Ms drg - Study guides, Class notes & Summaries

The term used to indicate that the service or procedure is reasonable and necessary for the diagnosis or treatment of illness or injury consistent with generally accepted standards of care is 1. appropriateness. 2. evidence-based medicine. 3. benchmarking. 4. medical necessity. (Ans- 4. medical necessity. Use the following table to answer the question. (See the word file) This information is the numerical identification of the service or supply. Each item has a unique number with a...

groupers - ️️today, most MS-DRGs are calculated using software tools known as groupers. Early on, they were determined using a flow-chart book. The book contains a series of decision tree diagrams. The same information would have been necessary to determine the correct DRG (as MS-DRGs were not implemented). Principal and Secondary Diagnosis and Procedure Codes - ️️Does the logic look for a principal procedure code first? -If no, then a principal diagnosis code is reviewed for appro...

What is an MS-DRG? - ️️An inpatient classification system designed to categorize patients who are medically related with respect to diagnoses and treatment and who are statistically similar in their lengths of stay. Each DRG has a preset reimbursement amount. All outpatient diagnostic services and admission-related therapeutic services provided by the same hospital on the day of the patient's admission or within three days preceding the date of inpatient admission must be included on ...

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...

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...

CCS Exam Study Questions with Complete Solutions | 100% Correct malicious software - Answer ️️ -backdoor A female patient is diagnosed with congestive heart failure. Which of the following will increase the MS-DRG weight if present on admission? Atrial fibrillation Stage III pressure ulcer Blood loss anemia Coronary artery disease - Answer ️️ -Stage III pressure ulcer MS-DRG 291 (weight = 01.5010) for congestive heart failure with stage III pressure ulcer would optimize the MS-...

During an audit of health records, the HIM director finds that transcribed reports are being changed by the author up to a week after initial transcription. The director is concerned that changes occurring this long after transcription jeopardize the legal principle that documentation must occur near the time of the event. To remedy this situation, the HIM director should recommend which of the following? - Develop a facility policy that defines the acceptable period of time allowed for a t...

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...

medicare code edits - ️️a method to identify various situations based upon assigned ICD-10-CM codes hospital wage index - ️️a numeric factor defined by medicare that considers the geographic location of hospitals. this factor is used in the reimbursement calculations for facilities to account for geographic differences CC - ️️abbreviation for complications and comorbid conditions comorbid condition - ️️a pre-existing condition which, because of it's presence, causes an in...