Drg Study guides, Class notes & Summaries

The term used to indicate that the service or procedure is reasonable and necessary for the diagnosis or treatment of illness or injury consistent with generally accepted standards of care is 1. appropriateness. 2. evidence-based medicine. 3. benchmarking. 4. medical necessity. (Ans- 4. medical necessity. Use the following table to answer the question. (See the word file) This information is the numerical identification of the service or supply. Each item has a unique number with a...

MS-DRG Assignment Questions with 100% correct answers | verified | latest update 2024

Abuse - Actions inconsistent with accepted, sound medical business or fiscal practice Accept Assignment - Provider accepts as payment in full whatever is paid on the cliam by the payer (except for any copayment and or coinsurance amounts.) Accounts Receivable - The amount owed to a business for services or goods provided. Accounts Receivable Aging Report - Shows the status (by date) of outstanding claims from each payer, as well as payments due from patients. Accounts Receivable Management -...

Exam 3: PNR207 / PNR 207 (Latest Update 2024 / 2025) Transition to PN Practice - Capstone | Review Guide Questions and Verified Answers | 100% Correct | Grade A - Fortis Question: Reimbursement based on negotiated costs Answer: Retrospective payment system Question: System in which federal government announces to a hospital in advance what it will pay for each client based on the clients DRG category, regardless of the length of stay Answer: Prospective payment system ...

Portage Learning Anatomy & Physiology 2: Module 2 Exam Questions and Answers Fully solved This layer of the meninges is tightly attached to the brain. Pia mater (menix) The _______ fissure separates the right and left cerebral hemispheres. Median longitudinal What is the purpose of the blood-brain barrier? Describe its maintenance from a cellular level. The blood-brain barrier is a diffusion barrier which prevents most particles from entering the central nervous system tis...

Which of the following is true in regards to health care today in the United States? There are more primary care physicians than specialty physicians. Primary care receives a higher reimbursement in professional fees. There are more specialty physicians than primary physicians. Outpatient care is slowly decreasing. - ANSWER-There are more specialty physicians than primary physicians. What triggered the downsizing phase in the U.S. hospital industry during the 1980s? Hill-Burton Act Mana...

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? - Develop a facility policy that defines the acceptable period of time allowed for a t...

Test Bank for Fundamental Concepts and Skills for Nursing 6th Edition Williams-all chapters-2022- 2023. 1. Florence Nightingale’s contributions to nursing practice and education: a. are historically important but have no validity for nursing today. b. were neither recognized nor appreciated in her own time. c. were a major factor in reducing the death rate in the Crimean War. d. were limited only to the care of severe traumatic wounds. ANS: C By improving sanitation, nutrition venti...

CDIP Domain 1: Clinical Coding Practice, Questions & Answers, 100% Accurate, 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...

Case management Correct Answer-a collaborative process that assesses, plans, implements, coordinates, monitors and evaluates the options and services required to meet the client's health and human services needs. Case Management Characteristics Correct Answer-characterized by advocacy, communication, and resource management and promotes quality and cost-effective interventions and outcomes. Glagow Coma Scale Correct Answer-Client assessment tool that measures level of coma in the acute ph...