following diagnoses should be listed as the
principal diagnosis for the Part 1 case scenario? - ✔️✔️Either is appropriate dependent
on physician query


The physician indicates that both the pneumonia and the respiratory failure are equally
responsible for the admission of the patient to the facility. The coding professional
and/or healthcare analyst should: - ✔️✔️Report the viral pneumonia because it yields
the higher paying, most appropriate DRG

Which of the following principal diagnoses produces the highest paying DRG? -
✔️✔️fracture of left tibia


Which of the following statements are true? Select all that apply. - ✔️✔️1. For a
diagnosis of sepsis, the appropriate code for the underlying systemic infection should be
assigned. 2. As with all postprocedural complications, code assignment for sepsis due
to postprocedural infection is based on the provider's documentation of the relationship
between the infection and the procedure.
3. Severe sepsis requires a minimum of two codes

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