A. Bleeding gastric ulcer - ANS - A patient is admitted from the emergency department (ED)
with a diagnosis of weakness and anemia. After admission and further treatment with packed red
blood cells (PRBC), GI consult, and endoscopy, the physician includes the following diagnoses
in the discharge...
CCDS Test Questions & Answers A. Bleeding gastric ulcer - ANS - A patient is admitted from the emerge ncy department (ED) with a diagnosis of weakness and anemia. After admission and further treatment with packed red blood cells (PRBC), GI consult, and endoscopy, the physician includes the following diagnoses in the discharge summary: anemia, suspected ble eding gastric ulcer, and GERD. What would be the most appropriate principle diagnosis? A. Bleeding gastric ulcer B. Anemia C. GERD D. Weakness B. Neoplasm of occipital region - ANS - A patient is admitted with new -onset seizures. Head CT reveals a mass in the occipital region. The physician documents possible brain tumor, and the patient is transferred to another hospital for further workup. What would be the most appropriate principal diagnosis based upon this documentation? A. Seizure B. Neoplasm of occipital region C. Head mass D. Head tumor C. 1,2, and 3 1. Calculated annually 2. Dependent upon indirect costs for graduate medical educa tion and new technology 3. Adjusted based upon number of low -income patients cared for - ANS - A hospital's base rate or blended rate is: 1. Calculated annually 2. Dependent upon indirect costs for graduate medical education and new technology 3. Adjuste d based upon number of low -income patients cared for 4. Not adjusted based upon capital expenses A. 1 and 2 B. 2 and 3 C. 1,2, and 3 D. 1,2,3, and 4 D. Reflect the severity of illness (SOI) and resource consumption of the patient's care - ANS - The final MS -DRG assigned to a patient's medical record should: A. Reflect the amount of time the physician spent with the patient B. Depend upon the patient's length of stay C. Be assigned by the physician D. Reflect the severity of illness (SOI) and resource consumption of the patient's care C. Poisoning - ANS - A patient is admitted from the emergency department with the diagnosis of acute respiratory failure due to overdose of pain medication and an aspi ration pneumonia. What is the principal diagnosis? A. Acute respiratory failure B. Aspiration pneumonia C. Poisoning D. Adverse effect of medication D. All of the conditions should be coded - ANS - A patient is admitted with pneumonia, stage 1 chronic re nal failure, chronic anemia, and COPD, While hospitalized the patient receives IV antibiotics, inhalers, oxygen, IV fluids at 50mL/hr, and iron tablets. Keeping the guidelines for coding of secondary diagnoses in mind, which condition should be coded? A. Pneumonia only B. Pneumonia and COPD only C. Pneumonia, COPD, and anemia D. All of the conditions should be coded D. Fractured ulna - ANS - Which of the following is an example of a hospital -acquired condition? A. Fat embolism B. IV phlebitis C. Pneumoni a D. Fractured ulna C. A diagnosis that is listed as possible in the history and physical - ANS - Which of the following is an example of documentation that would meet the present on admission criteria for coding? A. A diagnosis that is indicated in the history and physical and ruled out in the discharge summary B. A diagnosis found in a previous medical record C. A diagnosis that is listed as possible in the history and physical D. An acute condition identified on the third day of admission A. Colon cancer - ANS - A patient is admitted with abdominal pain and the history and physical indicated a diagnosis of probable colon cancer. On day two, the physician documents acute renal failure in the progress notes and the patient receives IV fluids. The discharge summary lists possible metastatic colon cancer and acute renal failure. The principal diagnosis would be: A. Colon cancer B. Acute renal failure C. Abdominal pain D. Metastatic neoplasm of the colon D. 1,2, and 3 1. Include identification of the patient's SOI 2. Identify conditions that are present on admission 3. Support medical necessity - ANS - Accurate documentation should: 1. Include identification of the patient's SOI 2. Identify conditions that are present on admission 3. Support m edical necessity A. 1 and 2 B. 2 and 3 C. 1 and 3 D. 1,2, and 3 B. Anemia - ANS - A patient with a history of metastatic lung cancer is directly admitted from the doctor's office with a diagnosis of anemia secondary to chemotherapy. The patient receives two units of PRBCs and is discharged. What is the most appropriate principal diagnosis? A. Respiratory neoplasm B. Anemia C. Admission for chemotherapy D. Admission for blood transfusion A. GI hemorrhage - ANS - A patient is admitted from the ED with rectal bleeding secondary to Coumadin toxicity. The physician documents that the patient had a recent increase in Coumadin
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