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Home » Methodology Spot: October 2024

Methodology Spot: October 2024

Test your knowledge with our methodology quick quiz. This month's focus is coding a cancer diagnosis.

During an interRAI assessment, you examine the medical records of the individual being assessed and find a diagnosis of breast cancer. The person shares that they underwent a mastectomy two years ago and completed chemotherapy, remaining in remission since then. They have six-month reviews with their oncologist and are taking Tamoxifen. In addition to this diagnosis, they also have hypertension and atrial fibrillation, which have a greater impact on their daily life. 

What will be the coding for item I1t. Cancer (in the HC or LTCF Assessment)? 

0. Not present 

1. Primary diagnosis / diagnoses present for current stay 

2. Diagnosis present, receiving active treatment 

3. Diagnosis present, monitoring but no active treatment 


What will be the correct coding for item B12i (Contact Assessment V10)?

0. Disease not present 

1. Disease present but no being treated or monitored 

2. Disease present and being treated or monitored 

  

Scroll down for answers.

 

 

 

 

 

 

 

 

 






Answers:

2. Diagnosis present, receiving active treatment.

2. Disease present and being treated or monitored