Ms drg Study guides, Class notes & Summaries

RHIT exam prep domain 1 with Correct Answers 2024 Once hospital discharge abstract systems were developed and their ability to provide comparative data to hospitals was established, it became necessary to develop: Data sets Data elements Electronic data interchange Bills of mortality - Answer -Data Set In long-term care, the resident's care plan is based on data collected in the? UHDDS OASIS MDS HEDIS - Answer -MDS (Minimum Data Set) Which of the following statements describes alph...

HFMA CRCR exam 2024 with 100% correct answers HFMA CRCR exam 2024 with 100% correct answers Through what document does a hospital establish compliance standards? Code of Conduct What is the purpose of the OIG work plan? Communicate Issues that will be reviewed during the year for compliance with Medicare Regulations If a Medicare patient is admitted on Friday, what services fall within the three-day DRG window rule? Diagnostic services and related charges provided on Wednesday, Thur...

During an audit of health records, the HIM director finds that transcribed reports are being changed by the author up to a week after initial transcription. The director is concerned that changes occurring this long after transcription jeopardize the legal principle that documentation must occur near the time of the event. To remedy this situation, the HIM director should recommend which of the following? - Develop a facility policy that defines the acceptable period of time allowed for a tr...

RHIA Domain 4 Exam Questions with Complete Solutions Medicare administrative contractors - Answer-Multistate, regional, contractors responsible for administering both Medicare Part A & Part B claims Quality Improvement organization - Answer-Reviews inpatient hospital claims to prevent improper payment through DRG upcoming (Medicare) Outpatient code editor - Answer-A software program linked to the correct coding initiative that applies a set of logical rules to determine whether various ...

CDIP Domain 1 Clinical Coding PracticePrincipal Diagnosis - correct answer The disease or condition that was present on admission, was the principal reason for admission, and received treatment or evaluation during the hospital stay or visit for the reason established after study to be chiefly responsible for occasioning the admission of the patient to the hospital for care First Listed Diagnosis - correct answer Used in the outpatient setting, this term is used (instead of the inpatient sett...

RHIT EXAM PREP PRACTICE QUESTIONS AND ANSWERS (Data Analysis and Management) 2024/2025 | 100% VERIFIED. Once hospital discharge abstract systems were developed and their ability to provide comparative data to hospitals was established, it became necessary to develop: A) Data sets B) Data elements C) Electronic data interchange D) Bills of mortality - ANSWER-A) Data sets (3) In healthcare, data sets serve two purposes. The first is to identify data elements to be collected about each patie...

AHIMA Reimbursement Methodology Questions and Answers Already Graded A The financial manager of the physician group practice explained that the healthcare insurance company would be reimbursing the practice for its treatment of the exacerbation of congestive heart failure that Mrs. Zale experienced. The exacerbation, treatment, and resolution covered approximately five weeks. The payment covered *All The Services That Mrs. Zale Incurred During The Period*. What method of reimbursement...

Once hospital discharge abstract systems were developed and their ability to provide comparative data to hospitals was established, it became necessary to develop: Data sets Data elements Electronic data interchange Bills of mortality Data Set In long-term care, the resident's care plan is based on data collected in the? UHDDS OASIS MDS HEDIS MDS (Minimum Data Set) Which of the following statements describes alphabetical filing? File the record alphabetically by first name, follow...

CCS III - Final Exam Questions And Answers All Verified Tools of the trade for coders include: a. code books b. groupers c. encoders d. A and B only e. all of the above - ANS e. all of the above T/F? The physician query process includes: documenting the physician's response - ANS True T/F? Third party payer requirements are not a "driver" of coding. - ANS False T/F? PPS in IP is MS-DRG - ANS True ICD-10-CM codes contain a maximum of how many characters? A. Three ...

RHIT 2018 - Domain 4. In analyzing the reason for changes in hospital's Medicare case-mix index over time, the analyst should start with which of the following levels of detail? • Account level • MS-DRG level • MDC level • MS-DRG triples, pairs, and singles - correct answer MS-DRG triples, pairs, and singles What does MS-DRG stand for? - correct answer Medicare Severity - Diagnosis Related Group What is the term that means evaluating the appropriateness of the setting for...