CCA Bundled Exams with complete solution

A 32-year-old patient has a colonoscopy with removal of three polyps by snare. Moderate sedation was used and provided by the physician. The intraservice time was 30 minutes. - 45385, 99156, 99157 A code of 45385 should be used for the colonoscopy procedure with the removal of polpys. No addition...

Limit use, access, and disclosure to the minimum necessary to accomplish the intended purpose - The concept of "minimum necessary" included in the HIPAA means that healthcare providers must 2 - Code assignment for stage three decubitis ulcers of the hip and heel require how many codes? Osseous...

To what do the notes under a 3 character code apply? - All codes within that category Which volume of the ICD-10 CM contains the tabular and alphabetic index of procedures? - ICD- 10 CM contains diagnoses only. Procedures are coded with ICD-10 PCS What is the standard terminology used to codes me...

Mary Smith, RHIA, has been charged with the responsibility of designing a data collection form to be used on admission of a patient to the acute-care hospital in which she works. The first resource that she should use is: UHDDS UACDS MDS ORYX - a When the CCI editor flags that a comprehensive...

1. A 65-year-old white male was admitted to the hospital on 1/15 complaining of abdominal pain. The attending physician requested an upper GI series and laboratory evaluation of CBC and UA. The x-ray revealed possible cholelithiasis, and the UA showed an increased white blood cell count. The pati...

During an audit of health records, the HIM director finds that transcribed reports are being changed by the author up to a week after initial transcription. The director is concerned that changes occurring this long after transcription jeopardize the legal principle that documentation must occur n...

1. A patient is admitted with spotting. She had been treated two weeks previously for a miscarriage with sepsis. The sepsis had resolved, and she is afebrile at this time. She is treated with an aspiration dilation and curettage and products of conception are found. Which of the following should b...