E4e Healthcare Services LLC congestive heart failure Case Assignment

E4e Healthcare Services LLC congestive heart failure Case Assignment

Order ID	53563633773
Type	Essay
Writer Level	Masters
Style	APA
Sources/References	4
Perfect Number of Pages to Order	5-10 Pages

Description/Paper Instructions

E4e Healthcare Services LLC congestive heart failure Case Assignment

ICD9 Coding Test

Instructions: Use the ICD-9-CM Alphabetic Indexes and Tabular Lists to enter the ICD-9-CM Codes for the following conditions/procedures. Only one line is provided regardless of the number of codes required to completely identify the condition/procedure. Use E Codes and V Codes when appropriate.

A 63-year-old male is admitted with congestive heart failure and currently has severe mitral valve regurgitation, tricuspid valve regurgitation, and a history of aortic valve stenosis status post valve replacement. _____________________________________________________________________

A patient is admitted with chest pain, shortness of breath, and a heart murmur. The patient undergoes a diagnostic cardiac catheterization, which shows two-vessel coronary artery disease and severe mitral (valve) stenosis. It is recommended that bypass surgery with mitral valve replacement be performed as soon as possible. ____________________________________________________________________

A patient is admitted with weakness, diarrhea of 2 days’ duration, diaphoresis, and abdominal pain. The attending physician lists the diagnoses as viral gastroenteritis and dehydration. Intravenous fluids with electrolyte supplements are ordered. _____________________________________________________________________

A patient is admitted to the hospital with chest pain, nausea, and dyspnea. The patient has a history of a prior myocardial infarction 2 years ago. The pain is atypical. An ECG and cardiac enzyme study (creatine phosphokinase) are ordered, as well as an upper gastrointestinal series to rule out esophageal reflux. Diagnosis by the attending physician is myocardial infarction or esophageal reflux. ______________________________________________________________________

A patient presents with knee pain of 3 months’ duration, with no known trauma, either bucket-handle tear of medical meniscus or loose body in the knee joint. The final diagnosis is knee pain due to bucket-handle tear of medial meniscus versus loose body in the knee joint.

______________________________________________________________________

ICD-9-CM TEST Page 2

The patient fell off his motorcycle when turning too sharply and hit his head on the sidewalk. The patient was wearing a helmet. The examination revealed no outwardly apparent head injury. The only injury noted on examination was abrasion of the elbow. The patient was admitted overnight to the hospital for observation to rule out head injury. ______________________________________________________________________

A patient is admitted to the hospital for an elective cholecystectomy. The patient has chronic cholecystitis, and gallstones were visualized on x-ray films. After admission, it is noticed that the patient has a fever, is coughing, and shows some patchy infiltrates on the chest x-ray film. Surgery is canceled because the patent may have pneumonia. _____________________________________________________________________

A patient is admitted to the hospital with severe flank pain and hematuria. A urinalysis is done and it is positive for Escherichia coli. The discharge summary state acute pyelonephritis.

______________________________________________________________________

A patient was admitted with osteomyelitis of left distal femur due to diabetes.

_____________________________________________________________________

A patient is admitted with a fracture of tibia and major osseous defects due to senile osteoporosis.

_____________________________________________________________________

A patient is admitted with pathological fracture of the neck of femur due to metastatic carcinoma of bone; ovarian cancer five years ago.

______________________________________________________________________

Patient admitted with traumatic arthritis, left ankle, due to old traumatic dislocation due to falling off ladder. Procedure in OR compression arthrodesis, left ankle

______________________________________________________________________

A patient is admitted with gangrenous diabetic ulcer of right foot due to peripheral circulatory disorder. Patient had a surgical excisional debridement of skin and fascia of foot.

______________________________________________________________________

ICD-9-CM TEST Page 3

Index & Tabular Coding Exercises

Influenza with pneumonia __________________________

Meningitis due to Salmonella Infection __________________________

Scoliosis due to poliomyelitis at age 12 __________________________

Incomplete early abortion (spontaneous) __________________________

Acute Kidney failure with renal papillary necrosis __________________________

and hypertension

Intracerebral hemorrhage with vasogenic edema _________________________

Table of Drugs and Chemicals

Poisoning due to unspecified alcohol __________________________

Accidental poisoning due to Valium __________________________

Toxicity due to exposure of arsenical pesticide __________________________

V Codes

Status post aortocoronary bypass procedure __________________________

Long-term use of anticoagulant therapy __________________________

Screening mammogram, high-risk patient __________________________

Surgical or other procedure not carried out

Because of contraindication __________________________

ICD-9-CM TEST Page 4

E Codes

Accident caused by fire __________________________

Visible and ultraviolet light sources, tanning beds __________________________

Attempted suicide __________________________

Accidental poisoning due to codeine __________________________

Signature: ___________________________ Date: ____________________________

Name:____________________________ Tel# ________________________________

e4e Healthcare Services LLC

Outpatient/ER Coding Exam

Instructions: Use every appropriate code.

