Is you have valid clinical indicators and listed within the documentation of the medical record, what would you do?
100
Multiple sites, per operative session
What qualifies for reporting of modifier 59?
100
996.64, infection & inflammatory reaction due to indwelling urinary catheter.
What is the correct code assignment for a UTI due to a suprapubic catheter?
100
16-60 minutes
What is the minimum time needed to report an initial therapeutic infusion?
200
RRL (Review Results Letter)
How are we notified by potenital MS-DRG Changes?
200
No bleed/no hematemesis
When do I query for the link between the GI condition and the potential bleeding source?
200
92981
What is the code assignment for an insertion of a non drug eluting stent (PTCA) - see CPT Assistant, 1Q 2007 pg 7?
200
hypoxia
A clinical condition that is not inherent in COPD (3Q 2009).
200
15 minutes or less
How many minutes constitutes an IV push?
300
47
How many identified opportunities overlap between the TN & KY RACs?
300
Code primary site
If a patient presents with mal. pleural effusion and a thoracentesis was performed, what would your principal diagnosis be?
300
Hot Biopsy
What is one of the methods used during a colonoscopy which result in a code assignment of 45384?
300
285.3 Antineoplastic chemotherapy induced anemia
What is the correct code assignment when the documentation reflects anemia of chemotherapy.
300
R/W 0.01-2.0
What relative weight constitutes a procedure category I charge?
400
Transbronchial Biopsy
What is a one trend that is a focus of the RAC?
400
Alcoholic Cirrhosis
If a patient presents with esphageal varices w/o bleeding and alcoholic cirrhosis, what is your pdx?
400
Ink Injection
What is a separate reporting procedure when a polyp is injected for removal of another techinque? Does non apply for reporting if utilized for controlling bleeding during a therapeutic intervention.
400
793.82 Dense breast
What is the correct code assignment when a diagnostic mammogram is performed which reveals a dense breast.
400
Multiple re-assessments
What is a level IV intervention?
500
REGs
Who will assist the Nashville HSC with appeal responses?
500
Abnormal PTT
If the patient is on coumadin and a diagnosis is coagulopathy is documented, what is the diagnosis that is assigned?
500
Inpatient Only Procedures
What accounts must be reviewed by the Coding Leads (coding lead B que) prior to final code assignment?
500
Hemiplegia
A diagnosis that may be assigned w/CVA even if it has resolved at the time of discharge.
500
LPMSE
What is the only time that you would not charge a ER E/M level?