A mechanically ventilated pediatric patient in the process of being weaned is switched to PC-IMV with PS. The respiratory therapist notes that every PS breath is being time cycled. The most likely cause of this is which of the following?
a. The PS setting is too high.
b. The flow cycle setting is too low.
c. This is the normal cycle for PS.
d. A large leak is present around the cuffless ET tube.
ANS: D
Failure to flow cycle can be due to leaks around the ET or tracheostomy tube. Time cycling is a backup for flow cycling.
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Physician services that are more intense than the work of other evaluation and management (E/M) services and that involve frequent personal assessment by the physician would be coded as:
consultation. critical care. subsequent care. initial hospital care.
For certain categories of encounterbased hospital outpatient services, "Composite APCs" result in _______________________.?
A) only a single payment for certain common combination services provided on the same day of service B) ?individual payments for each service provided during the outpatient visit C) additional payments for hospital supplies and technical assistance D) ?zero payments due to the fact that these services are not covered by Medicare