Patient leaves the Emergency department with a diagnosis of bronchitis:

__________________________

Patient presented in the ED with chronic obstructive asthma with status asthmatics:

__________________________

A twelve-year-old is being treated for an acute sore throat, caused by Streptococcus.

__________________________

Patient presents with NIDDM with proliferative autonomic neuropathy on insulin.

__________________________

Patient presents with symptoms of an infection. She has a fever, chills. She states that she cut her finger over a week ago from a broken glass. It is now infected. DX: bacterial infection, unspecified

__________________________

A six year old present with a sore throat and fever. DX. Streptococcus group A

__________________________

What code would be assigned when a patient has concerns that he/she might be HIV positive and come to the lab for testing?

__________________________

A patient is being treated for pneumocystis pneumonia and AIDS

__________________________

A 15 year-old patient was seen in the ED for alcohol intoxication after drinking excessively at a party

__________________________

80 year old presents confused, agitated and disorientated. DX: drug induced dementia

__________________________

Outpatient TEST Page 2

Patient presents with acute back pain from a herniated lumbar disc. Patient is given an injection of steroid into the spinal canal. What is the appropriate code? DX: acute back pain

__________________________

What is the correct code assignment for chronic pelvic pain and vaginitis, unspecified?

__________________________

Five year old male presents with chronic serous otitis media.

__________________________

Seventy year old presents with high blood pressure with a history of stroke:

__________________________

Patient has acute systolic CHF:

__________________________

Chronic cholecystitis with gallstones

__________________________

Crohn’s disease of large intestine (regional colitis)

__________________________

Patient presents with cellulitis of the leg due to Staphylococcus

__________________________

A 3 year old child accidentally ingested bleach.

__________________________

Patient presents with a compound fracture of the radial and ulnar shaft

__________________________

Patient presents with right lower quadrant abdominal pain, with nausea, vomiting, and diarrhea.

__________________________

Outpatient TEST Page 3

Patient present to the operating room for fulguration of bladder tumors. The Cystoscope was inserted and entered the urethra which was normal. Bladder tumors measuring approximately (less than 0.5 cm) lesions(s) with or without biopsy.

__________________________

Patient complains of frequent headaches and the physician suspects temporal headaches. Patient underwent temporal artery biopsy. The physician completes a problem-focused history and examination with straightforward medical decision making. __________________________

The patient is on vacation and presents to an Ambulatory Care Center with a lacerated finger. The physician repairs the 2.6 cm laceration and gives a prescription for pain control and has the patient follow up with his primary care physician when he returns home. The physician completes a problem-focused history and examination with straightforward medical decision making. ___________________________

A 70- year-old male patient presents to the office with chronic obstructive lung disease, congestive heart failure, and hypertension. The physician conducts a comprehensive history and physical examination and makes a medical decision of moderate complexity. Physician admits the patient from the office to the hospital for acute exacerbation of CHF. __________________________

Patient presents to the operating room where the physician performed, using imaging guidance, a percutaneous breast biopsy utilizing a rotating biopsy device. _________________________

Patient presents to the hospital for debridement of a diabetic ulcer of the right ankle. The patient has a history of recurrent ulcers. Medication taken by the patient includes DIabeta and insulin. The ulcer was debrided 20 sq cm or less down to the bone. ____________________________

Patient presents to the emergency room following a fall from a horse while horseback riding. X-rays were ordered for the right upper arm which showed a fracture of the humerus shaft. The ER physician performed a closed reduction with manipulation of the fracture and placed the patient in a long arm cast. Code the diagnoses and procedures, excluding the x-ray. __________________________

Outpatient TEST Page 4

Patient presents with chronic nontraumatic rotator cuff tear. Patient underwent surgery to repair rotator cuff. ________________________

A physician orders a lipid panel on a 55 year old male with hypertensive heart disease, hypercholesterolmemia, hypertension, and a family history of ischemic heart disease. ______________________________________________________________________

Signature: ___________________________ Date:___________________________

( e4e Healthcare S ervices LLC )

