Poa present on admission - Study guides, Class notes & Summaries
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CCS Exam Prep Questions and Answers Latest Updated
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CCS Exam Prep Questions and Answers Latest Updated 
IPPS 
inpatient prospective payment system 
 
 
 
OPPS 
Outpatient Prospective Payment System 
 
 
 
fee-for-service (FFS) 
a written fee schedule for each treatment and/or service provided 
 
 
 
Diagnosis-related groups (DRGs) 
an episodic care payment system to hospitals for inpatient services based on standards of care for a specific diagnoses grouped by their similar usage of resources for procedures, service, and treatments 
 
 
 
MS-DRG ...
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CDIP Exam 1 Domain 3 Questions with solutions Scored A+
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CDIP Exam 1 Domain 3 Questions with solutions Scored A+ 
A physician documents pneumonia of the left lower lobe with crackles in the bases. The patient has difficulty swallowing day 2 of admission following CVA with infarct. The patient has a history of gastroesophageal reflux. It would be appropriate to query for: 
 
A. No query warranted 
B. Infectious pneumonia 
C. Aspiration pneumonia 
D. COPD with pneumonia 
Aspiration pneumonia 
 
 
 
Physicians queries should: 
 
A. Be initiated on all ad...
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CDIP Domain 3 Record Review and Document Clarification 2023 verified to pass
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CDIP Domain 3 Record Review and Document Clarification 
7 Criteria for High Quality Documentation - correct answer Legible 
Reliable 
Precision 
complete 
consistent 
clarity 
timeliness 
 
Legibility - correct answer Required under all government and regulatory agencies 
 
Reliability - correct answer treatment provided without documentation of condition being treated 
 
Precision - correct answer no specific diagnosis documented, more specific diagonals appears to be supported 
 
completeness ...
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CCS Practice Exam Questions And Answers Latest Update 2024 (GRADED)
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CCS Practice Exam Questions And Answers Latest Update 2024 (GRADED) A 12-year-old boy was seen in an ambulatory surgical center for pain in his right arm. 
The x-ray showed fracture of ulna. Patient underwent closed reduction of fracture 
right proximal ulna and an elbow-to-finger cast was applied. What diagnostic and 
procedure codes should be assigned? 
S52.101AUnspecified fracture of upper end of right radius, initial encounter for 
closed fracture 
S52.101BUnspecified fracture of upper end o...
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ICD-10-CM FINAL QUIZ QUESTIONS AND ANSWERS LATEST 2024 UPDATE 100% CORRECT
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ICD-10-CM FINAL QUIZ QUESTIONS AND ANSWERS LATEST 2024 UPDATE 100% CORRECT
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CDIP DOMAIN 3 RECORD REVIEW AND DOCUMENT CLARIFICATION EXAM QUESTIONS AND ANSWERS
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7 Criteria for High Quality Documentation 
Legibile 
Reliable 
Precision 
complete 
consistent 
clarity 
timeliness 
 
 
 
Legibility 
Required under all government and regulatory agencies 
 
 
 
 
Brainpower 
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Reliability 
treatment provided without documentation of condition being treated 
 
 
 
Precision 
no specific diagnosis documented, more specific diagonals appears to be supported 
 
 
 
completeness 
abnormal test results without documentation for clinic significance (joint co...
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CDIP EXAM PREP Questions and Answers Latest Update with complete solutions
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ARRA - American Recovery and Reinvestment Act of 2009 provides specific guidance established 
as part of the meaningful use incentive program 
Deficit Reduction Act of 2005 - Requires POA inclusion in the payment guidelines for conditions 
that: 
1. Are high cost, high volume or both 
2. Result in the assignment of a case to a DRG that has a higher payment when present as a secondary 
diagnosis 
3. Could reasonably have been prevented through the application of evidence based guidelines 
Meaning...
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CDIP Domain 3: Record Review & Document Clarification Questions and Answers well Explained Latest 2024/2025 Update 100% Correct.
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Consistent - the record is not contradictory 
Complete - the record has the maximum content and is thorough 
If you have two conflicting diagnoses by two providers, who should make the final decision? - 
Attending physician 
Hospital Acquired Conditions - conditions that will not be reimbursed if they occur in the hospital 
after admission 
Concurrent reviews - CDI specialist reviews the patient record while the patient is in the hospital 
Ethical Queries - Queries that do not lead the physician...
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AHIMA CCS Exam Prep Questions With Complete Solutions (Verified And Updated)
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AHIMA CCS Exam Prep Questions With 
Complete Solutions (Verified And Updated) 
CPT defines a separate procedure as - answerProcedure considered an integral part of a more 
major service 
No combination code available - answerUse separate codes for hypertension and acute renal 
failure 
Documentation from the nursing staff or other allied health professionals' notes can be used to 
provide specificity for code assignment for which of the following diagnoses? - answerBody 
Mass Index (BMI) 
POA I...
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CDIP Domain 3: Record Review & Document Clarification with Complete Solutions!
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POA - ANSWER-Present on admission 
 
Concurrent reviews - ANSWER-CDI specialist reviews the patient record while the patient is in the hospital 
 
Ethical - ANSWER-Conforming to accepted standards of conduct 
 
Ethical Queries - ANSWER-Queries that do not lead the physician to a particular answer 
 
If you have two conflicting diagnoses by two providers, who should make the final decision? - ANSWER-Attending physician 
 
Legible - ANSWER-the record is clear enough for the reader to comprehend an...
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