Concurrent audits - Study guides, Class notes & Summaries

to determine suspected diagnosis based on data elements. - correct answer How is predictive modeling used in risk adjustment? d. I, II, III, and IV - correct answer Which of the following data elements are used in predictive modeling? I. DME claims II. Prescription drug events III. Physician claims data IV. Facility claims data a. III and IV b. I, II, and IV c. I, II, and III d. I, II, III, and IV a. Disease management programs - correct answer What might happen as a result of p...

CDFM WITH COMPLETE VERIFIED ANSWERS 1.1.5: What was precursor to Constitution - when ratified? Art. Of Confederation (1781)) 1.1.5: What was required to amend the Art. Of Confed? unanimous approval of all states) 1.1.5: When was Constitution Ratified? Take effect? June 1788)(March 4, 1789) 1.1.6: Why Sep of Power among 3 branches so important? avoid strong central gov > tyranny) 1.1.6: What is Essential principle of Constitution? Gov must be confined to the rule of l...

WGU C483 - Principles of Management Accommodation A style of dealing with conflict involving cooperation on behalf of the other party but not being assertive about one's own interests Accountability The expectation that employees will perform a job, take corrective action when necessary, and report upward on the status and quality of their performance Accounting audits Procedures used to verify accounting reports and statements Acquisition One firm buying another Activi...

WGU Principles of Management - C483 Questions and Answers 100% Pass Bureaucratic control deals with: - Answer- rules and regulations. Which type of control system depends on pricing mechanisms and economic information to regulate activities within an organization? - Answer- Market control _____ control systems are designed to measure progress toward set performance goals, and if necessary, to apply corrective measures to ensure that performance achieves managers' objectives. - Answer- B...

CMCA PRACTICE EXAM 136 Questions with Verified Answers The Joint Commission (JC) requires the Factors that Affect Learning must be assessed for a hospital or hospital owned physician practice as well as other health care facilities. When assessing this element what does this include? A. The patient's ability to read, method of learning and understanding. B. Any language or physical disabilities. C. Cultural beliefs. D. All the above - CORRECT ANSWER D. All the above Report cop...

1. An_________ customer is a person or organization that receives services or products in exchange for compensation. a) Internal b) External c) In-house d) Departmental - Answer External 2. Improving external customer satisfaction is the main objective of __________. a) Customer service department. b) Retired employees c) Maintenance departments d) HR departments. - Answer customer service 3. Vendors could be considered what type of customer? a) Main b) Substantial c) Internal ...

Q. The type of review that is a critical examination of a patient's movement toward desired alterations in health status and patient care management while patient care and treatment are in progress is known as which of the following? correct answers A. concurrent review Explanation: Two types of reviews are used to evaluate the quality of care for a patient: retrospective review and concurrent review. Concurrent review is a critical examination of a patient's movement toward desired altera...

WGU Principles of Management - C483 Questions and Answers 100% Pass Bureaucratic control deals with: - Answer- rules and regulations. Which type of control system depends on pricing mechanisms and economic information to regulate activities within an organization? - Answer- Market control _____ control systems are designed to measure progress toward set performance goals, and if necessary, to apply corrective measures to ensure that performance achieves managers' objectives. - Answer- B...

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 ...

ATI Comprehensive Predictor Exam QUESTIONS AND 100% CORRECT ANSWERS UPDATED 2022 A nurse is preparing to obtain a client's signature on an informed consent form. Which of the following actions should the nurse take first? A. Inform the client of his right to change his mind. B. Witness the client signing the informed consent form. C. Notify the provider if the client has questions about the procedure. D. Ask the client to explain his understanding of the procedure. Answer: D. Ask the clie...