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CDIP EXAM PREP WITH COMPLETE SOLUTIONS.
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CDIP EXAM PREP WITH COMPLETE SOLUTIONS.
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CDIP EXAM PREP WITH COMPLETE SOLUTIONS.OIG - 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 - Answer Medicare Administrative Contractor - used by the OIG to process claims for services rendered
Criteria for high quality documemtation - Answer 1. Legible
2. Reliable
3. Precise
4. Complete
5. Consistent
6. Clear 7. Timely
EBM - Answer Evidence Based Medicine - the best scientific data a available for clinical documentation
Two part theory for high quality clinical documentation is derived from what - Answer Legal/regulatory sources and peer reviewed research
Four standards used in EBM - Answer 1. Design
2. Terminology
3. Performance 4. Procedural
DHHS - Answer Department of Health and Human services
ARRA - Answer American Recovery and Reinvestment Act of 2009 provides specific
guidance established as part of the meaningful use incentive program
Meaningful use requirements - Answer Provider must maintain an up to date problem list of current and active diagnoses for 80% of patients and 80% of all patients have to have at least one coded problem as opposed to their entire problem list coded
IPPS - Answer Hospital Inpatient Prospective Payment System. Reimbursement now
being driven by codes assigned to the patient stay with the inception of IPPS in 1982
House Staff - Answer Interns, residents and fellows - physicians in training
CMS - Answer Centers for Medicare and Medicaid Services
NCHS - Answer National Center for Health Statistics
CMS and NCHS created what? - Answer Both departments within DHHS, CMS AND
DCHS created the Official guidelines for Coding and Reporting
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