Ms drgs Study guides, Class notes & Summaries

Urosepsis - Infection confined to the urinary system. Refers to pyuria or bacteria in the urine (not in the blood). Query the physician to determine if the bacteria in the urine has progressed to septicemia or sepsis. What year was TEFRA (Tax Equity and Fiscal Responsibility Act) implemented? - 1982 Query process and procedure should address: - 1. When queries will be asked. 2. Who will ask queries and to whom queries will be asked. 3. The hospital's responsibility in supporting the queri...

AHIMA Code of Ethics Review Questions with Complete Solutions Ethical obligations are part of all professional's responsibility, regardless of employment site or method of collection, storage, and security of health information. true All HIM professionals shall safeguard all confidential patient information. true Coding an inappropriate level of service is an ethical violation. true HIM professionals shall _____ act with integrity behave in a trustworthy manner promote hig...

CDIP Exam Review Questions with Correct Answers 3 severity based DRG systems - Answer-Medicare severity DRG (MS-DRG), All patient DRGs (AP-DRGs), All Patient Refined DRGs (APR-DRGs) AP-DRG 1987 - Answer-3M company created AP-DRG in 1987 as part of NY non-Medicare hospital reimbursement program AP-DRG 1990 - Answer-3M company created APR-DRG in 1990. Many states use this for Medicaid reimbursement. Also used for quality indicators MS-DRG and AP-DRG - Answer-1. Stand alone DRGs (TIA), ...

CDIP Questions and Answers Rated A+ CDI program data includes: 1. All cases that were reviewed 2. Number of cases with queries 3. Nature of the query 4. Physician response to the query Queries should only be asked: 1. If there is clinical evidence that the documentation is imcomplete or does not meet one of the seven criteria for high-quality clinical documentation. 2. By an individual with solid clinical knowledge. 3. In an open-ended manner (no yes or no questions) 4. In a nonleading manner. ...

RHIA Domain 4 Exam Questions with Correct Answers Which government-sponsored program provides coverage for active-duty service members of the armed forces (ADSM)? - Answer-TRICARE Dr. McGee is a primary care physician. Several of Dr. McGee's patients are insured by Super Payer. Super Payer reimburses Dr. McGee for each service she provides during a clinic visit. Which reimbursement methodology does Super Payer use to reimburse Dr. McGee? - Answer-Fee schedule Dayna is analyst at Communit...

CCS Practice Medical Billing Exam Questions Correctly Answered. The prospective payment system used to reimburse home health agencies for patients with Medicare utilizes data from the MDS (Minimum Data Set). OASIS (Outcome and Assessment Information Set). UHDDS (Uniform Hospital Discharge Data Set). UACDS (Uniform Ambulatory Core Data Set). - CORRECT ANSWER OASIS (Outcome and Assessment Information Set). This is the amount collected by the facility for the services it bills. cha...

IPPS - ANSWERinpatient prospective payment system OPPS - ANSWEROutpatient Prospective Payment System fee-for-service (FFS) - ANSWERa written fee schedule for each treatment and/or service provided MS-DRG - ANSWERMedicare Severity Diagnosis Related Group Case-Mix Index (CMI) - ANSWERthe average relative weight of all patients treated at a specific facility or by a specific physician to measure clinical severity or resource utilization Ambulatory patient classifications (APC) - AN...

CDIP Clinical Documentation Exam 1 (2024) || With Questions & All Correct Answers (Rated A+) CDIP Clinical Documentation Exam 1 (2024) || With Questions & All Correct Answers (Rated A+) CDI program data includes: - ANSWER-1. All cases that were reviewed 2. Number of cases with queries 3. Nature of the query 4. Physician response to the query Queries should only be asked: - ANSWER-1. If there is clinical evidence that the documentation is imcomplete or does not meet one of the seven cri...

CDIP Domain 1: Clinical Coding Practice Questions and Answers 100% Correct CDIP Domain 1: Clinical Coding Practice Questions and Answers 100% Correct CDIP Domain 1: Clinical Coding Practice Questions and Answers 100% Correct Coding Clinic - ANSWER-Valuable reference tool for coders that is published by AHA each quarter CPT - ANSWER-Current Procedural Terminology MS-DRGs - ANSWER-Medicare Severity-Diagnosis Related Groups CPT Assistant - ANSWER-Monthly publication by the...

CDI Exam Questions and Answers What does the fifth digit "1" represent with regard to the myocardial infarction code? - Answer-Current admission What is suggested as a requirement for reflection of current medical practices and supports worldwide epidemiology? - Answer-New coding system A 3M study suggested that the reimbursement impact on the implementation of ICD-10-CM/PCS would be what? - Answer-Minimal What is the estimated negative impact of the top 25 MS-DRGs mentioned in the...