Ms drg assignment - Study guides, Class notes & Summaries

If a coding manager wanted to evaluate the impact of sequence changes of ICD-10-CM codes on the MS-DRG assignment for cardiac inpatients, which software would be used? - Answer Grouper Which of the following information systems would be considered revenue generating for the HIM department? - Answer ROI What information system performs part of its activities while the patient is still admitted and then is updated once the patient is discharged in order to improve efficiency to get cla...

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 (p2) - correct answer to initiate concurrent and, as appropriate, retrospective reviews of health records for conflicting, incomplete, or nonspecific provider documentation. goal of CDI reviews (p2)...

Clinical Documentation Toolkit Questions and Answers 2024 What is CDI? Any manual or electronic notation made by a clinical care provider or their authorized "medical scribe." What is the purpose of CDI? The diagnosis and procedures documented in the record need to be clearly supported by clinical indicators so that the ICD-10-CM/PCS codes assigned are accurate and correctly assigned. Written Query The method of clarification used by CDI professionals. Verbal and electronic a...

CDIP Domain 1: Clinical Coding Practice Already Graded A 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 Nosology Provides coding professionals from the encoder company that are available to help answer tough coding questions History & Physical Provides the initi...

Coding Clinic Valuable reference tool for coders that is published by AHA each quarter CPT Current Procedural Terminology Brainpower Read More MS-DRGs Medicare Severity-Diagnosis Related Groups CPT Assistant Monthly publication by the AMA that provides coding advice for CPT coding scenarios Encoder Nosology Provides coding professionals from the encoder company that are available to help answer tough coding questions History & Physical Provides the in...

CCDS Latest Update with Verified Solutions Blended rate The base rate plus any add-on reimbursement factors (eg for indirect costs of medical education, capital acquisitions, and disproportionate share of Medicare patients) Case-Mix index (CMI) The sum of all DRG relative weights divided by the number of Medicare cases. A low CMI may denote DRG assignments that do not adequately reflect the resources used to treat Medicare patients. CMS The Centers for Medicare and Medicaid, formerly HCFA, the...

CCS Exam 1 Questions and Answers 100% Accurate The information in the table represents all the CPT/HCPCS codes and associated information pertinent to a patient's encounter for care. From the information provided, how many APCs would impact this patient's total reimbursement? a. 1 b. 5 c. 4 d. Unable to determine c. 4 Facilities may use X modifiers in place of which modifier? a. 25 b. 27 c. 52 d. 59 d. 59 A patient is admitted to the hospital for pain due to displa...

CCA Exam Preparation All Domains Actual Questions and Answers During an audit of health records, the HIM director finds that transcribed reports are being changed by the author up to a week after initial transcription. The director is concerned that changes occurring this long after transcription jeopardize the legal principle that documentation must occur near the time of the event. To remedy this situation, the HIM director should recommend which of the following? - Correct Answer-Develo...

CDIP Toolkitrecent 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 (p2) - correct answer to initiate concurrent and, as appropriate, retrospective reviews of health records for conflicting, incomplete, or nonspecific provider documentation. goal of CDI ...

Domain 4 CDIP notes Part 1 of 6 Questions and Answers 100% Pass Why hire Medicare Contractor Reviewers? For Protection of Medicare Trust Fund. Who is 1st of 6 Medicare Contract Reviewers? (MACs) Medicare Administrative Contractors Whos is 2nd of 6 Medicare Contract Reviewers? (RACs) Recovery Auditor Contractors Who's 3rd of 6 Medicare Contractor Reviewers? (CERTs) Comprehensive Error Rate Testing Contractors Who's 4th of 6 Medicare Contract Reviewers? (SMRCs) Supplemental Medical Review Co...