Drg is used to - Study guides, Class notes & Summaries

RHIT Practice Exam Questions with Complete Solutions The leapfrog group seeks to voluntarily collect data from hospitals about: A. Aging healthcare population B. Financial costs C. Medical errors D. Communicable diseases - Answer-C. Medical errors In analyzing the reason for changes in hospital Medicare case mix index overtime the analyst should start with which of the following levels of detail? A. Account level B. MS - DRG level C. MDC level D. MS - DRG triples pairs & singles - An...

HSC 111 Final Exam - Questions and Answers (Complete Solutions) What is the central role of health services financing in the United States? a. Fund health insurance b. Underwrite medical risk c. Support managed care d. Balance the supply of health care professionals What is the primary mechanism that enables people to obtain health care services? a. Availability of services b. Health insurance c. Payment for services d. Control of expenditures The phenomenon called 'moral hazard' results dir...

HIT Domain 1 Exam Questions With 100% Verified Answers Latest 2024/2025 (100% Correct) In long-term care, the resident's care plan is based on data collected in the? UHDDS OASIS MDS HEDIS MDS (Minimum Data Set) Which of the following statements describes alphabetical filing? File the record alphabetically by first name, followed by last name alphabetically and then alphabetically by middle name File the record alphabetically by the last name, followed by alphabetical order of the first...

ACHE BOG Practice Exam 2024 REVIEW # 1 According to the ACHE’s Code of Ethics, one way that healthcare executives can avoid or minimize the negative implications of conflict of interest is to: Make the conflict known to those in superior positions. #2 The principles of quality improvement require that healthcare executives change their management philosophy from: Finding fault with employees to finding problems in processes. #3 What type of problem arises when...

Acuity - The measure of the severity of a patient's illness or condition, often used to determine the level of care required. Assets - The financial resources, including cash, investments, and property, that an organization possesses or receives. Average Length of Stay (ALOS) - The average duration that patients spend in a healthcare facility, such as a hospital, before being discharged. ADC (Average Daily Census) - The average number of patients on an in-patient unit a...

CHDA EXAM 3 QUESTIONS AND ANSWERS 100% CORRECTCHDA EXAM 3 QUESTIONS AND ANSWERS 100% CORRECTCHDA EXAM 3 QUESTIONS AND ANSWERS 100% CORRECTCHDA EXAM 3 QUESTIONS AND ANSWERS 100% CORRECT 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? - ANSWER-information technology staff Which code set would be utilize to create a report showing a hosp...

Certified Specialist Payment Rep (CSPR) HFMA 2024/25 Review-Steps used to control costs of managed care include: - Bundled codes Capitation Payer and Provider to agree on reasonable payment DRG is used to classify - Inpatient admissions for the purpose of reimbursing hospitals for each case in a given category w/a negotiated fixed fee, regardless of the actual costs incurred Identify the various types of private health plan coverage - HMO Conventional PPO and POS HDHP/SO plans - high...

CDIP Domain 1: Clinical Coding Practice, Questions & Answers, 100% Accurate, Graded A Coding Clinic - -Valuable reference tool for coders that is published by AHA each quarter CPT - -Current Procedural Terminology MS-DRGs - -Medicare Severity-Diagnosis Related Groups CPT Assistant - -Monthly publication by the AMA that provides coding advice for CPT coding scenarios Encoder Nosology - -Provides coding professionals from the encoder company that are available to help answer tough...

Which of the following are risk factors for neuroleptic malignant syndrome? Select all that apply Rapid dose escalation; parental route of administration; higher potency typical antipsychotics Discrepancy between anatomical sex and gender is known as? B) Gender Discordance Antipsychotic medication provides D2 blockage in the meso-coritcal pathway causing which of the following effects? B) Increases EPS Incorrect: reduces negative s/s, causes prolactinemia, reduces positive symptoms Ph...

Abuse - Actions inconsistent with accepted, sound medical business or fiscal practice Accept Assignment - Provider accepts as payment in full whatever is paid on the cliam by the payer (except for any copayment and or coinsurance amounts.) Accounts Receivable - The amount owed to a business for services or goods provided. Accounts Receivable Aging Report - Shows the status (by date) of outstanding claims from each payer, as well as payments due from patients. Accounts Receivable Mana...