Anatomy
This organ is responsible for pumping blood throughout the body.
What is the heart?
What is patient's POV?
“Cardio-” refers to this organ.
What is the heart?
This chronic lung disease is associated with smoking and airflow issues.
What is COPD?
This vital sign is often elevated in infections and fevers.
What is temperature?
The femur is located in this part of the body.
What is the thigh?
What visits should have a personalized CC?
What is all visits, except WVs?
The suffix “-itis” means this.
What is inflammation?
This progressive disease leads to memory loss and cognitive decline.
What is dementia (or Alzheimer’s disease)?
HCC coding requires documentation of this 3-part phrase.
What is MEAT (Monitor, Evaluate, Assess, Treat)?
The heart is located in this cavity of the body.
What is the thoracic cavity?
What visit types use Z00.00 and Z00.01?
What are WRVs?
Nephrology” is the study of this organ system.
What is the kidney (or renal) system?
CAD stands for this chronic heart condition.
What is coronary artery disease?
Copying and pasting old plans is risky because of this major documentation error.
What is outdated/inaccurate documentation?
This lobe of the brain controls reasoning and decision-making.
What is the frontal lobe?
What diagnosis codes should you choose from when linking them to labs?
What are codes used in a visit note?
The prefix “brady-” indicates this.
What is slow?
Documenting medications like furosemide and carvedilol supports the diagnosis of this cardiac condition.
What is congestive heart failure?
Specificity and _______ are required for proper diagnosis coding.
What is chronicity (or severity)?
The nephron is the functional unit of this organ.
What is the kidney?
*Double Jeopardy* When should you use Z00.00 and Z00.01?
What is...
Z00.00
Z00.00 is used when no new diagnoses are found to treat or for patients with chronic conditions that are currently asymptomatic/stable at the Wellness Review Visit.
Z00.01
Z00.01 is used when any current illness is found or when patients with chronic conditions are symptomatic at the Wellness Review Visit.
The term “hepatomegaly” refers to this condition.
What is an enlarged liver?
Documenting this symptom is crucial in heart failure diagnosis.
What is shortness of breath?
This type of diagnosis must be documented at least once per calendar year with supporting evidence (like symptoms, medications, or status) in order to be captured for risk-adjustment purposes—yet is often missed when scribes copy forward from prior notes without updates.
What is a Hierarchical Condition Category (HCC) diagnosis?