A medical assistant is reviewing the chart of a patient who has arteriosclerotic heart disease. In which of the following references should the assistant look for You are logged in as PAM appropriate diagnostic code?
Physicians' Desk Reference
CPT manual
HCPCS
ICD-10-CM coding manual
The Correct Answer is D
A. Physicians' Desk Reference: The Physicians' Desk Reference (PDR) provides drug information and is not used for diagnostic coding. It includes details about medications, such as their uses, dosages, and side effects.
B. CPT manual: The CPT (Current Procedural Terminology) manual is used to find codes for procedures and services provided by healthcare professionals, not diagnostic codes.
C. HCPCS: The Healthcare Common Procedure Coding System (HCPCS) is primarily used for coding supplies, equipment, and services not included in the CPT manual. It is not used for diagnostic coding.
D. ICD-10-CM coding manual: The ICD-10-CM (International Classification of Diseases, 10th Revision, Clinical Modification) manual is the correct reference for finding diagnostic codes, including those for arteriosclerotic heart disease.
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View Related questions
Correct Answer is A
Explanation
A. Advise them that privacy regulations prevent releasing patient information regardless of their relationship to the patient: Privacy regulations, such as those outlined in HIPAA, restrict the release of patient information without proper authorization, regardless of the inquirer’s relationship to the patient.
B. Verbally share the patient information with them since they are the subscriber on the patient's medical insurance: Even if the partner is the insurance subscriber, patient information cannot be disclosed without the patient’s explicit authorization.
C. Reassure them that they have nothing to worry about since their partner's visit was only a follow-up to a minor surgery: Providing details about the visit without authorization violates patient privacy and confidentiality.
D. Instruct them to provide proof of identity prior to providing the requested information: Proof of identity is not sufficient without a medical records release authorization form to disclose patient information.
Correct Answer is B
Explanation
A. Nails no longer than 1⁄2 inch: While nails should be kept short and clean, this answer does not directly address the CDC’s recommendations for hand hygiene.
B. Using alcohol-based hand sanitizer with at least 60% alcohol: The CDC recommends using alcohol-based hand sanitizers with at least 60% alcohol for effective hand hygiene.
C. Washing visibly soiled hands with soap and water for 3 to 5 min: Hand washing should be performed for 20 seconds with soap and water, not 3 to 5 minutes. The duration mentioned is excessive and not in line with standard guidelines.
D. Artificial nails without cracks or chips: The CDC advises against wearing artificial nails when providing patient care, as they can harbor bacteria and pose an infection risk.