Ms drgs Study guides, Class notes & Summaries
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Test Bank For Medical Coding Training CPC Practical Application WorkBook-Coding with Answer Key 2024
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Test Bank For Medical Coding Training CPC Practical Application WorkBook-Coding with Answer Key 2024 
 
1.	What type of profession might a skilled coder enter? 
Answer: Consultants, educators, medical auditors 
 
The Business of Medicine 
 
 
2.	What is the difference between outpatient and inpatient coding? 
Answer: Outpatient coders will focus on learning CPT®, HCPCS Level II, and ICD-10-CM codes. They will work in physi- cian offices, outpatient clinics, and facility outpatient departments...
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CDIP Domain 1: Clinical Coding Practice, Questions & Answers, 100% Accurate, Graded A
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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...
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RHIT Domain 4a: Questions & Answers: Updated A+ Solutions
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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...
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CDIP Toolkit (Clinical Documentation Improvement Toolkit AHIMA) with Complete Solutions
- Exam (elaborations) • 8 pages • 2024
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CDIP Toolkit (Clinical Documentation Improvement Toolkit AHIMA) with Complete Solutions 
 
 
CDIP Toolkit (Clinical Documentation Improvement Toolkit AHIMA) with Complete Solutions 
 
 
CDIP Toolkit (Clinical Documentation Improvement Toolkit AHIMA) with Complete Solutions 
 
 
recent drivers of CDI (p2) - 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 Integri...
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CHDA Exam Prep Questions and Answers 100% Solved
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CHDA Exam Prep Questions and 
Answers 100% Solved 
A set of standards that provides universal names and codes for laboratory and clinical results is 
️️LOINC 
Medical severity diagnosis-related groups (MS-DRGs) represent a prospective payment system 
implemented by the CMS to reimburse hospitals a predetermined amount for services provided 
to _____. ️️Inpatients 
Which of the following is an external user of data? 
Question 3 options: 
Public health department 
Medical staff 
Hospit...
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CHDA Questions and Answers | New One | Grade A+
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MS-DRGs - Medical severity diagnosis-related groups (MS-DRGs 
Ans: represent an inpatient prospective payment system implemented by the CMS to 
reimburse hospitals a predetermined amount for services provided to inpatients...can be 
grouped in categories called 
Line Graph 
Ans: plot is used to display time trends 
LOINC codes 
Ans: used for Identifying test results 
CPT codes and APC's (Ambulatory payment classifications) 
Ans: have a One to many relationship 
Frequency charts 
Ans: excellent...
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CHDA Exam with Complete Solutions 100% Verified
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CHDA Exam with Complete Solutions 
100% Verified 
MS-DRGs - Medical severity diagnosis-related groups (MS-DRGs ️️represent an inpatient 
prospective payment system implemented by the CMS to reimburse hospitals a predetermined 
amount for services provided to inpatients...can be grouped in categories called 
Line Graph ️️plot is used to display time trends 
LOINC codes ️️used for Identifying test results 
CPT codes and APC's (Ambulatory payment classifications) ️️have a One to...
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Revenue Cycle Management Ch. 9 Questions With Complete Solutions
- Exam (elaborations) • 18 pages • 2023
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Calculate the following amounts for a participating provider who bills Medicare: 
Submitted charge (based on provider's regular fee for office visit) 
$ 75 
Medicare physician fee schedule (PFS) 
$ 60 
Coinsurance amount (paid by patient or supplemental insurance) 
$ 12 
Medicare payment (80 percent of the allowed amount) 
$ ????? 
Medicare write-off (not to be paid by Medicare or the beneficiary) 
$ ????? correct answer: Medicare payment (80 percent of the allowed amount) $48 
Medicare write-...
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CCS Exam Prep Medical Billing and Reimbursement Systems Questions and Answers 2024
- Exam (elaborations) • 15 pages • 2024
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CCS Exam Prep Medical Billing and Reimbursement Systems Questions and Answers 2024 
1. The case-mix management system that utilizes information from the Minimum Data Set (MDS) in long-term care settings is called A. Medicare Severity Diagnosis Related Groups (MS-DRGs). B. Resource Based Relative Value System (RBRVS). C. Resource Utilization Groups (RUGs). D. Ambulatory Patient Classifications (APCs). 
C 
 
 
 
2. The prospective payment system used to reimburse home health agencies for patients ...
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CDIP Toolkit Questions and Answers Fully solved
- Exam (elaborations) • 8 pages • 2024
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CDIP Toolkit Questions and Answers Fully solved 
recent drivers of CDI (p2) 
- 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) 
to initiate concurrent and, as appropriate, retrospective reviews of health records for 
conflicting, incomplete, or nonspecific provider documentation. 
 
...
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