Open Question: Help with medical coding please!?

January 25th, 2012 | by admin | Lifetime heart risks are higher than thought: study
A person's lifetime risk of getting heart disease may be much higher than previously thought, according to a major US study published on Wednesday.
Wed, 25 Jan 2012 14:06:24 -0800
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Obesity and cardiovascular risk in children and adolescents.

Indian J Endocrinol Metab. 2012 Jan; 16(1): 13-9
Raj M

The global prevalence of overweight and obesity in children and adolescents has increased substantially over the past several decades. These trends are also visible in developing economies like India. Childhood obesity impacts all the major organ systems of the body and is well known to result in significant morbidity and mortality. Obesity in childhood and adolescence is associated with established risk factors for cardiovascular diseases and accelerated atherosclerotic processes, including elevated blood pressure (BP), atherogenic dyslipidemia, atherosclerosis, metabolic syndrome, type II diabetes mellitus, cardiac structural and functional changes and obstructive sleep apnea. Probable mechanisms of obesity-related hypertension include insulin resistance, sodium retention, increased sympathetic nervous system activity, activation of the renin-angiotensin-aldosterone system and altered vascular function. Adiposity promotes cardiovascular risk clustering during childhood and adolescence. Insulin resistance has a strong association with childhood obesity. A variety of proinflammatory mediators that are associated with cardiometabolic dysfunction are also known to be influenced by obesity levels. Obesity in early life promotes atherosclerotic disease in vascular structures such as the aorta and the coronary arteries. Childhood and adolescent adiposity has strong influences on the structure and function of the heart, predominantly of the left ventricle. Obesity compromises pulmonary function and increases the risk of sleep-disordered breathing and obstructive sleep apnea. Neglecting childhood and adolescent obesity will compromise the cardiovascular health of the pediatric population and is likely to result in a serious public health crisis in future.

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Reviews of Studies Show Cocoa Improves Health for People with Type 2 Diabetes and Pre-Diabetes, by ProactiveLife

Diabetes Support supplements by ProactiveLife is the only product to contain pure cocoa powder to assist people with Type 2 Diabetes and Pre-Diabetes.

(PRWeb January 23, 2012)

Read the full story at


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Open Question: Help with medical coding please!?

1. What is the main reason that insurance companies are hesitant to push for a quick release of
the new ICD-10 coding classification system?
A. Difficulty in learning the new system
B. Cost of implementing
C. Lack of government support
D. Instability of the new system
2. E codes are used to indicate which of the following?
A. Where an accident occurred
B. How an accident occurred
C. Whether a drug overdose was accidental or purposeful
D. All of the above
3. Which of the following best describes late effects?
A. Residual effects that remain after the acute phase of an injury or illness
B. Effects that are always coded alone
C. Effects categorized according to the nature and time of the disease, condition, or injury
D. E codes that describe where the injury, illness, or condition occurred
4. When two or more diagnoses equally meet the criteria for principal diagnosis, what action
should the coder take?
A. Code both diagnoses with either of the diagnoses sequenced first.
B. Code both of the diagnoses, sequencing the codes based on which diagnosis the physician
listed first on the discharge sheet.
C. Code only the diagnosis most closely related to the treatment.
D. Code only the diagnosis that’s the most resource-intensive.
5. In an acute care hospital, when is it appropriate to assign a code such as 794.31—abnormal
electrocardiographic findings?
A. When the laboratory or testing report shows that the abnormal finding meets Uniform
Hospital Discharge Data Set (UHDDS) criteria
B. When the physician has documented the abnormal finding in the Progress Notes
C. When the physician hasn’t been able to arrive at a diagnosis, and the diagnosis meets the
guidelines for that particular code
D. It’s never appropriate to assign codes of this type for an acute care setting
6. Which of the following wouldn’t be a valid principal diagnosis?
A. 873.42 C. 496
B. E880.9 D. V25.1
7. Which of the following codes fall under the category of providing codes for reporting factors
influencing health status and health service?
A. V67.4 C. 47.09
B. E884.2 D. A4509
8. Unknown causes of morbidity or mortality should be coded only when
A. the physician documents them on laboratory reports.
B. a more definitive diagnosis isn’t available.
C. reporting acute care hospital codes.
D. they meet UHDDS guidelines.
9. Which of the following scenarios could be classified within code ranges 960–979?
A. Patient has lethargy for unintentionally taking too much of her prescribed sleeping pill.
B. Patient had an allergic reaction to her normal dose of antihistamine.
C. Patient experienced lightheadedness due to the interaction of two drugs prescribed by her
family doctor.
D. Patient is experiencing increased heart rate due to daily dose of Valium that has been
taken as prescribed.
10. A patient was admitted to the hospital with a deep burn to the dermis of the arm. For coding
purposes, you would classify this condition as
A. a first-degree burn.
B. a second-degree burn.
C. a third-degree burn.
D. undeterminable until the physician clarified with more information.

Thu, 26 Jan 2012 01:58:19 GMT
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