Exam (elaborations)
Ahima CHDA Questions and Answers
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Exam of 4 pages for the course CHDA at CHDA (Ahima CHDA)
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Ahima CHDA1. Assume you are the manager of a 10-physician group primary care practice. The
physicians are interested in contracting with an application service provider to develop
and manage patient records electronically. Which of the following statements is an
indication that an ASP may be a good idea for this practice?
a. The practice does not have the upfront capital or IT staff needed to purchase and
implement a system from a health information systems vendor.
b. The practice wants an electronic medical record system and wants to get into the IT
management business as well.
c. The practice would like to have the system up and running in a relatively short period
of time (less than four months).
d. The practice is not looking to purchase any additional hardware needed for an
electronic medical record system. - answerThe choice to buy or borrow a system (using
an ASP or SaaS arrangement) is often an economic decision. Financing options
generally include a decision relating to whether an organization is going to self-develop
a system ("build"), license clinical components from its incumbent vendor ("buy"), or
acquire a product through an application service provider (ASP) or software as a service
(SaaS) arrangement ("borrow"). Licensing software and either buying or leasing
hardware for an EHR or other type of health IT is a costly proposition. An EHR or health
IT acquisition generally requires considerable initial access to capital as well as a
considerable budget for ongoing maintenance, upgrades, and enhancements. Many
organizations are, therefore, considering whether an ASP or SaaS model can be a less
expensive way to obtain the functionality of an EHR or other type of health IT
(Amatayakul 2017, 191-192; Shaw and Carter 2017, 23, 171).
Medical severity diagnosis-related groups (MS-DRGs) represent a prospective payment
system implemented by the CMS to reimburse hospitals a predetermined amount for
services provided to _____.
a. Inpatients
b. Outpatients
c. Inpatients and outpatients
d. Home health and outpatients - answerA The Medicare reimbursement methodology
system referred to as the inpatient prospective payment system (IPPS). Hospital
providers subject to the IPPS utilize the Medicare severity diagnosis-related groups
(MS-DRGs) classification system, which determines payment rates (Oachs and Watters
2016,
In terms of grouping and reimbursement, how are the MS-LTC-DRGs and acute care
MS-DRGs similar?
a. Relative weights
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