package deal of CDIP Answered And Graded A+.

OIG - correct answer 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 - correct answer Medicare Administrative Contractor - used by the OIG to process claims for services rend...

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 N...

AHIMA - correct answer American Health Information Management Association ACDIS - correct answer Association of Clinical Documentation Improvement Specialists IDT - correct answer Interdisciplinary Team LOS - correct answer Length of Stay The RHIT, RHIA or CCS should have how many years ...

The AHA, AHIMA, CMS, and the NCHS are all: - correct answer Cooperating parties A patient was admitted with H.I.V. and pneumocystis carini. The patient should have a principal diagnosis in ICD-10 of: - correct answer AIDS During an outpatient procedure for removal of a bladder cyst, the urolog...

Accurate Coding Impacts -correct answer Medicare Severity Diagnosis Related Groups (DRGs) All Patient Refined (APR) - DRG Reimbursement Length of Stay (LOS) What is CDI -correct answer Clinical Documentation Improvement - Concurrent review of the chart to make sure documentation is complete...

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 (p...

Why hire Medicare Contractor Reviewers? - correct answer For Protection of Medicare Trust Fund. Who is 1st of 6 Medicare Contract Reviewers? - correct answer (MACs) Medicare Administrative Contractors Whos is 2nd of 6 Medicare Contract Reviewers? - correct answer (RACs) Recovery Auditor Contra...

Who sets the official Guidelines for coding and reporting (ICD-10)? - correct answer American Hospital Associates (AHA) American Health information management association (AHIMA) National Center for Health Statistics (NCHS) Center for Medicare and Medicaid Services (CMS) AHA - correct answer S...

Legibility correct answer - Clear enough for the reader to comprehend and easily decipher. Copy/Paste forward unclear when dx start or end Reliable correct answer - Trustworthy, safe and yielding the same result when repeated. Orders transfusions for a GI Ulcer? Not Reliable Precise correct an...

Clinical documentation improvement (CDI) -correct answer Process to facilitate the accirate representation of a patients clinical status n the pqtient health record CDI Goals -correct answer 1. Initiate concurrent and as appropriate retrospective reviews of health records for conflicting, inomp...

are important feedback tools every CDI program should include for improvement and communication purposes -correct answer Metrics If query templates are used, how often should they be reviewed for potential update -correct answer Yearly A healthcare provider who is not aware of financial rule...

WHAT IS RECIEVING AND SCREENING (ACCEPTANCE & TRANSFER) - correct answer AN INSPECTION IS PERFORMED AT THE TIME A REPORTING CUSTODIAN ACCEPTS AN ITEM OF SE ON A PERMANENT BASIS OR UPON RETURN FROM A D-LEVEL OR COMMERCIAL REPAIR ACTIVITY. IT INCLUDES AN INVENTORY OF ALL PECORDS AND COMPONENTS THAT MA...