E4e Healthcare Services LLC congestive heart failure Case Assignment

RUBRIC QUALITY OF RESPONSE NO RESPONSE POOR / UNSATISFACTORY SATISFACTORY GOOD EXCELLENT Content (worth a maximum of 50% of the total points) Zero points:  Student failed to submit the final paper. 20 points out of 50:  The essay illustrates poor understanding of the relevant material by failing to address or incorrectly addressing the relevant content; failing to identify or inaccurately explaining/defining key concepts/ideas; ignoring or incorrectly explaining key points/claims and the reasoning behind them; and/or incorrectly or inappropriately using terminology; and elements of the response are lacking. 30 points out of 50:  The essay illustrates a rudimentary understanding of the relevant material by mentioning but not full explaining the relevant content; identifying some of the key concepts/ideas though failing to fully or accurately explain many of them; using terminology, though sometimes inaccurately or inappropriately; and/or incorporating some key claims/points but failing to explain the reasoning behind them or doing so inaccurately.  Elements of the required response may also be lacking. 40 points out of 50:  The essay illustrates solid understanding of the relevant material by correctly addressing most of the relevant content; identifying and explaining most of the key concepts/ideas; using correct terminology; explaining the reasoning behind most of the key points/claims; and/or where necessary or useful, substantiating some points with accurate examples.  The answer is complete. 50 points:  The essay illustrates exemplary understanding of the relevant material by thoroughly and correctly addressing the relevant content; identifying and explaining all of the key concepts/ideas; using correct terminology explaining the reasoning behind key points/claims and substantiating, as necessary/useful, points with several accurate and illuminating examples.  No aspects of the required answer are missing. Use of Sources (worth a maximum of 20% of the total points). Zero points:  Student failed to include citations and/or references. Or the student failed to submit a final paper. 5 out 20 points:  Sources are seldom cited to support statements and/or format of citations are not recognizable as APA 6th Edition format. There are major errors in the formation of the references and citations. And/or there is a major reliance on highly questionable. The Student fails to provide an adequate synthesis of research collected for the paper. 10 out 20 points:  References to scholarly sources are occasionally given; many statements seem unsubstantiated.  Frequent errors in APA 6th Edition format, leaving the reader confused about the source of the information. There are significant errors of the formation in the references and citations. And/or there is a significant use of highly questionable sources. 15 out 20 points:  Credible Scholarly sources are used effectively support claims and are, for the most part, clear and fairly represented.  APA 6th Edition is used with only a few minor errors.  There are minor errors in reference and/or citations. And/or there is some use of questionable sources. 20 points:  Credible scholarly sources are used to give compelling evidence to support claims and are clearly and fairly represented.  APA 6th Edition format is used accurately and consistently. The student uses above the maximum required references in the development of the assignment. Grammar (worth maximum of 20% of total points) Zero points:  Student failed to submit the final paper. 5 points out of 20:  The paper does not communicate ideas/points clearly due to inappropriate use of terminology and vague language; thoughts and sentences are disjointed or incomprehensible; organization lacking; and/or numerous grammatical, spelling/punctuation errors  10 points out 20:  The paper is often unclear and difficult to follow due to some inappropriate terminology and/or vague language; ideas may be fragmented, wandering and/or repetitive; poor organization; and/or some grammatical, spelling, punctuation errors 15 points out of 20:  The paper is mostly clear as a result of appropriate use of terminology and minimal vagueness; no tangents and no repetition; fairly good organization; almost perfect grammar, spelling, punctuation, and word usage. 20 points:  The paper is clear, concise, and a pleasure to read as a result of appropriate and precise use of terminology; total coherence of thoughts and presentation and logical organization; and the essay is error free. Structure of the Paper (worth 10% of total points) Zero points:  Student failed to submit the final paper. 3 points out of 10: Student needs to develop better formatting skills. The paper omits significant structural elements required for and APA 6th edition paper. Formatting of the paper has major flaws. The paper does not conform to APA 6th edition requirements whatsoever. 5 points out of 10: Appearance of final paper demonstrates the student’s limited ability to format the paper. There are significant errors in formatting and/or the total omission of major components of an APA 6th edition paper. They can include the omission of the cover page, abstract, and page numbers. Additionally the page has major formatting issues with spacing or paragraph formation. Font size might not conform to size requirements.  The student also significantly writes too large or too short of and paper 7 points out of 10: Research paper presents an above-average use of formatting skills. The paper has slight errors within the paper. This can include small errors or omissions with the cover page, abstract, page number, and headers. There could be also slight formatting issues with the document spacing or the font Additionally the paper might slightly exceed or undershoot the specific number of required written pages for the assignment. 10 points: Student provides a high-caliber, formatted paper. This includes an APA 6th edition cover page, abstract, page number, headers and is double spaced in 12’ Times Roman Font. Additionally, the paper conforms to the specific number of required written pages and neither goes over or under the specified length of the paper.
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