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CCDS-O Study Cards Questions & Answers

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Morbid (server) Obesity - ANSWERSBMI of 40 or greater OR BMI of 35 + 1 weight related comorbid condition (diabetes, hypertension) CDI - ANSWERSClinical Documentation Integrity OPPS - ANSWERSOutpatient Prospective Payment System MPFS (Medicare Physician Fee Schedule) - ANSWERSthe RBRVS-base...

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  • October 19, 2024
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  • 2024/2025
  • Exam (elaborations)
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  • CCDS-O Study Cards
  • CCDS-O Study Cards
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CCDS-O Study Cards Questions &
Answers
Morbid (server) Obesity - ANSWERSBMI of 40 or greater OR BMI of 35 + 1 weight
related comorbid condition (diabetes, hypertension)

CDI - ANSWERSClinical Documentation Integrity

OPPS - ANSWERSOutpatient Prospective Payment System

MPFS (Medicare Physician Fee Schedule) - ANSWERSthe RBRVS-based allowed fees

AHIMA - ANSWERSAmerican Health Information Management Association

AHA - ANSWERSAmerican Hospital Association

NCHS (National Center for Health Statistics) - ANSWERSOne of the 4 cooperating
parties for developing and publishing ICD-10 CM in the USA

HCPCS - ANSWERSHealthcare Common Procedure Coding System

AHIP (America's Health Insurance Plans) - ANSWERSContributes to HCPCS Level II
codes

BCBSA (Blue Cross Blue Shield Association) - ANSWERSContributes to HCPCS Level
II codes

APC - ANSWERSAmbulatory Payment Classification

RVU (Relative Value Unit) - ANSWERSA number that quantifies the amount of
physician labor, resources, and expertise necessary to provide the service represented
by a CPT code.

GPCI (Geographic Practice Cost Index) - ANSWERSMedicare factor used to adjust
providers' fees to reflect the cost of providing services in a particular geographic area
relative to national averages (RVUs to $$)

Fiscal Intermediary (FI) - ANSWERSA government contractor that processes claims for
Medicare Part A claims.

Medicare Audit Contractor (MAC) - ANSWERSReviews prepayment and post payment,
automated and complex types of reviews to prevent future improper payment

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