Soi severity of illness Study guides, Class notes & Summaries

CCDS QUESTIONS AND ANSWERS WITH CERTIFIED SOLUTIONS A patient is admitted from the emergency department (ED) with a diagnosis of weakness and anemia. After admission and further treatment with packed red blood cells (PRBC), GI consult, and endoscopy, the physician includes the following diagnoses in the discharge summary: anemia, suspected bleeding gastric ulcer, and GERD. What would be the most appropriate principle diagnosis? A. Bleeding gastric ulcer B. Anemia C. GERD D. Weakness A. Bleed...

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 -...

CCDS Test Questions and Correct Solutions 2024 A. Bleeding gastric ulcer - Answer -A patient is admitted from the emergency department (ED) with a diagnosis of weakness and anemia. After admission and further treatment with packed red blood cells (PRBC), GI consult, and endoscopy, the physician includes the following diagnoses in the discharge summary: anemia, suspected bleeding gastric ulcer, and GERD. What would be the most appropriate principle diagnosis? A. Bleeding gastric ulcer B. ...

CDIP Toolkit Study Quiz 2024. 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 documentati...

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 Mana...

CDIP Assessment test questions with correct answers AP-DRGs - Answer-Implemented in 1987 by 3m. For NY non-Medicare discharges reimbursement program. APR-DRGs - Answer-Developed by 3m in 1990; addressed severity of illness and risk of mortality over all patient populations. When did CMS adopt MS-DRGs to better recognize severity of illness (SOI) in Medicare IPPS? - Answer-FY2007 CY2008 Comorbidity - Answer-A pre-existing condition which because of it's presence with the principal d...

CDIP Domain 5: Research & Education Questions and AnswersCDIP Domain 5: Research & Education Questions and AnswersCDIP Domain 5: Research & Education Questions and AnswersCDIP Domain 5: Research & Education Questions and AnswersCDIP Domain 5: Research & Education Questions and AnswersROM - ANSWER-Risk of mortality SOI - ANSWER-Severity of illness MCC - ANSWER-Major complication or comorbidity

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 4 CDI Metrics And Statistics Review Practice Questions 2024. Denial Rate - correct answer Number of Claims or line items denied / number of claims or lines items submitted Query Response Rate - correct answer Number of Query Responses / Number of Queries Written Escalation Policy - correct answer Provides a specific list of management and other authorities that must be contacted in the event of no response who works the working DRG - correct answer Clinical documentation...

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. ...