Soi severity of illness Study guides, Class notes & Summaries

ROM Risk of mortality SOI Severity of illness Brainpower Read More MCC Major complication or comorbidity CC Complication or comorbidity MS-DRG Medicare Severity-Diagnosis Related Group LOS Length of stay CDI Clinical Documentation Improvement Clinical Documentation Improvement a program that promotes specificity and excellence in documentation Who participates in CDI program? Physicians and mid-levels, CDI specialists, coders, ...

CDIP Domain 5: Research & Education graded A+ already passed 2023ROM - correct answer Risk of mortality SOI - correct answer Severity of illness MCC - correct answer Major complication or comorbidity CC - correct answer Complication or comorbidity MS-DRG - correct answer Medicare Severity-Diagnosis Related Group LOS - correct answer Length of stay CDI - correct answer Clinical Documentation Improvement Clinical Documentation Improvement - correct answer a program that promot...

recent drivers of CDI (p2) CORRECT ANSWER - MS-DRGs 2007 to reflect SOI/ROM - POA indicators 2008 - Medicare Advantage/Part C (capitated, HCC) - some payers moving to APR DRGs - compliance reviews: RAC, Zone Program Integrity Contractors, Medicaid Integ Contractors purpose of CDI program (p2) CORRECT ANSWER to initiate concurrent and, as appropriate, retrospective reviews of health records for conflicting, incomplete, or nonspecific provider documentation. goal of CDI reviews (p2) COR...

AHIMA - ANSWER-American Health Information Management Association ACDIS - ANSWER-Association of Clinical Documentation Improvement Specialists IDT - ANSWER-Interdisciplinary Team LOS - ANSWER-Length of Stay The RHIT, RHIA or CCS should have how many years of inpatient coding experience before becoming a CDI specialist? - ANSWER-at least 3-5 years Hospitalists - ANSWER-Physicians whose primary professional focus is the general medical care of hospitalized patients Timeframes for...

CDIP Domain 2: Leadership (2022/2023) Already Passed AHIMA American Health Information Management Association ACDIS Association of Clinical Documentation Improvement Specialists IDT Interdisciplinary Team LOS Length of Stay The RHIT, RHIA or CCS should have how many years of inpatient coding experience before becoming a CDI specialist? at least 3-5 years Hospitalists Physicians whose primary professional focus is the general medical care of hospitalized patients Timeframes for completion o...

Cert - ANSWER-Comprehensive error testing rate Cpt - ANSWER-Current procedural terminology. The amas list of 5 digit codes used to report outpatient hospital and Physicians Medical and surgical services. CPT is used to report outpatient or Physician Office claims only and is updated annually in January. Hac - ANSWER-Hospital-acquired conditions are defined as for discharges occurring on or after October one 2008 ipps hospitals will not receive additional payment for cases when one of the s...

SECTION A Accurate Coding Impacts - Medicare Severity Diagnosis Related Groups (DRGs) All Patient Refined (APR) - DRG Reimbursement Length of Stay (LOS) What is CDI - Clinical Documentation Improvement - Concurrent review of the chart to make sure documentation is complete to capture accurate coding and in turn creates proper reimbursement? Who participates in a CDI Program - Multi-disciplinary team approach includes: Physicians and advanced practitioners, documentation specialists, c...

ROM - ANSWER-Risk of mortality SOI - ANSWER-Severity of illness MCC - ANSWER-Major complication or comorbidity CC - ANSWER-Complication or comorbidity MS-DRG - ANSWER-Medicare Severity-Diagnosis Related Group LOS - ANSWER-Length of stay CDI - ANSWER-Clinical Documentation Improvement Clinical Documentation Improvement - ANSWER-a program that promotes specificity and excellence in documentation Who participates in CDI program? - ANSWER-Physicians and mid-levels, CDI specia...

POA - correct answer Present on admission Concurrent reviews - correct answer CDI specialist reviews the patient record while the patient is in the hospital Ethical - correct answer Conforming to accepted standards of conduct Ethical Queries - correct answer Queries that do not lead the physician to a particular answer If you have two conflicting diagnoses by two providers, who should make the final decision? - correct answer Attending physician Legible - correct answer the ...

POA Present on admission Concurrent reviews CDI specialist reviews the patient record while the patient is in the hospital Brainpower Read More Ethical Conforming to accepted standards of conduct Ethical Queries Queries that do not lead the physician to a particular answer If you have two conflicting diagnoses by two providers, who should make the final decision? Attending physician Legible the record is clear enough for the reader to comprehend and e...