Ms drg assignment - Study guides, Class notes & Summaries
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CCS PRACTICE EXAM 2
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A 23 year old female is admitted for vaginal bleeding following a miscarriage two weeks prior to this admission. She afebrile at this time and is treated with an aspiration dilation and curettage. Products of conception are found. Which of the following should be the principle diagnosis? 
a. O03.1, Delayed or excessive hemorrhage following incomplete spontaneous abortion 
b. O08.1, Delayed or excessive hemorrhage following ectopic and molar pregnancy 
c. R57.9, Shock, unspecified 
d. T81.10XA, P...
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Healthcare Reimbursement Chapter 5 Review Questions and Correct Answers
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Arithmetic Mean Length of Stay (AMLOS) Sum of all lengths of stay in a set of cases divided by the number of cases. 
Base Payment Rate 1) Rate per discharge for operating and capital-related components for an acute-care hospital. 2) Prospectively set payment rate made for services that Medicare beneficiaries receive in healthcare settings. The base rate is adjusted for geographic location, inflation, case mix, and other factors. 
Case Mix Set of categories of patients (type and volume) treated b...
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CDIP Toolkit Exam With 100% Correct Answers 2023
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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) -...
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CDIP Questions and Answers Rated A+
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CDIP Questions and Answers Rated 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 no questions) 4. In a nonleading manner. ...
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CDIP Domain 1: Clinical Coding Practice Exam
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CDIP Domain 1: Clinical Coding Practice 
Exam 
Coding Clinic - answerValuable reference tool for coders that is published by AHA each 
quarter 
CPT - answerCurrent Procedural Terminology 
MS-DRGs - answerMedicare Severity-Diagnosis Related Groups 
CPT Assistant - answerMonthly publication by the AMA that provides coding advice for 
CPT coding scenarios 
Encoder Nosology - answerProvides coding professionals from the encoder company that are 
available to help answer tough coding questions 
Histo...
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Baseline Test 2 Questions with Complete Solutions
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A hospital currently uses the patient's Social Security number as their patient identifier. The hospital risk manager has identified this as a potential identity fraud risk and wants the information removed. The risk manager is not getting cooperation from the physicians and others in the hospital who say they need the information for identification and other purposes. Given this situation, what should the HIM director suggest? Avoid displaying the number on any document, screen, or data collec...
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RHIA & RHIT FINAL QUIZ 4.1 2024 QUESTIONS WITH COMPLETE ANSWERSRHIA & RHIT FINAL QUIZ 4.1 2024 QUESTIONS WITH COMPLETE ANSWERS
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A four-digit code that describes a classification of a product or service provided to a patient is a - CORRECT ANSWER revenue code 
 
State Medicaid programs are required to offer medical assistance for - CORRECT ANSWER individuals with qualified financial need. 
 
Based on CMS's DRG system, other systems have been developed for payment purposes. The one that classifies the non-Medicare population, such as HIV patients, neonates, and pediatric patients, is known as - CORRECT ...
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CCS EXAM - Medical Billing and Reimbursement System Questions and Answers Rated A+
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CCS EXAM - Medical Billing and Reimbursement System Questions and Answers Rated A+ 
The prospective payment system used to reimburse home health agencies 
OASIS (Outcome and Assessment Information Set). 
 
 
 
Home Health Agencies (HHAs) utilize a data entry software system called 
HAVEN (Home Assessment Validation and Entry) 
 
 
 
These are assigned to every HCPCS/CPT code under the Medicare hospital outpatient prospective payment system to identify how the service or procedure described by th...
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CDIP Domain 1: Clinical Coding Practice Exam
- Exam (elaborations) • 4 pages • 2024
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CDIP Domain 1: Clinical Coding Practice 
Exam 
Coding Clinic - answerValuable reference tool for coders that is published by AHA each 
quarter 
CPT - answerCurrent Procedural Terminology 
MS-DRGs - answerMedicare Severity-Diagnosis Related Groups 
CPT Assistant - answerMonthly publication by the AMA that provides coding advice for 
CPT coding scenarios 
Encoder Nosology - answerProvides coding professionals from the encoder company that are 
available to help answer tough coding questions 
Histo...
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CDIP Domain 1: Clinical Coding Practice Exam Solution.
- Exam (elaborations) • 6 pages • 2024
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Available in package deal
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- $11.99
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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 coding questions 
 
History & Physical - Provides the initial chief complaint and initial impre...
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