Uhdds - Study guides, Class notes & Summaries

Module 8 Coding Application Final Exam The definition of a principal diagnosis is provided by this organization according to the guidelines. (Do not include any periods or spaces in your answer. HINT: use an abbreviation.) Correct answer 1 - UHDDS (Select all options for full credit) Directional notations found in the tabular list include: (check all that apply) See Incorrect Use additional Correct NOTE Correct Excludes2 Correct See also Incorrect Code first Correct According...

Admission Following Postoperative Observation - *A patient undergoing outpatient surgery may require postoperative admission to an observation unit to monitor a condition that develops postoperatively.* Principal Diagnosis and " After study" - *The principal diagnosis is NOT the admitting diagnosis* BUT the diagnosis found after workup or surgery that proves to be the reason for admission. UHDDS application - Definitions and guidelines for selection of principal diagnosis and other (seco...

What it UHDDS? - Correct Answer-A set of defined data items used for reporting inpatient data in acute-care, short term, and long term care hospitals. Consistent definitions of data items provides consistent data for multiple users. -Easily identified -Readily defined -Uniformly recorded -Easily abstracted from the medical record Required for reporting Medicare and Medicaid patients. History and Development of UHDDS - Correct Answer-Promulgated by the United States Department o...

Admission Following Medical Observation - A patient may be treated in a hospital's observation unit to determine if the condition improves sufficiently for the patient to be discharged. If the condition either worsens or doesn't improve, the physician may decide to admit the patient as an inpatient. Principal diagnosis: Report the medical condition that led to the hospital admission. UHDDS application - Originally developed for hospital reporting of inpatient data elements. Application of...

Chapter 3 Uniform Hospital Discharge Data Set (UHDDS) Review Test questions with correct answers

Uniform Hospital Discharge Data Set (UHDDS) questions with correct answers

Other Diagnoses(cc's) - Correct Answer-"All conditions (recorded to the highest documented level of specificity) that coexist at the time of admission, develop subsequently, or affect the treatment received and/or length of stay" Diagnoses that have no impact on care - Correct Answer-Dx's that have no impact on patient care during the hospital stay are not reported even when they are present. UHDDS" Other diagnosis" (5) - Correct Answer-1. Clinical evaluation 2. Therapeutic treatmen...

Other diagnosis with no supporting documentation - The physician should be queried as to whether the included diagnosis meets reporting criteria, and if so, the physician should add the necessary supporting documentation to the medical record. Admission from outpatient surgery - If due to complication, assign the complication as the principal diagnosis. If no complication or other reason, assign the reason for outpatient surgery as the principal diagnosis. If for condition unrelated to sur...

MS-DRG - Correct Answer-Medicare severity-adjusted diagnosis-related group system Other reportable diagnoses - Correct Answer-conditions that coexist at the time of admission, develop subsequently, or affect patient care during the hospital stay Principal Diagnosis - Correct Answer-the condition established after study that is chiefly responsible for admission of the patient to the hospital 6 Items always found in UHDDS - Correct Answer-General demographic information Expected ...