Ms drg assignment - Study guides, Class notes & Summaries

A 23 year old female is admitted for vaginal bleeding following a miscarriage two weeks prior to this admission. She afebrile at this time and is treated with an aspiration dilation and curettage. Products of conception are found. Which of the following should be the principle diagnosis? a. O03.1, Delayed or excessive hemorrhage following incomplete spontaneous abortion b. O08.1, Delayed or excessive hemorrhage following ectopic and molar pregnancy c. R57.9, Shock, unspecified d. T81.10XA, P...

CDIP Questions and Answers Rated A+ CDI program data includes: 1. All cases that were reviewed 2. Number of cases with queries 3. Nature of the query 4. Physician response to the query Queries should only be asked: 1. If there is clinical evidence that the documentation is imcomplete or does not meet one of the seven criteria for high-quality clinical documentation. 2. By an individual with solid clinical knowledge. 3. In an open-ended manner (no yes or no questions) 4. In a nonleading manner. ...

Arithmetic Mean Length of Stay (AMLOS) Sum of all lengths of stay in a set of cases divided by the number of cases. Base Payment Rate 1) Rate per discharge for operating and capital-related components for an acute-care hospital. 2) Prospectively set payment rate made for services that Medicare beneficiaries receive in healthcare settings. The base rate is adjusted for geographic location, inflation, case mix, and other factors. Case Mix Set of categories of patients (type and volume) treated b...

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) -...

CDIP Domain 1: Clinical Coding Practice Exam Coding Clinic - answerValuable reference tool for coders that is published by AHA each quarter CPT - answerCurrent Procedural Terminology MS-DRGs - answerMedicare Severity-Diagnosis Related Groups CPT Assistant - answerMonthly publication by the AMA that provides coding advice for CPT coding scenarios Encoder Nosology - answerProvides coding professionals from the encoder company that are available to help answer tough coding questions Histo...

A four-digit code that describes a classification of a product or service provided to a patient is a - CORRECT ANSWER revenue code State Medicaid programs are required to offer medical assistance for - CORRECT ANSWER individuals with qualified financial need. Based on CMS's DRG system, other systems have been developed for payment purposes. The one that classifies the non-Medicare population, such as HIV patients, neonates, and pediatric patients, is known as - CORRECT ...

A hospital currently uses the patient's Social Security number as their patient identifier. The hospital risk manager has identified this as a potential identity fraud risk and wants the information removed. The risk manager is not getting cooperation from the physicians and others in the hospital who say they need the information for identification and other purposes. Given this situation, what should the HIM director suggest? Avoid displaying the number on any document, screen, or data collec...

CCS EXAM - Medical Billing and Reimbursement System Questions and Answers Rated A+ The prospective payment system used to reimburse home health agencies OASIS (Outcome and Assessment Information Set). Home Health Agencies (HHAs) utilize a data entry software system called HAVEN (Home Assessment Validation and Entry) These are assigned to every HCPCS/CPT code under the Medicare hospital outpatient prospective payment system to identify how the service or procedure described by th...

CDIP Domain 1: Clinical Coding Practice Exam Coding Clinic - answerValuable reference tool for coders that is published by AHA each quarter CPT - answerCurrent Procedural Terminology MS-DRGs - answerMedicare Severity-Diagnosis Related Groups CPT Assistant - answerMonthly publication by the AMA that provides coding advice for CPT coding scenarios Encoder Nosology - answerProvides coding professionals from the encoder company that are available to help answer tough coding questions Histo...

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 initial chief complaint and initial impre...