Coding ms drgs and ipps - Study guides, Class notes & Summaries

When undertaking an LHR (Legal Health Record) project the stakeholder group must include individuals from various levels of the organization. Which of the following should be included among the stakeholders? - correct answer information technology staff Which code set would be utilize to create a report showing a hospital's case mix index? - correct answer DRG The case-mix index (CMI) for a hospi...

c. Edit checks Edit checks help ensure data integrity by allowing only reasonable and predetermined values to be entered into the computer (Rinehart-Thompson 2016a, 265). - Answer A coding analyst consistently enters the wrong code for patient gender in the electronic billing system. What data quality or data integrity measures should be in place to ensure that only allowable code numbers are entered? a. Access controls b. Audit trail c. Edit checks d. Password controls b. Delinquent r...

CDI program data includes: - Answer- 1. All cases that were reviewed 2. Number of cases with queries 3. Nature of the query 4. Physician response to the query Queries should only be asked: - Answer- 1. If there is clinical evidence that the documentation is imcomplete or does not meet one of the seven criteria for high-quality clinical documentation. 2. By an individual with solid clinical knowledge. 3. In an open-ended manner (no yes or no questions) 4. In a nonleading manner. 5. To t...

CDIP TEST WITH ALL ANSWERS CORRECT CDI program data includes: ( Queries should only be asked: ( . Query process and procedure should address: ( Examples of when a query is required may include: ( Septicemia ( Sepsis (Severe Sepsis ( SIRS Septic Shock ( Bacteremia Urosepsis ( 7 criteria for high-quality documentation ( EBM (. Four kinds of standards in EBM ( Theory of high-quality of clinical documentation ( What year was TEFRA (Tax Equity and Fiscal Respon...

CDIP Exam Questions and answers, 100% Accurate, Graded A+ CDI program data includes: - -1. All cases that were reviewed 2. Number of cases with queries 3. Nature of the query 4. Physician response to the query Queries should only be asked: - -1. If there is clinical evidence that the documentation is imcomplete or does not meet one of the seven criteria for high-quality clinical documentation. 2. By an individual with solid clinical knowledge. 3. In an open-ended manner (no yes or n...

1 CRCS CERTIFICATION EXAM | QUESTIONS & ANSWERS (VERIFIED) | LATEST UPDATE | GRADED A+ CMS Correct Answer: Centers for Medicare and Medicaid Services and also one of the HHS operating divisions OIG Correct Answer: Office of Inspector General in DHHS. Monitors compliance with reimbursement laws & regulations Title XVIII Correct Answer: Medicare Title XIX Correct Answer: Medicaid HIPAA Correct Answer: Health Insurance Portability and Accountability Act HHS 2 Correct Answer: D...

eMAR - Answer- Electronic medication administration record PACS - Answer- Picture archive and communication system CPOE - Answer- Computerized provider/practitioner/physician order entry CAMP - Answer- Coaching, asking, mastering, peer learning ICEHR - Answer- Integrated care EHR HCO - Answer- Health care organization HIM - Answer- Health Information Management Stage 0 EHR implementation - Answer- Lowest level of transformation Stage 1 EHR implementation - Answer- Electro...

1 CRCS EXAM | QUESTIONS & ANSWERS (VERIFIED) | LATEST UPDATE | GRADED A+ HHS Correct Answer: Health and Human Services CMS Correct Answer: Centers for Medicare and Medicaid Services HHS Correct Answer: U.S. Department of Health and Human Services NIH Correct Answer: National Institutes of Health FDA Correct Answer: Food and Drug Administration ACL Correct Answer: Administration for Community Living; one of the HHS Operating Divisions. 2 QIO Correct Answer: Quality Improveme...

Financial Resource Management in Healthcare - C428 Costs- monitor for excess on services provided Cash- most important indicator because it determines your ability to keep operating your business/loans; meet obligations Capital- raise $ for facility and equipment Control- use resources wisely - ANS Finance within a healthcare organization can be condensed into the "four Cs": Accrual Basis Accounting - ANS -Accounting basis in which companies record, in the periods in...

1 CRCS CERTIFICATION EXAM | QUESTIONS & ANSWERS (VERIFIED) | LATEST UPDATE | GRADED A+ CMS Correct Answer: Centers for Medicare and Medicaid Services and also one of the HHS operating divisions OIG Correct Answer: Office of Inspector General in DHHS. Monitors compliance with reimbursement laws & regulations Title XVIII Correct Answer: Medicare Title XIX Correct Answer: Medicaid HIPAA Correct Answer: Health Insurance Portability and Accountability Act HHS 2 Correct Answer: D...