Hcc nursing - Study guides, Class notes & Summaries

CDIP Toolkit Study Quiz 2024. recent drivers of CDI (p2) - correct answer - MS-DRGs 2007 to reflect SOI/ROM - POA indicators 2008 - Medicare Advantage/Part C (capitated, HCC) - some payers moving to APR DRGs - compliance reviews: RAC, Zone Program Integrity Contractors, Medicaid Integ Contractors purpose of CDI program (p2) - correct answer to initiate concurrent and, as appropriate, retrospective reviews of health records for conflicting, incomplete, or nonspecific provider documentati...

PPS - Prospective Payment System What is prospective payment system? - Payment for all care delivered during an episode of care based on pre-determined fixed amount (DRGs). Influenced by care setting. What are the 4 types of Prospective Payment Systems? - Capitation, global payment method, case-rate methodology, and bundled payment. Capitation - System of payment used by managed care plans in which physicians and hospitals are paid a fixed, per capita amount for each patient enrolled ov...

which medicare part is reimbursed based on the risk adjustment models part c who typically employs risk adjustment coders health plans is a health plan required to follow the minimum necessary rule yes, health plans are covered entities and are therefore required to follow the minimum necessary rule what is an example of fraud reporting a diagnosis or co-morbidity that does not exist to obtain higher reimbursement which part of medicare is also called medicare adv...

CDIP Toolkitrecent drivers of CDI (p2) - correct answer - MS-DRGs 2007 to reflect SOI/ROM - POA indicators 2008 - Medicare Advantage/Part C (capitated, HCC) - some payers moving to APR DRGs - compliance reviews: RAC, Zone Program Integrity Contractors, Medicaid Integ Contractors purpose of CDI program (p2) - correct answer to initiate concurrent and, as appropriate, retrospective reviews of health records for conflicting, incomplete, or nonspecific provider documentation. goal of CDI ...

recent drivers of CDI (p2) - Correct Answer-- MS-DRGs 2007 to reflect SOI/ROM - POA indicators 2008 - Medicare Advantage/Part C (capitated, HCC) - some payers moving to APR DRGs - compliance reviews: RAC, Zone Program Integrity Contractors, Medicaid Integ Contractors purpose of CDI program (p2) - Correct Answer-to initiate concurrent and, as appropriate, retrospective reviews of health records for conflicting, incomplete, or nonspecific provider documentation. goal of CDI reviews (p2) -...

What is gerontological nursing? 2 What is sensory overload? What are the categories of the elderly?

Medical Coding 300plus questions with answers to study ICD-10 coding (Answered) Coding is the process of translating this written or dictated medical record into a series of numeric or alpha-numeric codes Proper code assignment is determined by content of the medical record and by the unique rules that governs each code set What are 3 things that Coder must master 1. anatomy 2. medical terminology 3. must be detail-oriented Medical coders assign a code to what 1. Each diagnosis 2. S...

recent drivers of CDI (p2) - correct answer - MS-DRGs 2007 to reflect SOI/ROM - POA indicators 2008 - Medicare Advantage/Part C (capitated, HCC) - some payers moving to APR DRGs - compliance reviews: RAC, Zone Program Integrity Contractors, Medicaid Integ Contractors purpose of CDI program (p2) - correct answer to initiate concurrent and, as appropriate, retrospective reviews of health records for conflicting, incomplete, or nonspecific provider documentation. goal of CDI reviews (p2)...

Nursing Funds. 101- HCC Exam Questions With Correct Answers. What are the categories of the elderly? - answerThe young- 60-74 The old- 75-84 The old old - 85-100 Centenarians- 100+ What are some resources for caregivers of Alzheimer's? - answer-Healthcare providers -Respite care -Hospice -Assisted Living -Home Care Services What happens during late stages of Alzheimer's? - answerLose ability to respond to the environment, speak, and control movement What is gerontological nursing?...

Medical Coding 300plus questions with answers to study ICD-10 coding (Answered) Coding is the process of translating this written or dictated medical record into a series of numeric or alpha-numeric codes Proper code assignment is determined by content of the medical record and by the unique rules that governs each code set What are 3 things that Coder must master 1. anatomy 2. medical terminology 3. must be detail-oriented Medical coders assign a code to what 1. Each diagnosis 2. S...