When documentation in the record is unclear whether or not the patient developed a new pressure ulcer while being treated for a healing/existing pressure ulcer, the coder should:
A) review the nursing documentation to find the information.
B) discuss the case with the wound care nurse.
C) query the provider.
D) none of the above.
C
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What condition can result from an airbag, a piece of dirt, or a contact lens?
A) Glaucoma B) A corneal abrasion C) Corneal retinopathy D) A corneal stricture
Hemophilia is an inherited condition in which:
A) anemia is due to excessive venipunctures B) WBCs are overproduced and do not function correctly C) clotting factors do not work properly D) there is a weakened area of the blood vessel wall
Which of the following is appropriate when correcting a medical record?
A. black out the incorrect information B. place a note near the correction stating why it was made C. type the correct information over the incorrect data D. write date and initials at the end of the medical record
The Health Care Fraud and Abuse Control Program was created by
A. FERA. B. FCA. C. HIPAA. D. HITECH.