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OIG - Office 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 - Medicare Administrative Contractor - used by the OIG to process claims for services rendered Criteria for high quality...

Assign code(s) for the following diagnosis: Congestive heart failure due to hypertension. I10 Essential (primary) hypertension I11.9 Hypertensive heart disease without heart failure I11.0 Hypertensive heart disease with heart failure I50.9 Heart failure, unspecified I50.1 Left ventricular failu...

eMAR - Electronic medication administration record PACS - Picture archive and communication system CPOE - Computerized provider/practitioner/physician order entry CAMP - Coaching, asking, mastering, peer learning ICEHR - Integrated care EHR HCO - Health care organization HIM - Health Informati...

A physician admits a patient with shortness of breath and chest pain, then treats the patient with Lasix, oxygen, and Theophylline. The physician's final documented diagnosis for the patient is acute exacerbation of COPD. What is missing from this diagnosis that would make it reliable information...

AHIMA - American Health Information Management Association ACDIS - Association of Clinical Documentation Improvement Specialists IDT - Interdisciplinary Team LOS - Length of Stay The RHIT, RHIA or CCS should have how many years of inpatient coding experience before becoming a CDI specialist? - ...

Why hire Medicare Contractor Reviewers? - For Protection of Medicare Trust Fund. Who is 1st of 6 Medicare Contract Reviewers? - (MACs) Medicare Administrative Contractors Whos is 2nd of 6 Medicare Contract Reviewers? - (RACs) Recovery Auditor Contractors Who's 3rd of 6 Medicare Contractor Review...

MAC - Medicare Administrative Contractor RAC - Recovery Audit Contractor Denial rate is calculated by - Dividing the number of claims or line items denied, by the number of claims or line items submitted Query response rate - the number of responses from the providers to the queries that have be...