2009 RHIA/RHIT Review Guide Errata



2009 RHIA/RHIT Review Guide Errata

|Page |Question |Comments |

| | |Table of Contents |

|ix | | Carol A. Venable, MPH, RHIA, FAHIMA |

| | |(correct MHP to read MPH) |

| | |Health Data Content and Standards |

|46 |42 |Correct answer: C |

| | |Change explanation in answer key to read: |

| | |In the past, a recommendation for improvement from the Joint Commission was indicated if the number of delinquent records was greater than 50% or if the percentage|

| | |of records with delinquent records due to missing H&Ps exceeded 2% of the average monthly discharges. In the month of April, both of these delinquency problems |

| | |were reflected. However, since the percentages of delinquency of the records is now the standard, the correct answer would be the month of June since it had the |

| | |highest percentage of delinquent records |

| | |Health Data Content and Standards |

|50 |90 |Correct answer: B |

| | |Change answer key to read: |

| | |In the past, a recommendation for improvement from the Joint Commission was indicated if the number of delinquent records was greater than 50% or if the percentage|

| | |of records with delinquent records due to missing H&Ps exceeded 2% of the average monthly discharges. Additionally, if the percentage of delinquent operative |

| | |reports was over 2%, it was viewed as being a more serious deficiencies since operative reports should be completed immediately after surgery, not post discharge. |

| | |The incomplete record rate of 55%, but the percentage of records that are not complete have not met the criteria for delinquent records. The delinquent record rate|

| | |is 32% which does not exceed the Joint Commission requirements of exceeding 50% delinquency. With this in mind, even though the delinquent records do not exceed |

| | |50%, answer B would have to be correct. |

2009 RHIA/RHIT Review Guide Errata

(continued)

|Page |Question |Comments |

| | |Medical Science |

|149 |17 |Correct option D to read: either staphylococcus or streptococcus |

|164 | |Correct answer: D |

| | |Two types of bacteria cause impetigo — Staphylococcus aureus (staph), which is most common, and Streptococcus pyogenes (strep). Both types |

| | |of bacteria can live harmlessly on your skin until they enter through a cut or other wound and cause an infection. |

|164 |65 |Correct answer: D |

|164 |83 |Correct Answer is: D |

| | |Information on vaginitis to support answer in book. |

| | |The most common types of vaginitis are: |

| | |Bacterial vaginosis. This type of vaginitis results from overgrowth of one of several organisms normally present in your vagina, upsetting |

| | |the natural balance of vaginal bacteria. |

| | |Yeast infections. A naturally occurring fungus called Candida albicans usually causes this type of vaginitis. An estimated three out of four|

| | |women will have a yeast infection in their lifetimes. |

| | |Trichomoniasis. This type is caused by a parasite and is commonly transmitted by sexual intercourse. |

| | |Atrophic vaginitis. This type results from reduced estrogen levels after menopause. The vaginal tissues become thinner and drier, which may |

| | |lead to itching, burning or pain. |

| | |Medical Billing and Reimbursement |

|139 |34 |Under the outpatient prospective payment system (OPPS), status indicator “___” is a payment indicator that refers to “significant procedures for which the |

| | |multiple procedure reduction applies”. This means that the reported CPT and/or HCPCS Level II code will be paid a discounted APC reimbursement rate when reported |

| | |with other procedures on the same claim. |

| | |A. “T” C. “S” |

| | |B. “X” D. “A” |

| | |REFERENCE: Green & Rowell, p 286 |

| | |Green, p 847 |

| | |Correct answer: A |

|122 |39 |Please omit using this question. |

2009 RHIA/RHIT Review Guide Errata

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|Page |Question |Comments |

| | |ICD-9-CM |

|169 |2 |Option “B” should read: B: 038.11, V09.0, 707.03, 995.92, 785.52, 707.20, 38.93, 00.11 |

|175 |39 |Answer option “D” should read: 410.41, 414.00, 427.31 |

|178 |59 |Answer option “C” should read: C: 403.90, 250.41, 585.9, V58.67 |

|182 |88 |Answer “D” should read: D: 771.82, 041.4 |

|188 |115 |Question should read: |

| | |The patient has hypertensive heart disease and nephrosclerosis with end stage renal disease |

|220 |116 |Correct answer is “A”. |

|196 |138 |Add codes to box: |

| | |250.32 Diabetes mellitus with other coma, type II or unspecified type, uncontrolled |

| | |250.52 Diabetes mellitus with ophthalmic manifestations, type II or unspecified type, uncontrolled |

| | |Answer option “C” should read: C: 250.32, 250.52, 366.41 |

| | | |

|220 | |Explanation should read: Diabetic ketoacidosis by definition is uncontrolled. |

|200 |148 |Correct option for code 303.90 in box: 303.90 Other and unspecified alcohol dependence, unspecified |

| | |Add option for code 303.91 in box: 303.91 Other and unspecified alcohol dependence, continuous |

| | |Answer “C” should read 303.90, 535.30 |

| | | |

|220 | |Add explanation to answer key: The term “continuous” refers to daily intake of large amounts of alcohol, or regular heavy drinking on weekends or days off. The |

| | |coder should not assume to use the fifth digit 1 unless documented as continuous. |

| | |CPT Coding |

| | | |

|227-228 |10-18 |Questions from anesthesia need to have “anesthesia for” added at the beginning of the question on the interactive CD so that students know use the anesthesia |

| | |code. |

|237 |72 |Answer “A” should read: A: 43260, 43262, 43264 |

|244 |117 |Answer “D” should read: D: 59300 |

|253 |186 |Last sentence of question should read: The decubitus ulcer was debrided down to the bone. |

| | |Add code option 707.20 to option box: 707.20 Pressure ulcer unspecified stage |

| | |Answer “C” should read: C: 250.80, 707.06, 707.20, 11044 |

2009 RHIA/RHIT Review Guide Errata

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|Page |Question |Comments |

|256 |191 |Add code option -25 to code box: -25 Significant, separately identifiable evaluation and management service by the same physician on the same day of the procedure|

| | |or other service. |

| | |Answer “D” should read: D: 841.9, E927.2, 99281-25, 73080 |

|257 |193 |Add option -59 to code option box: -59 Distinct procedural service |

| | |Answer “B” should read: B: 727.61, 29826-59, 23412 |

| | | |

|272 | |Add to answer explanation: Modifier -59 must be added to code 29826 because it is a component of comprehensive procedure 23412. That is allowed if an appropriate|

| | |modifier is used per NCCI edits. |

|269 |231 |Laparoscopic takedown of the splenic flexure and a partial colectomy with anastomosis |

| | |A. 44203, 44213 C. 44213 |

| | |B. 44204 D. 44204, 44213 |

| | |REFERENCE: CPT Assistant, April 2006, p 19 |

| | |Correction: Codes in answer A should read: 44203, 44213 |

| | |Answer D is correct. |

|269 |232 |Laryngoscopic submucosal removal of non-neoplastic lesion of the vocal cord with graft reconstruction. An operating microscope was used. |

| | |A. 31546, 69990 C. 31546 |

| | |B. 31546, 20926 D. 31546, 20926-51 |

| | |REFERENCE: CPT Assistant, May 2006, p 16-17 |

| | |Correction: First word in question should be: Laryngoscopic. |

|271 |119 |When tubal ligation is performed at the same time as hysterotomy, use 58611 in addition to 59100 |

| | |Mock Examination |

|542 |170 |Typographical error: change HER to EHR in the question. |

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