RHIA

RHIA practice questions, page 44 of 73, with answer review and explanations.

Question 216

An encoder that prompts the coder to answer a series of questions and choices based on the documentation in the medical record is called a(n)

  1. logic-based encoder.
  2. automated codebook.
  3. grouper.
  4. automatic code assignment.

Question 217

A disadvantage of adopting SNOMED for diagnosis coding is that it

  1. is too difficult to use as a reimbursement system.
  2. is not compatible with computer technology.
  3. would hinder communication among diverse computer systems.
  4. is not possible to conduct outcomes research with SNOMED.

Question 218

The Unified Medical Language System (UMLS) is a project sponsored by the

  1. National Library of Medicine.
  2. CMS.
  3. World Health Organization.
  4. Officer of Inspector General.

Question 219

A patient is admitted with shortness of breath and hemoptysis. A chest x-ray revealed patchy infiltrates in the left lung and possible pneumonia. On the third day of hospitalization a bronchoscopy with biopsy was done which revealed a small cell carcinoma of the left upper lobe of the lung. A metastatic lesion in the brain was detected. The principal diagnosis is the

  1. metastatic brain carcinoma.
  2. small cell lung carcinoma.
  3. hemoptysis.
  4. pneumonia.

Question 220

Jane Moore was admitted to the ambulatory care unit of the hospital for a planned cholecystectomy for cholelithiasis. Shortly before surgery, Jane developed tachycardia, and the surgery was canceled. After a thorough workup for the tachycardia, Jane was discharged. This outpatient admission should be coded in the following sequence:

  1. V code for canceled surgery, tachycardia, cholelithiasis.
  2. tachycardia, V code for canceled surgery, cholelithiasis.
  3. cholelithiasis, V code for canceled surgery.
  4. cholelithiasis, V code for canceled surgery, tachycardia.