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

AAPC CPB - Chapter 9 Review Question and answers 100% solvedA ______ indicates the location or type of service provided for an inpatient and is reported with _______. a. Revenue code; four-digit code b. Revenue code; three-digit code c. CPT code; five-digit code d. MSDRG code; three-digit code a. Revenue code; four-digit code Which of the following documentation is NOT needed for an audit? a. Encounter form b. Medical record c. Explanation of Benefits d. CMS-1500 claim form ...

AAPC CPB - Chapter 9 Review questions and answers with complete top solutions A ______ indicates the location or type of service provided for an inpatient and is reported with _______. a. Revenue code; four-digit code b. Revenue code; three-digit code c. CPT code; five-digit code d. MSDRG code; three-digit code a. Revenue code; four-digit code Which of the following documentation is NOT needed for an audit? a. Encounter form b. Medical record c. Explanation of Benefits d. CM...

____________________ sums up the patients hospital course and confirms conditions or complications. A. Discharge summary B. Physician orders C. History and Physical D. Progress notes - correct answer A The ________________ may indicate chronic or acute conditions for which the patient is receiving treatment. A. Discharge summary B. Physician orders C. History and Physical D. Progress notes - correct answer B The _____________ to complete the clinical picture, includes social an...

Test Bank for Buck’s Workbook for Step-by-Step Medical Coding, 2020 Edition, Elsevier, CHAPTER 1: REIMBURSEMENT, HIPAA, AND COMPLIANCE TRUE/FALSE 1. The coder’s responsibility is to ensure that the data are as accurate as possible not only for classification and study purposes but also to obtain appropriate reimbursement. ANS: T PTS: 1 DIF: 1 TOP: THEORY 2. The Federal Register is the official publication for all “Presidential Documents,” “Rules and Regulations,” “Pr...

Examples of when a query is required may include: - answers-1. Documentation of reportable conditions or procedures is conflicting, ambigious, or is otherwise incomplete. 2. Abnormal diagnostic test results indicate the possible addition of a secondary diagnosis or higher specificity of an already documented condition. 3. The patient is receiving treatment for a condition that has not been documented. 4. Abnormal operative or procedureal findings are not documented. 5. It is unclear as to wh...

Hospital Inpatient Prospective Payment System - ANSWERSIPPS is a method of payment undertaken by CMS to control the cost of inpatient acute care hospital services to Medicare recipients. DRGs - ANSWERSpayment rates to hospitals established before services are rendered. For fiscal year 2008, Medicare adopted a severity adjusted diagnosis related group system called? - ANSWERSMedicare Severity DRGs (MS-DRGs) The goal of of MS-DRG was? - ANSWERSto significantly improve Medicare's abilit...

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 no questions) 4. In a nonleading manner. 5. To the individual wh...

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 no questions) 4. In a nonleading manner. 5. To the individual wh...

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 the...

1. Question: A word or phrase used by a physician to identify a disease from which an individual suffers Answer: Diagnosis 2. Question: A term or a series of terms that appear in parentheses following the main term or the subterm, the presence or absence of which has no effect on the selection of the codes listed for that main term Answer: Nonessential Modifier 3. Question: An indicator used to differentiate between a condition that developed during a particular hospital encounter and a ...