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RHIA RHIT Review Guide Errata

VIEWS: 28 PAGES: 4

  • pg 1
									                                        2009 RHIA/RHIT Review Guide Errata

Page   Question   Comments
                  Table of Contents
ix                 Carol A. Venable, MPH, RHIA, FAHIMA
                     (correct MHP to read MPH)
                  Health Data Content and Standards
46     42         Correct answer: C
                  Change explanation in answer key to read:
                     In the past, a recommendation for improvement from the Joint Commission was indicated if the
                     number of delinquent records was greater than 50% or if the percentage of records with delinquent
                     records due to missing H&Ps exceeded 2% of the average monthly discharges. In the month of April,
                     both of these delinquency problems were reflected. However, since the percentages of delinquency of
                     the records is now the standard, the correct answer would be the month of June since it had the
                     highest percentage of delinquent records

                  Health Data Content and Standards
50     90         Correct answer: B
                  Change answer key to read:
                     In the past, a recommendation for improvement from the Joint Commission was indicated if the
                     number of delinquent records was greater than 50% or if the percentage of records with delinquent
                     records due to missing H&Ps exceeded 2% of the average monthly discharges. Additionally, if the
                     percentage of delinquent operative reports was over 2%, it was viewed as being a more serious
                     deficiencies since operative reports should be completed immediately after surgery, not post
                     discharge. The incomplete record rate of 55%, but the percentage of records that are not complete
                     have not met the criteria for delinquent records. The delinquent record rate is 32% which does not
                     exceed the Joint Commission requirements of exceeding 50% delinquency. With this in mind, even
                     though the delinquent records do not exceed 50%, answer B would have to be correct.
                                          2009 RHIA/RHIT Review Guide Errata
(continued)
Page    Question   Comments
                   Medical Science
149    17          Correct option D to read: either staphylococcus or streptococcus
164                Correct answer: D
                   Two types of bacteria cause impetigo — Staphylococcus aureus (staph), which is most
                    common, and Streptococcus pyogenes (strep). Both types of bacteria can live harmlessly
                    on your skin until they enter through a cut or other wound and cause an infection.
164    65          Correct answer: D
164    83          Correct Answer is: D
                   Information on vaginitis to support answer in book.
                   The most common types of vaginitis are:
                    Bacterial vaginosis. This type of vaginitis results from overgrowth of one of several
                       organisms normally present in your vagina, upsetting the natural balance of vaginal
                       bacteria.
                    Yeast infections. A naturally occurring fungus called Candida albicans usually causes
                       this type of vaginitis. An estimated three out of four women will have a yeast infection
                       in their lifetimes.
                    Trichomoniasis. This type is caused by a parasite and is commonly transmitted by
                       sexual intercourse.
                    Atrophic vaginitis. This type results from reduced estrogen levels after menopause. The
                       vaginal tissues become thinner and drier, which may lead to itching, burning or pain.
                   Medical Billing and Reimbursement
139    34          Under the outpatient prospective payment system (OPPS), status indicator “___” is a payment indicator
                   that refers to “significant procedures for which the multiple procedure reduction applies”. This means that
                   the reported CPT and/or HCPCS Level II code will be paid a discounted APC reimbursement rate when
                   reported with other procedures on the same claim.
                           A. “T”                 C. “S”
                           B. “X”                 D. “A”
                   REFERENCE:          Green & Rowell, p 286
                                       Green, p 847
                   Correct answer: A
122    39          Please omit using this question.
                                          2009 RHIA/RHIT Review Guide Errata
(continued)
Page    Question   Comments
                   ICD-9-CM
169    2           Option “B” should read: B: 038.11, V09.0, 707.03, 995.92, 785.52, 707.20, 38.93, 00.11
175    39          Answer option “D” should read: 410.41, 414.00, 427.31
178    59          Answer option “C” should read: C: 403.90, 250.41, 585.9, V58.67
182    88          Answer “D” should read: D: 771.82, 041.4
188    115         Question should read:
                   The patient has hypertensive heart disease and nephrosclerosis with end stage renal disease
220    116         Correct answer is “A”.
196    138         Add codes to box:
                   250.32 Diabetes mellitus with other coma, type II or unspecified type, uncontrolled
                   250.52 Diabetes mellitus with ophthalmic manifestations, type II or unspecified type, uncontrolled
                   Answer option “C” should read: C: 250.32, 250.52, 366.41

220                Explanation should read: Diabetic ketoacidosis by definition is uncontrolled.
200    148         Correct option for code 303.90 in box: 303.90 Other and unspecified alcohol dependence, unspecified
                   Add option for code 303.91 in box: 303.91 Other and unspecified alcohol dependence, continuous
                   Answer “C” should read 303.90, 535.30

220                Add explanation to answer key: The term “continuous” refers to daily intake of large amounts of alcohol,
                   or regular heavy drinking on weekends or days off. The coder should not assume to use the fifth digit 1
                   unless documented as continuous.
                   CPT Coding

227-   10-18       Questions from anesthesia need to have “anesthesia for” added at the beginning of the question on the
228                interactive CD so that students know use the anesthesia code.
237    72          Answer “A” should read: A: 43260, 43262, 43264

244    117         Answer “D” should read: D: 59300

253    186         Last sentence of question should read: The decubitus ulcer was debrided down to the bone.
                   Add code option 707.20 to option box: 707.20 Pressure ulcer unspecified stage
                   Answer “C” should read: C: 250.80, 707.06, 707.20, 11044
                                          2009 RHIA/RHIT Review Guide Errata
(continued)
Page    Question   Comments
256     191        Add code option -25 to code box: -25 Significant, separately identifiable evaluation and management
                   service by the same physician on the same day of the procedure or other service.
                   Answer “D” should read: D: 841.9, E927.2, 99281-25, 73080
257    193         Add option -59 to code option box: -59 Distinct procedural service
                   Answer “B” should read: B: 727.61, 29826-59, 23412

272                Add to answer explanation: Modifier -59 must be added to code 29826 because it is a component of
                   comprehensive procedure 23412. That is allowed if an appropriate modifier is used per NCCI edits.
269    231         Laparoscopic takedown of the splenic flexure and a partial colectomy with anastomosis
                       A. 44203, 44213          C.     44213
                       B. 44204                 D.     44204, 44213
                   REFERENCE:         CPT Assistant, April 2006, p 19
                   Correction: Codes in answer A should read: 44203, 44213
                   Answer D is correct.
269    232         Laryngoscopic submucosal removal of non-neoplastic lesion of the vocal cord with graft reconstruction. An
                   operating microscope was used.
                   A. 31546, 69990 C.           31546
                   B. 31546, 20926 D.           31546, 20926-51
                   REFERENCE: CPT Assistant, May 2006, p 16-17
                   Correction: First word in question should be: Laryngoscopic.
271    119         When tubal ligation is performed at the same time as hysterotomy, use 58611 in addition to 59100
                   Mock Examination
542    170         Typographical error: change HER to EHR in the question.

								
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