Which is NOT an example of an Encoder Edit Check?
a. Mutually exclusive diagnoses
b. Medicaid medical necessity
c. Patient age
d. Unacceptable principal diagnosis
Answer: b
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Which of the following reflects the guideline defined by the 1995 and 1997 DGs to determine the overall level of medical decision-making complexity?
a. To qualify for a given level, all three of the elements in the table must be met b. To qualify for a given level, at least two of the three elements in the table must be met or exceeded c. To qualify for a given level, the highest element determines the overall level d. To qualify for a given level, specific elements identified by a bullet must be documented
You are transporting a 19-year-old male with a gunshot wound to the chest. On scene, you covered the wound with an appropriate dressing. Now, as you reassess the patient, you note that the patient is tachypneic and complains of increased difficulty breathing. Breath sounds on the side of the injury are diminished. Your immediate action would be to:
A) Tape the dressing on the fourth side B) Lift the dressing from the wound briefly during exhalation C) Provide positive pressure ventilation with high-concentration oxygen D) Cover the wound with another dressing
Medical decision making (MDM) is measured by all of the following components EXCEPT the:
A) cost associated with the recommended procedure. B) risk of significant complications. C) number of medical records or tests that must be analyzed. D) number of possible diagnoses that must be considered.
Outline the primary domains of potential interactions within social cognitive theory