CDIP EXAMS COMPILATION BUNDLE|GUARANTEED SUCCESS

OIG Office of Inspector General- established by the Dept. of Labor by the Inspector General Act of 1978 to identify fraud and abuse of Medicare part A and part B programs MAC Medicare Administrative Contractor - used by the OIG to process claims for services rendered Brainpower Re...

Cert Comprehensive error testing rate Cpt 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. ...

AHIMA American Health Information Management Association ACDIS Association of Clinical Documentation Improvement Specialists Brainpower Read More IDT Interdisciplinary Team LOS Length of Stay The RHIT, RHIA or CCS should have how many years of inpatient coding exp...

7 Criteria for High Quality Documentation Legibile Reliable Precision complete consistent clarity timeliness Legibility Required under all government and regulatory agencies Brainpower Read More Reliability treatment provided without documentation of condition being treate...

MAC Medicare Administrative Contractor RAC Recovery Audit Contractor Brainpower Read More Denial rate is calculated by Dividing the number of claims or line items denied, by the number of claims or line items submitted Query response rate the number of responses from the...

Coding Clinic Valuable reference tool for coders that is published by AHA each quarter CPT Current Procedural Terminology Brainpower Read More MS-DRGs Medicare Severity-Diagnosis Related Groups CPT Assistant Monthly publication by the AMA that provides coding advice for ...

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 answ...

Denial Rate Number of Claims or line items denied / number of claims or lines items submitted Query Response Rate Number of Query Responses / Number of Queries Written Brainpower Read More Escalation Policy Provides a specific list of management and other authorities that must...

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 ...

Why hire Medicare Contractor Reviewers? For Protection of Medicare Trust Fund. Who is 1st of 6 Medicare Contract Reviewers? (MACs) Medicare Administrative Contractors Brainpower Read More Whos is 2nd of 6 Medicare Contract Reviewers? (RACs) Recovery Auditor Contractors Wh...

A physician documents pneumonia of the left lower lobe with crackles in the bases. The patient has difficulty swallowing day 2 of admission following CVA with infarct. The patient has a history of gastroesophageal reflux. It would be appropriate to query for: A. No query warranted B. Infectious ...

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 a...

Who sets the official Guidelines for coding and reporting (ICD-10)? American Hospital Associates (AHA) American Health information management association (AHIMA) National Center for Health Statistics (NCHS) Center for Medicare and Medicaid Services (CMS) AHA Serves as a clearing house fo...

AHIMA American Health Information Management Association - Does Education AMA American Medical Association - Manages the CPT level 1 Codes AHA American Hospital Association - Does the Coding Clinic which is updated quarterly Ways to Promote CDI Flyers, Newsletters, Blogs. ...