Can the relative pronoun in this sentence be removed?The year that I spent studying abroad was the happiest one of my life.

Retrospective audits should include the following attributes: I. Provider signatures II. Supporting documentation of the patient’s diagnoses III. DOS

01/01/XX SUBJECTIVE: CC: This 43 year-old Caucasian male is here today for a follow-up visit. The patient’s past medical history is notable for diabetes, hypertension, and mixed hyperlipidemia. HPI: Patient presents with type 2 diabetes. Specifically, this is type 2, non-insulin requiring diabetes without complications. Compliance with treatment has been good. In regard to the essential hypertension, benign, this was first diagnosed several years ago. He is tolerating the medication well without side effects. Concerning mixed hyperlipidemia, compliance with treatment has been good; he takes his medication as directed, maintains his low cholesterol diet, follows up as directed, and maintains his exercise regimen. ROS: CONSTITUTIONAL: Negative for chills, fatigue, fever and night sweats. CARDIOVASCULAR: Negative for chest pain, claudication, dizziness, palpitations and pedal edema. RESPIRATORY: Negative for dyspnea, hemoptysis and pleuritic chest pain. GASTROINTESTINAL: Negative for abdominal pain, dysphagia, constipation, diarrhea, heartburn, nausea and vomiting. Past Medical, Family, Social History (PFSH): Past Medical History: Coronary Artery Disease Hyperlipidemia Hypertension Surgical History: Appendectomy: at age 27; Tobacco/Alcohol/Supplements: Tobacco: Currently smokes more than three packs per day. An extensive list of the risks of smoking (and reasons to quit) have been reviewed with the patient; these include increased risk of cancer and increased risk of heart attack. Is unwilling to consider quitting tobacco at this time. Alcohol: Patient has a past history of alcoholism. His last drink was over 10 years ago. Substance Abuse History: NEGATIVE Allergies: Nitroglycerin: chest pain Aspirin: Current Medications: Zocor 80mg Tablet 1 tab(s) po hs, Altace 10mg Capsules 1 cap(s) po qd, Insulin, Lispro (Analog rDNA) 100units/1ml Pen System, Disposable 25-30 U Sq AC meals, Norvasc 10mg Tablet 1 tab(s) po qd, Tenormin 100mg Tablet 1 tab(s) po qd, Heal with Steel Health Center. OBJECTIVE: Vitals: BP: 118/78 mm Hg; P: 46 bpm (regularly irregular); R: 12 bpm. Exams: GENERAL: moderately obese; well groomed; anxious; diaphoretic. EYES: lids and lacrimal system are normal in appearance; conjunctiva and cornea are normal. ENT: Oropharynx: normal dentition and gingiva; normal palate; normal oral mucosa. NECK: thyroid is non-palpable; jugular veins are normal. RESPIRATORY: normal respiratory rate and pattern with no distress; normal breath sounds with no rales, rhonchi, wheezes or rubs. CARDIOVASCULAR: normal rate and rhythm without murmurs; normal S1 and S2 heart sounds with no S3, S4, rubs, or clicks; carotids: 2+ amplitude, no bruits; abdominal aorta appears to be of normal size and is without bruits; femoral pulses: 2+ amplitude, no bruits; 2+ pedal pulses; no edema or significant varicosities. GASTROINTESTINAL: no masses or tenderness; no organomegaly. SKIN: no clubbing, cyanosis, ulcerations, or vascular skin lesions. MUSCULOSKELETAL: spine: no scoliosis, kyphosis, or other abnormal spinal curvatures; normal gait; grossly normal tone and muscle strength. NEUROLOGIC/PSYCHIATRIC: mental status: alert and oriented x 3; Mood/Affect: anxious. ASSESSMENT: E11.9 Type 2 diabetes, I10 Essential hypertension, E78.2 Mixed hyperlipidemia. PLAN: Type 2 diabetes LAB ORDERS: hgbA1C, fasting lipid profile, TSH, urinalysis, urine micro-albumin. MEDICATIONS: Over-the-counter medications recommended include aspirin. RECOMMENDATIONS: instructed in use of glucometer (check glucose before each meal), a daily aspirin, adherence to a 2200 calorie ADA diet, HgbA1C level checked quarterly, urine micro albumin test yearly, daily foot self-inspection, yearly dental exams, annual eye exams, need for yearly flu shots, and pneumovax vaccination every five years. FOLLOW-UP: Schedule a follow-up visit in three months. Orders: Collection of venous blood by venipuncture Handling and/or conveyance of specimen for transfer from the physician’s office to a laboratory Glycated hemoglobin Urinalysis, automated, without microscopy Dilated Eye Exam Lipid panel (total cholesterol, HDL, triglycerides) Thyroid stimulating hormone (TSH) Urine micro albumin, quantitative Other Orders: Collection of venous blood by venipuncture today Electrolyte panel (Na, K, Cl, CO2) Electrocardiogram, routine with at least 12 leads; with interpretation and report Electronically Signed: M, Jones, M.D. After review of the record provided, what discrepancy would a coder identify?

Combine the sentences into one sentence. Use the second sentence as an OBJECT relative clause. Decide if the clause is identifying or non-identifying and punctuate appropriately. The community was very happy when the case was solved. The thief had committed several robberies there. 

Predictive models are used to identify people who are at high risk of chronic illnesses having higher medical claims; what can a provider do with this information to decrease the medical costs? I. Develop disease management education programs II. Involve clinical staff to help with coordination of care III. Refer the patients with chronic illnesses to be treated by another provider IV. Determine the return on investment when referring to a specialist for chronic illnesses

Which of the following general statements is NOT TRUE regarding Risk Adjustment practices and Quality? 

Using the information provided below, which statement is TRUE: HCC Question Practice test #1.png  

 Patient returns for follow up of her osteoporosis on anabolic therapy. She continues on TERIPARATIDE shots daily and will complete her two years of that in August of this year. She remains on VITAMIN D reduced to once a week 50,000 units. O: Vital signs are recorded. Despite the above, she seems to be in good spirits today. Moderate kyphotic posture of the thoracic spine noted. Lungs clear, cardiac exam regular rate and rhythm. Vitamin D level was over 40 last time, having been undetectable in March. A: Postmenopausal osteoporosis exacerbated by Vitamin D deficiency and suspected calcium malabsorption. Seems to be stable at this point in that regard. P: 1. CBC, comprehensive metabolic panel. May be able to back off further on her VITAMIN D. 2. When she returns next time in September will obtain DXA to compare with the one she had a year ago. 3. She will complete her two years of TERIPARATIDE injections in August. Select the diagnosis code(s).

The patient had hip replacement surgery three days ago. The provider documents the patient has had a “iatrogenic cerebrovascular infarction due to recent hip replacement surgery during her current hospital stay.” Assign the appropriate ICD-10-CM code for the cardiovascular event.

A client presents to the ED with acute abdominal pain, fever, nausea and vomiting. During the client’s examination, the lower left abdominal quadrant is palpated, causing the the client to report pain in the RLQ. This positive sign suggests the client may be experiencing which acute abdominal problem?