Scenario F (Questions 25-30): \"This patient was admitted with complaints of sho

Question

Scenario F (Questions 25-30): "This patient was admitted with complaints of shortness of breath and a possible small bowel obstruction. Also identified on admission was a urinary tract infection. The patient was treated for both the bowel obstruction and the urinary tract infection. An echocardiogram was completed and the attending physician documented that the patient had diastolic congestive heart failure." 25. What were the documented diagnoses? Check all that apply: ?SOB ?SBO ?UTI ?CHF 26. One of the diagnoses is a symptom. Which one? ?SOB ?SBO ?UTI ?CHF 27. What additional information is documented? ?Echocardiogram ?X-Ray ?CT scan ?Blood sample 28. Can the inpatient coder code from the echocardiography report? ?Yes ?No 29. What missing information prevents the coder from coding to the highest level of specificity? ?Blood work ?Echocardiogram results ?Relationship between SOB and CHF ?Urine sample 30. How can the coder obtain the missing information? ?Contact the hospital ?Query the provider ?Add it to the report ?Search the patient records

Explanation / Answer

25.SOB, SBO, CHF, know case of UTI.

26.SBO shortness of breath. Because the shortness breath can be subjected by patient. Subjective complaint is enough to diagnose the shortness of breath. So it's symptom,

27.Echo cardiogram.

28. No because only by seeing the echocardiography the coder can't interpret the diagnosis to code it. So need to be have some information.

29.Echo cardiogram results. Nothing but inference about the electrocardiography report.

30.search the patient records for additional information. If not get from the patient record. Query the provider.

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