What should coders do when they encounter abnormal lab and clinical findings documented in an inpatient health record?

A) Automatically code and abstract all findings that are outside the normal range.
B) Always ask the provider which findings are significant.
C) Code the information only if the provider documents their clinical significance.
D) Code and abstract only the abnormal labs.


Answer: C

Health Professions

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During memory consolidation:

a. Synapses are fired repeatedly b. People feel strong emotions c. The prefrontal cortex is highly active d. Motor cortex is active

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High-expansion foam is typically used for:

A. wildland and brush fires. B. rolling on to liquid fuel fires. C. suppressing vapors from hazardous materials spills. D. confined spaces such as mines and shipboard compartments.

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By which of the following routes does blood flow through the umbilical cord between the pla-centa and the fetus?

a. One umbilical vein and one umbilical ar-tery b. One umbilical vein and two umbilical ar-teries c. Two umbilical veins and one umbilical ar-tery d. Two umbilical veins and two umbilical arteries

Health Professions

A thick-walled reproductive body capable of resisting harsh conditions is called a bacterial ________ and has been known to survive disinfection with strong chemicals and boiling water. 

Fill in the blank(s) with the appropriate word(s).

Health Professions