Drg is used to classify - Study guides, Class notes & Summaries

CSPR - Certified Specialist Payment Rep (HFMA) 2024 Questions & Answers Solved 100% Correct!!

Principal Diagnosis The disease or condition that was present on admission, was the principal reason for admission, and received treatment or evaluation during the hospital stay or visit for the reason established after study to be chiefly responsible for occasioning the admission of the patient to the hospital for care First Listed Diagnosis Used in the outpatient setting, this term is used (instead of the inpatient setting's principal diagnosis), and it is determined in accordance wi...

When was healthcare first created in the United States? - ANSWER 1798 Act for Relief of the Sick and Disabled Seaman What was created in 1915? - ANSWER American Association for Labor Legislation... created in the model bill What was the precursor of Medicare and Medicaid? - ANSWER Social security passed in 1935 What are the three main goals of ACA? - ANSWER expand access to health insurance, reduce healthcare costs, support innovative delivery methods How many children were on CHIP a...

NCSBN Practice Questions 1-15 Which individual is at greatest risk for the development of hypertension? A. 40 year-old Caucasian nurse B. 60 year-old Asian-American shop owner C. 45 year-old African-American attorney D. 55 year-old Hispanic teacher - C The incidence of hypertension is greater among African-Americans than other groups in the United States. The incidence among the Hispanic population is rising. A woman, who delivered five days ago and who had been diagnosed with preg...

Steps used to control costs of managed care include - ANSWERBundled codes Capitation Payer and Provider to agree on reasonable payment DRG is used to classify - ANSWERInpatient admissions for the purpose of reimbursing hospitals for each case in a given category w/a negotiated fixed fee, regardless of the actual costs incurred Identify the various types of private health plan coverage - ANSWER1-HMO 2-Conventional 3-PPO and POS 4-HDHP/SO plans - high-deductible health plans with a sav...

CCS Exam | Questions and Verified Answers| Latest 2023/ 2024 Update QUESTION Digital signatures are Answer: Cryptography that ensures a document is authentic Cryptography is a field that develops methods to ensure data security. A digital signature scheme is a public key that ensures a document is authentic QUESTION he convention "omit code" is found only in volume three and usually applies to which of the following? Answer: An exploratory procedure in...

Steps used to control costs of managed care include: - correct answer Bundled codes Capitation Payer and Provider to agree on reasonable payment DRG is used to classify - correct answer Inpatient admissions for the purpose of reimbursing hospitals for each case in a given category w/a negotiated fixed fee, regardless of the actual costs incurred Identify the various types of private health plan coverage - correct answer HMO Conventional PPO and POS HDHP/SO plans - high-deductible hea...

CCA Practice Exam Questions and Answers | Latest Version | 2024/2025 | Already Passed What is the main purpose of the ICD-10-CM coding system? To classify and code all diagnoses, symptoms, and procedures recorded in conjunction with hospital care. What code set is used for inpatient hospital services? ICD-10-PCS is used for inpatient hospital procedures. What is the definition of a "principal diagnosis" in coding? The condition established after study to be chiefly responsible...

CSPR - Certified Specialist Payment Rep (HFMA) Exam 2024 With Correct Solutions Steps used to control costs of managed care include: - Answer -Bundled codes Capitation Payer and Provider to agree on reasonable payment DRG is used to classify - Answer -Inpatient admissions for the purpose of reimbursing hospitals for each case in a given category w/a negotiated fixed fee, regardless of the actual costs incurred Identify the various types of private health plan coverage - Answer -HMO Conve...

CSPR - Certified Specialist Payment Rep (HFMA) Exam Questions And Answers Steps used to control costs of managed care include: - ANS Bundled codes Capitation Payer and Provider to agree on reasonable payment DRG is used to classify - ANS Inpatient admissions for the purpose of reimbursing hospitals for each case in a given category w/a negotiated fixed fee, regardless of the actual costs incurred Identify the various types of private health plan coverage - ANS HMO Conventional ...