Insurance and Medical Coding Test Prep

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What does HIPAA stand for?

Health Insurance Portability and Accountability Act
Health Insurance Protection and Accountability Association
Health Insurance Post-Payment Auditing Association
Health Insurance Accountability and Auditing Act

Explanation

Answer: A - HIPAA stands for Health Insurance Portability and Accountability Act. HIPAA is an Act of Congress, not an association or organization. Those that do not follow HIPAA requirements can be prosecuted. HIPAA also joins with other organizations to ensure that everyone involved in patient healthcare follow its stipulations.

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Theodore is an elderly 90-year-old man, who has been unable to leave his bed for the last six months. During his last check-up, the physician noticed a pressure ulcer on the back of his calf muscle. The ulcer was already at an elevated stage, with partial thickness skin loss involving the epidermis of the back of the calf. His physician recommended that Theodore be moved to an upright position to relieve the pressure on his calf muscle and prevent infection. If the pressure ulcer persists, Theodore’s physician may recommend using a healing chamber as a way to treat the wound before it gets any worse. What is the appropriate way to code Theodore’s pressure ulcer?
7 votes

A 76-year-old woman visited her dermatologist’s office in response to a large suspicious nevus on her back. The dermatologist excised the nevus and sent it to the pathology lab for examination. The patient experienced pain excision site, due to its large size and was prescribed pain medication. What two part of Medicare insurance will the patient need to pay for the dermatologist’s office visit and the prescription charges?
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A pediatric patient presented to the office with a severe asthma attack. The pediatrician ordered a pulse oximetry to check the patient’s blood oxygen saturation level and a spirometry to evaluate her lung capacity. The physician interpreted the results and ordered an albuterol nebulizer treatment and a post-spirometry to check the patient’s responsiveness to the albuterol treatment. What are the correct codes for this office visit?
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A physician performed craniotomy on a patient with a severe head trauma and intracerebral hematoma. Due to the patient’s condition the procedure was extremely difficult, requiring a significant amount of extra time and effort. What is the correct code for this procedure?

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