Psych Services Quiz

This was a 39 yr old female with schizophrenia history, Arrives in the Emergency room with auditory hallucinations. Patient claims that she is being followed by the FBI, and that she is in the witness protection program. Patient states that all the doctors are FBI agents, and she cannot let them touch her.  The patient has a known history of heroin abuse/dependence and is on 50 mg of methadone once daily.  Patient has not attended methadone clinic in the past week, now with mild withdrawal symptoms  The patient is anxious and somewhat combative when asked to draw blood.  Placed on 1:1 nursing observation.  Patients medications at home include Abilify and Buspirone.

Select  the correct Diagnoses for this patient (select all that apply):

This was a 65-year-old male admitted with thoughts of Suicide, with plan to jump off the roof of his apartment building. Patient has a past history of suicide attempt last year with overdoes of Zoloft medication.  Patient repeatedly asks to use cell phone to call Donald Trump, he states he is The president’s personal body guard.   Patient has had 3 psychiatric hospitalizations this year for similar episodes, and unreliable with psych care and med follow up. Past history of Hepatitis C infection with completed course of Harvoni.  Patient meds include Celexa, Abilify, and Xanax.

Select the correct diagnoses for this patient (select all that apply):

This was a 14-year-old male patient that is admitted following an episode at home with patient threatening his younger brother with a hot tea kettle. Threatened to scald him with boiling water. Patient was suspended from school last week for fighting with school mate, and threatening his homeroom teacher after he refused to leave the classroom and go to the principal’s office. Patient has a past medical history of trauma having been to multiple therapists for difficulty sleeping and recurrent nightmares of last year he was robbed at gun pint in the park with his friend. One of the friends was shot and killed during the robbery. He is not currently on any medications and not seeing a counselor at school or at home.

Match the abbreviation to its correct term:

Match the medication to the condition it would likely be used for treatment:

Match the abbreviation to its correct term:

There are many diagnoses that re on the Complication co-morbid Psychiatric list. These diagnoses when coded as secondary diagnosis following a psychiatric principal diagnosis act as an additional revenue source adding supplemental payments to the Reimbursement calculation.

Select the diagnoses that are on the complication co-morbid list and are known to impact the reimbursement by calculating additional revenue: