Aminahassan001

Clinical Documentation (Chapter 1) UThe primary means of communication between members of the health-care team that facilitates continuity of care and communication among the professionals involved in a patient's care. - answerMedical Record The most important legal functions of medical records are to: - answerProvide evidence that appropriate care was given and to document the patient's response to that care. Who is the primary audience of medical records? - answerOther medical profes...

Clinical Documentation Improvement Intro and Chapter 1 revisedWhat is clinical documentation? - answerany manual or electronic notation (or recording) made by a physician or other healthcare clinician related to a patient's medical condition or treatment. Pg. xiii What is the seven criteria that meets quality clinical documentation? - answerLegible, Reliable, Precise, Complete, Consistent, Clear, and Timely Pg. xiii Healthcare organizations are medical trustees for what? - answerTheir pat...

Present on Admission (POA) Indicators Final ExamPresent on Admission (POA) Indicators - answermandated by the Deficit Reduction Act on 10/01/07. Must report all diagnoses that are POA so it can differentiate between ones that developed during the patient's admission. If it was not POA, there will not be any reimbursement. CMS will no longer reimburse for extra costs incurred from certain hospital-acquired conditions (HACs). This is applicable to hospitals that are reimbursed under IPPS (Inpatie...

CCDS Exam.Blended rate - answerThe base rate plus any add-on reimbursement factors (eg for indirect costs of medical education, capital acquisitions, and disproportionate share of Medicare patients) Case-Mix index (CMI) - answerThe sum of all DRG relative weights divided by the number of Medicare cases. A low CMI may denote DRG assignments that do not adequately reflect the resources used to treat Medicare patients. CMS - answerThe Centers for Medicare and Medicaid, formerly HCFA, the fede...

Principal Diagnosis final exaPrincipal Diagnosis - answerThat condition established after study to be chiefly responsible for occasioning the admission of the patient to the hospital for care. Codes for signs, symptoms, and ill-defined conditions (Chapter 16) - answerAre not to be used as prinicpal diagnosis when a related definitive diagnosis has been established. When there are two or more interrelated conditions potentially meeteing the definition of principal diagnosis? - answerEither ...

MAC -answer Medicare Administrative Contractor RAC -answer Recovery Audit Contractor Denial rate is calculated by -answer Dividing the number of claims or line items denied, by the number of claims or line items submitted Query response rate -answer the number of responses from the providers to the queries that have been written. QRR -answer Query Response Rate Calculation of the QRR is performed by -answer dividing the number of queries responses by the number of queries written ...

CDIP EXAM PREP Revised Version.OIG - answerOffice of Inspector General- established by the Dept. of Labor by the Inspector General Act of 1978 to identify fraud and abuse of Medicare part A and part B programs MAC - answerMedicare Administrative Contractor - used by the OIG to process claims for services rendered Criteria for high quality documemtation - answer1. Legible 2. Reliable 3. Precise 4. Complete 5. Consistent 6. Clear 7. Timely EBM - answerEvidence Based Medicine - the ...

CDIP updated.

nformal conversations - answertime to talk about things that interest and excite children Language play - answerexploring rhythms, sounds and tones that young children delight in as they work and play. Rhymes and song - answerExperiences rich in rhythm and rhyme. Encourages children to play with words. Stories - answerChildren discover new words

MMoral Development Stages -answer Created by Selmon 1. Undifferentiated: sees their perspective as everyones perspective 2. Social-informational: Realizes different perspectives (theirs in the best) 3. Self-reflective: sees, thinks and feels others perspectives (empathy) 4. 3rd party: keep multiple perspectives in mind tal: bystanders are influenced by societal and cultural context and different societies have different perspectives Abstract Thinking -answer Using numbers or letter varia...