To decide if a V code diagnosis should be used, the coder needs to find out if the patient has been seen within the last year.determine if the patient is sick or has symptoms.discuss whether a V code is appropriate with the physician.find out the duration of the patient's illness.
The level of complexity in medical decision-making is determined by all of the following except:
the patient's diagnosis.diagnostic tests ordered.the number of follow-up exams suggested.the risk of significant complications.
CPT identifies three key components associated with E/M service codes. Key components used to select the appropriate level of E/M service are:
history, documentation, and nature of presenting problem.physical examination, counseling, and time.medical decision making, coordination of care, and time.history, physical examination, and medical decision making.
Some medical procedures, such as surgery on the base of the skull, require the involvement of more than one surgeon. The 1998 Physicians' Current Procedural Terminology book states that "When a surgeon performs the approach procedure, another surgeon performs the definitive procedure, and another surgeon performs the repair/reconstruction procedure, each surgeon reports:"
each code with a co-surgeon modifier.only the code for the specific procedure performed.each code with an assistant surgeon modifier.separate codes with a co-surgeon modifier.
Excisions requiring simple repairs must be reported with:
the excision code only, since the simple repair is included in the excision code.the simple repair code only.the simple repair code with the appropriate excision code.an excision code based on the size of the repair used.
When cardiovascular therapeutic services like percutaneous transluminal angioplasties (PTCA) are performed, coders should determine _________ in order to assign CPT codes.
the size of the lesionsthe percentage of vessel occludedhow many vessels are repairedif a cardioversion was performed
Following an electrophysiologic procedure, the reporting of postoperative complications:
requires diagnosis codes indicating medical necessity.is included in the postoperative period.is always paid in addition to the surgery.is not required in the postoperative period.
Clinical brachytherapy is supervised by a therapeutic radiologist. Often, a/an ________ is required to be present in case his or her services are also needed.
physician.orthopedist.surgeon.pathologist.
A disadvantage of computerized billing is:
accessibility.initial investment of time.performance of updates.level of production.
All Medicare insurance cards have claim numbers that include a/an:
gender code.expiration date.patient age code.alphabetical character.
PSYCHOLOGY
Psychologists are critical thinkers. Critical thinking requires you to:
accept the simple answer and not make it complicated.tolerate uncertainty, even if you feel pressured to come up with an answer, but you can't find one.decide it is either this or that and don't get hung up on dreaming.trust the accuracy of your instincts
In psychology, correlations measure the strength of the link between two variables. It is also important to know that correlations do not show:
the strength of the relationship.causation.the direction of the relationship.what occurs between sets of observations.
The fundamental idea behind natural selection is that, within a particular environment, a genetically influenced trait tends to be more successful and thus able to survive and be passed on. Environmental psychologists examine the __________ that led to survival, and which then led to further reproduction for survival. It doesn't matter to environmental psychologists whether those behavioral tendencies are adaptive in today's environment.
behavioral tendenciesinnate characteristicsheritabilitypsychological traits
Neurons communicate with each other through:
electrical language only.electrical and chemical language.the glial cells.neurogenesis.
ANSWER: THE GLIAL CELLS
The __________ connects the brain's right hemisphere to the left hemisphere.
cerebrumcorpus callosumparietal lobescerebral hemispheres
REM sleep periods average about 20 minutes in length, although they can last for as little as a few minutes or as long as an hour. It's interesting that during REM sleep, the electrical activity in the brain resembles that of:
Stage 2, with sleep spindles of rapid, high-peaking waves of electrical activity.delta sleep from which you are hard to arouse.deep Stage 4 sleep.alert wakefulness.
A mother is at a soccer game where everyone is yelling and screaming. When she goes to her car to get some water, her teenage daughter has the stereo turned up full blast to her favorite station. Over 50 yards away, her 8-year-old son yells, "Mom, look!" and, just in time, she turns to see him score his first goal. Even with all this sensory stimulation, __________ enabled her to still hear her son.
difference thresholdselective attentionsensory adaptation to familiar objectsencoded messages
According to the Gate-Control Theory of pain:
we cannot control the gate through which pain enters or is emitted back from the brain.the gate for pain is open only for survival instincts.pain cannot pass through these special spinal units (gates).we can create pain by dwelling on it.
If you want a response to persist and resist extinction once it has been learned, you need to reinforce it:
only as a secondary reinforcer.on a fixed schedule.continuously.intermittently.
According to attribution theory, Americans are likely to blame others' __________ first when something goes wrong, but will point to their own __________ when something goes right.
dispositional attributes; self-serving biasself-serving bias; dispositional attributesdispositional attributes; situational attributessituational attributes; situational attributes
The __________ is responsible for the accreditation of hospitals, nursing homes, other health care facilities, and managed care organizations in the United States.
Joint Commission on the Accreditation of Healthcare OrganizationsNational Committee on Quality AssuranceAmerican Medical AssociationOffice of Inspector General
The diagnosis for an outpatient setting that is not yet proven and includes words such as suspected, rule out, possible, questionable, suspicious for, or ruled out, is called a:
principal diagnosis.first-listed diagnosis.secondary diagnosis.qualified diagnosis