4.2 This 82 year old female was admitted for acute exacerbation of chronic obstructive pulmonary disease. The progress notes indicate that the patient received a transfusion for anemia. The discharge diagnosis state acute exacerbation nonautologous packed red blood cells was given via peripheral vein. What codes are assigned for this case?

4.2 This 82 year old female was admitted for acute exacerbation of chronic obstructive pulmonary disease. The progress notes indicate that the patient received a transfusion for anemia. The discharge diagnosis state acute exacerbation nonautologous packed red blood cells was given via peripheral vein. What codes are assigned for this case?
ICD-9-CM Code(s):

a)491.21,284.19,99.04

b) 491.21, 284.19, 285.9, 99.04

c) 496, 284.19, 99.04

d) 491.21, 284.19, 285.9, 99.02

4.3 This 35 year old female patient has carcinoma of the upper outer left breast. She had a lumpectomy performed and a sentinel lymph node biopsy of the axillary lymph node. The pathology report for the lymph node states no pathological change. What codes are assigned in this case?
ICD-9-CM Diagnosis Code(s) with POA indicator:
ICD-9-CM Procedure Code(s):
ICD-10-CM Code(s):
ICD-10-PCS Code(s):

4.4 An 8 year old male hemophiliac is admitted with acute blood loss anemia following uncontrolled bleeding. He was given 4 units of packed red blood cells via the peripheral vein. While in the hospital he also received his regular preventive infusion of clotting factors. Which of the following answers would be correct?
ICD-9-CM Code(s):

a)286.0,99.06,99.03

b) 285.1,286.0,99.04,99.06

c)286.0,285.1, 99.06, 99.03

c) 286.0,285.1, 99.06, 99.03

d) 285.1, 99.06, 99.03
ICD-10-CM Code(s):
ICD-10-PCS Code(s):

1. 4.1 This 45 year old man underwent colon resection for carcinoma of the transverse colon. The physician progress note on postoperative day 2 states anemia. Hemoglobin and hematocrit levels dropped significantly after surgery, and a blood transfusion was ordered. How is the anemia coded?
ICD-9-CM Code(s):

a) 285.1

b)998.11

c) 998.11,285.1

d) Query the physician because opportunity exists to improve documentation of etiology of anemia.
ICD-10-CM Code(s):

2. 4.5 What code(s) is/are assigned for a patient admitted for an azathioprine I drug- induced aplastic anemia? The patient has peripheral neuropathy of multiple joints of the lower extremities secondary to severe rheumatoid arthritis.
ICD-9-CM Diagnosis Code(s) with PDA indicator and MS-DRG:
ICD-9-CM Procedure Code(s):
ICD-10-CM Code(s):
ICD-10-PCS Code(s):

3) When should acute blood loss anemia following surgery be coded as a complication of the surgery?
a) Whenever there’s a large amount of blood loss following a surgery.
b) When the physician states that the large amount of blood loss is due to the surgery and causing the anemia
c) When anemia follows surgery and hemoglobin levels are elevated beyond the normal range
d) Never. Anemia is never considered a complication; instead , it’s considered a disease or disorder.

Project Management **Assumption: You have 90 products in your backlog, and you estimate it will be a 10 week installation process per product (including client time). (1a) Assume you only have 1 full time employee dedicated to launching products. If you start launching April 1st, how long does it take to clear your backlog? (1b) If you have 2 full time employees, how long will it take to clear your backlog? (1c) If the Sales team sells an additional 5 products in May, 8 in June, 8 in July, 10 in August & September, and 12 in each month in Q4, build a forecasting model for the total launches per month and the backlog growth each month. (Assuming you have 2 full time employees) (1d) Assuming no restrictions in thinking, what ideas might you come up with to clear out the backlog sooner?

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