Ipps a d - Study guides, Class notes & Summaries

Hospital Inpatient services fall into one of over 750 MS-DRG classifications for Medicare, → other payers may have their own DRG system. Regardless of the specifics, → Only one DRG is assigned per each inpatient admission. The IPPS: Inpatient Prospective Payment System is based on figures and data from past patients and procedures. → the prospective payment system utilizes this data to determine a single resource consumption value for the various hospital services provided to pati...

principal diagnosis → the condition established after study to be chiefly responsible for admission to the hospital complication → an additional diagnosis that arises after the beginning of hospital observation and modifies the course of the patient's illness or medical care required comorbidity → a preexisting condition that will likely cause an increase in the patient's length of stay principal procedure → performed for definitive treatment (rather than diagnostic or e...

A financial management list that includes services such as accommodations, room use, supplies, ancillary services, and clinical services is called: a. Charge description master b. Coordination of Benefits c. Service invoice d. Charge capture - ANSWER-Answer: a. Charge description master (CDM), sometimes called charge master, is a financial management list that contains information about the charges for healthcare services provided to the patient in the organization. A CDM is a list of ever...

c - Answer What does the fourth character of an ICD-10-CM diagnosis code capture? a. anatomic site b. severity c. etiology d. supplemental information a - Answer Which of the following is a standard terminology used to code medical procedures and services? a. CPT b. HCPCS c. ICD-10-PCS d. SNOMED CT a - Answer A patient is admitted with spotting. She had been treated two weeks previously for a miscarriage with sepsis. The sepsis had resolved, and she is afebrile at this time. S...

CPXP Questions and Answers Already Passed HVBP stands for Hospital Value Based Purchasing HVBP defined medicare system of reimbursing for quality care DRG stands for Diagnosis Related Group DRG defined a class of illnesses for which Medicare pays a fixed amount instead of what is actually paid out to treat patient Level of diversity in healthcare workers vs. patients level of diversity is uneven 7 areas of cultural sensitivity communication, personal space, eye contact, family organization,...

Patient Centric Revenue Cycle - Correct answer-This includes all the major processing steps required to process a pt account from the request for service through closing the account with a zero balance and purging it from the system pre-service - Correct answer-this is the period in which scheduling and pre-access takes place, including different steps that will be completed pre-service - Correct answer-what is it when the requested service is screened for medical necessity, ...

IPPS → inpatient prospective payment system MS-DRGs → Medicare severity diagnosis groups (MS-DRGs). DRGs → In 1983, the government enacted the system using diagnosis related groups (DRGs) as the payment methodology. The theory is based upon patients with similar characteristics consuming similar resources. Determining how patients are similar is a key factor for the system, which defines the similarities by the DRGs. → → The system was created by Medicare; however many ot...

Admin NCO AGR Board Exam with the Correct Questions and Answers 100% A+ Graded Excellence MUPS - CORRECT ANSWER-My Unit Pay System - Pay for under 29 days and RMA's Some Codes- P present K Split E split before drill IPERMS - CORRECT ANSWER-Interactive Personnel Electronic Records Management System Personnel records storage perform record reviews RCAS - CORRECT ANSWER-Reserve Component Automation System Pull RPAMS ( retirement points) DPRO - CORRECT ANSWER-Director's Pers...

Medicare/Medicaid CMS Exam 52 Questions with Verified Answers What does CMS stand for? - CORRECT ANSWER Centers of Medicare and Medicaid services What are the requirements to qualify for Medicare? - CORRECT ANSWER 1. over 65 2. entitled to Railroad Disability Benefits 3. entitled to disability benefits (SSI) for 24 months 4. entitled to SSI due to Low Gehrig's Disease 5. with End Stage Renal Disease (ESRD) Medicare A - CORRECT ANSWER Hospital insurance No premium if paid Medicare...

TESTBANK FOR Fundamentals of Nursing, 11th Edition By Potter Perry Chapter 01: Nursing Today Potter: Fundamentals of Nursing, 11th Edition MULTIPLE CHOICE 1. Which nurse most likely kept records on sanitation techniques and the effects on health? a. Florence Nightingale b. Mary Nutting c. Clara Barton d. Lillian Wald ANS: A Nightingale was the first practicing nurse epidemiologist. Her statistical analyses connected poor sanitation with cholera and dysentery. Mary Nutting, Clara Ba...