Which of the following represents data flow for a hospital inpatient admission?
-Registration > services performed > charges recorded > diagnostic and procedure
codes assigned
-Registration > diagnostic and procedure codes assigned > services performed >
charges recorded
-Services performed > charges recorded > registration > diagnostic and procedure
codes assigned
-Diagnostic and procedure codes assigned > registration > services performed >
charges recorded - answerRegistration > services performed > charges recorded >
diagnostic and procedure codes assigned
Medicare severity diagnosis related groups
Medical standard diagnosis related groups
Medical society diagnosis related groups
Medicare standardized diagnosis related groups - answerMedicare severity diagnosis
related groups
A revenue code represents a:
Correct!
Facility department
Reason for a claim denial
Amount charged for a service
Diagnostic code - answerFacility department
Relative value units are used to:
Correct!
Describe procedures performed in a hospital
Report a claim status
Determine payment for physician services
Report the reason for the denial of payment for a service - answerDetermine payment
for physician services
Which of the following is the correct claim form for physician claims?
Correct!
CMS-1450
Remittance advice
MS-DRG
CMS-1500 - answerCMS-1500
Which of the following is the correct claim form for inpatient hospital claims?
Correct!
CMS-1450
Remittance advice
MS-DRG
CMS-1500 - answerCMS-1450
Which of the following is not a type of procedure code?
DRG
ICD-10-PCS
CPT
HCPCS - answerDRG
LOINC is primarily a coding system for:
Correct!
Drugs
Laboratory values
Diagnoses
Physician specialty - answerLaboratory values
Accuracy of the data - answervalidity
the use of two or more measures yielding similar results to account for a phenomenon ;
when multiple criteria are thought to measure a single concept such as quality of life or
severity of illness - answerconstruct validity
Repeat-ability or reproducibility of the results - answerreliability
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