Which of the following is a separate condition or illness present in the same patient at the same time as another unrelated condition or illness?
- Complication
- Co-morbidity
- Major complication or co-morbidity
- Infection
A co-morbidity is a separate condition or illness present in the same patient at the same time as another unrelated condition or illness.
Co-Morbidity: A separate condition or illness present in the same patient at the same time as another unrelated condition or illness.
Bernard Bunter is seen today for an acute myocardial infarction. Bernard had to have a coronary artery bypass graft surgery performed, which was done without difficulty. Two days later, Bernard developed post-op anemia. Bernard also has hypertension and congestive heart failure. Which of the conditions is a complication?
- Acute myocardial infarction
- Anemia
- Hypertension
- Congestive heart failure and hypertension
The anemia is a complication.
Pneumonia: An inflammation of the lungs.
Which of the following is an unexpected illness or condition that develops as the result of a procedure?
- Complication
- Co-morbidity
- Major complication or co-morbidity
- Infection
A complication is an unexpected illness or condition that develops as the result of a procedure.
Complication: An unexpected illness or other condition that develops as a result of a procedure, service, or treatment provided during the patient’s hospital stay.
What does the abbreviation MCC stand for?
- Major complications
- Major complications and co-morbidities
- Major complications and chronic conditions
- Major chronic conditions
The abbreviation MCC stands for major complications and co-morbidities.
Major Complication And Comorbidity (MCC): A complication or comorbidity that has an impact on the treatment of the patient and that makes care for that patient more complex.
What does the abbreviation CC stand for?
- Complications
- Complications and co-morbidities
- Complications and chronic conditions
- Chronic conditions
The abbreviation CC stands for complications and co-morbidities.
Major Complication And Comorbidity (MCC): A complication or comorbidity that has an impact on the treatment of the patient and that makes care for that patient more complex.
Which of the following has an effect on the treatment of the patient and makes caring for the patient more complex?
- Complication
- Co-morbidity
- Major complication or co-morbidity
- Infection
A major complication or co-morbidity has an impact on the treatment of the patient and makes caring for the patient more complex.
Major Complication And Comorbidity (MCC): A complication or comorbidity that has an impact on the treatment of the patient and that makes care for that patient more complex.
Bernard Bunter is seen today for an acute myocardial infarction. Bernard had to have a coronary artery bypass graft surgery performed, which was done without difficulty. Two days later, Bernard developed post-op anemia. Bernard also has hypertension and congestive heart failure. Which of the conditions is a co-morbidity?
- Acute myocardial infarction
- Anemia
- Hypertension
- Congestive heart failure and hypertension
Congestive heart failure and hypertension are both co-morbidities.
Controlled Hypertension: Hypertension that is successfully being treated.
Concurrent coding is when the coder:
- codes from the patient's chart while the patient is still in the hospital.
- codes from the patient's chart after the patient is discharged.
- waits until the physician signs all the documents in the charts before coding.
- sits next to the physician while coding the chart.
Concurrent coding is when the coder codes from the patient's chart while the patient is still in the hospital.
Concurrent Coding: Coding processes performed while a patient is still in the hospital receiving care.
Which of the following is a summary of the patient's hospital stay?
- Discharge summary
- Hospital course
- Discharge instructions
- Discharge disposition
The hospital course is a summary of the patient's hospital stay.
Which of the following is signed by the attending physician?
- Discharge summary
- Hospital course
- Discharge instructions
- Discharge disposition
The discharge summary is signed by the attending physician.
Sign: Objective evidence of a disease or condition.
Which of the following is considered the principal diagnosis?
- The admitting diagnosis
- The most complicated diagnosis
- The condition that takes the greatest number of treatments
- The condition established after study
The condition established after study is the principal diagnosis.
Principal Diagnosis: The condition that is the primary, or main, reason for the encounter.
Which of the following documents does the patient receive a copy of?
- Discharge summary
- Hospital course
- Discharge instructions
- Discharge disposition
A copy of the discharge instructions is given to the patient.
Aftercare: Follow-up monitoring of the patient’s condition after the primary treatment has been completed.
Which of the following contains a transfer order for the patient?
- Discharge summary
- Hospital course
- Discharge instructions
- Discharge disposition
The discharge disposition contains orders for the patient to be transferred.
Aftercare: Follow-up monitoring of the patient’s condition after the primary treatment has been completed.