CCDS-O Study Cards Questions &
Answers
Morbid (server) Obesity - ANSWERSBMI of 40 or greater OR BMI of 35 + 1 weight
related comorbid condition (diabetes, hypertension)
CDI - ANSWERSClinical Documentation Integrity
OPPS - ANSWERSOutpatient Prospective Payment System
AHIMA - ANSWERSAmerican Health Information Management Association
AHA - ANSWERSAmerican Hospital Association
NCHS (National Center for Health Statistics) - ANSWERSOne of the 4 cooperating
parties for developing and publishing ICD-10 CM in the USA
HCPCS - ANSWERSHealthcare Common Procedure Coding System
AHIP (America's Health Insurance Plans) - ANSWERSContributes to HCPCS Level II
codes
BCBSA (Blue Cross Blue Shield Association) - ANSWERSContributes to HCPCS Level
II codes
APC - ANSWERSAmbulatory Payment Classification
RVU (Relative Value Unit) - ANSWERSA number that quantifies the amount of
physician labor, resources, and expertise necessary to provide the service represented
by a CPT code.
GPCI (Geographic Practice Cost Index) - ANSWERSMedicare factor used to adjust
providers' fees to reflect the cost of providing services in a particular geographic area
relative to national averages (RVUs to $$)
Fiscal Intermediary (FI) - ANSWERSA government contractor that processes claims for
Medicare Part A claims.
Medicare Audit Contractor (MAC) - ANSWERSReviews prepayment and post payment,
automated and complex types of reviews to prevent future improper payment
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