Soi severity of illness - Study guides, Class notes & Summaries
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CCDS QUESTIONS AND ANSWERS WITH CERTIFIED SOLUTIONS
- Exam (elaborations) • 55 pages • 2023
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CCDS QUESTIONS AND ANSWERS WITH CERTIFIED SOLUTIONS 
A patient is admitted from the emergency department (ED) with a diagnosis of weakness and anemia. After admission and further treatment with packed red blood cells (PRBC), GI consult, and endoscopy, the physician includes the following diagnoses in the discharge summary: anemia, suspected bleeding gastric ulcer, and GERD. What would be the most appropriate principle diagnosis? 
A. Bleeding gastric ulcer 
B. Anemia 
C. GERD D. Weakness A. Bleed...
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CPB Certified Professional Biller Certification Medical Billing CPB Exam
- Exam (elaborations) • 23 pages • 2024
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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 Management -...
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CCDS Test Questions and Correct Solutions 2024
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CCDS Test Questions and Correct Solutions 
2024 
A. Bleeding gastric ulcer - Answer -A patient is admitted from the emergency department (ED) with a 
diagnosis of weakness and anemia. After admission and further treatment with packed red blood cells 
(PRBC), GI consult, and endoscopy, the physician includes the following diagnoses in the discharge 
summary: anemia, suspected bleeding gastric ulcer, and GERD. What would be the most appropriate 
principle diagnosis? 
A. Bleeding gastric ulcer 
B. ...
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CDIP Assessment test questions with correct answers
- Exam (elaborations) • 7 pages • 2024
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CDIP Assessment test questions with correct answers 
 
AP-DRGs - Answer-Implemented in 1987 by 3m. For NY non-Medicare discharges reimbursement program. 
 
APR-DRGs - Answer-Developed by 3m in 1990; addressed severity of illness and risk of mortality over all patient populations. 
 
When did CMS adopt MS-DRGs to better recognize severity of illness (SOI) in Medicare IPPS? - Answer-FY2007 
CY2008 
 
Comorbidity - Answer-A pre-existing condition which because of it's presence with the principal d...
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CDIP Toolkit Study Quiz 2024.
- Exam (elaborations) • 11 pages • 2024
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CDIP Toolkit Study Quiz 2024. 
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 documentati...
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CPB Certified Professional Biller Certification Exam Questions and Answers 2024
- Exam (elaborations) • 14 pages • 2024
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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...
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CDIP Domain 5: Research & Education Questions and Answers
- Exam (elaborations) • 2 pages • 2024
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CDIP Domain 5: Research & Education Questions and AnswersCDIP Domain 5: Research & Education Questions and AnswersCDIP Domain 5: Research & Education Questions and AnswersCDIP Domain 5: Research & Education Questions and AnswersCDIP Domain 5: Research & Education Questions and AnswersROM - ANSWER-Risk of mortality 
 
SOI - ANSWER-Severity of illness 
 
MCC - ANSWER-Major complication or comorbidity
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Clinical Documentation Toolkit Questions and Answers 2024
- Exam (elaborations) • 18 pages • 2024
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Clinical Documentation Toolkit Questions and Answers 2024 
What is CDI? 
Any manual or electronic notation made by a clinical care provider or their authorized "medical scribe." 
 
 
 
What is the purpose of CDI? 
The diagnosis and procedures documented in the record need to be clearly supported by clinical indicators so that the ICD-10-CM/PCS codes assigned are accurate and correctly assigned. 
 
 
 
Written Query 
The method of clarification used by CDI professionals. Verbal and electronic a...
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CDIP Domain 4 CDI Metrics And Statistics Review Practice Questions 2024.
- Exam (elaborations) • 8 pages • 2024
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CDIP Domain 4 CDI Metrics And Statistics Review Practice Questions 2024. 
Denial Rate - correct answer Number of Claims or line items denied 
/ number of claims or lines items submitted 
 
Query Response Rate - correct answer Number of Query Responses 
/ Number of Queries Written 
 
Escalation Policy - correct answer Provides a specific list of management and other authorities that must be contacted in the event of no response 
 
who works the working DRG - correct answer Clinical documentation...
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CDIP Toolkit Questions and Answers Fully solved
- Exam (elaborations) • 8 pages • 2024
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CDIP Toolkit Questions and Answers Fully solved 
recent drivers of CDI (p2) 
- 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) 
to initiate concurrent and, as appropriate, retrospective reviews of health records for 
conflicting, incomplete, or nonspecific provider documentation. 
 
...
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