Voordeelbundel
CDIP BUNDLED EXAMS 2023 WITH CORRECT ANSWERS
CDIP EXAM 2023 WITH CORRECT ANSWERS CDIP Domain 2: Leadership EXAM WITH VERIFIED ANSWERS
[Meer zien]CDIP EXAM 2023 WITH CORRECT ANSWERS CDIP Domain 2: Leadership EXAM WITH VERIFIED ANSWERS
[Meer zien]OIG 
Office of Inspector General- established by the Dept. of Labor by the Inspector General Act of 1978 to identify fraud and abuse of Medicare part A and part B programs 
 
 
 
MAC 
Medicare Administrative Contractor - used by the OIG to process claims for services rendered 
 
 
 
Criteria for hig...
Voorbeeld 1 van de 3 pagina's
In winkelwagenOIG 
Office of Inspector General- established by the Dept. of Labor by the Inspector General Act of 1978 to identify fraud and abuse of Medicare part A and part B programs 
 
 
 
MAC 
Medicare Administrative Contractor - used by the OIG to process claims for services rendered 
 
 
 
Criteria for hig...
Assign code(s) for the following diagnosis: Congestive heart failure due to hypertension. 
I10 Essential (primary) hypertension 
I11.9 Hypertensive heart disease without heart failure 
I11.0 Hypertensive heart disease with heart failure 
I50.9 Heart failure, unspecified 
I50.1 Left ventricular failu...
Voorbeeld 4 van de 42 pagina's
In winkelwagenAssign code(s) for the following diagnosis: Congestive heart failure due to hypertension. 
I10 Essential (primary) hypertension 
I11.9 Hypertensive heart disease without heart failure 
I11.0 Hypertensive heart disease with heart failure 
I50.9 Heart failure, unspecified 
I50.1 Left ventricular failu...
Cert 
Comprehensive error testing rate 
 
 
 
Cpt 
Current procedural terminology. The amas list of 5 digit codes used to report outpatient hospital and Physicians Medical and surgical services. CPT is used to report outpatient or Physician Office claims only and is updated annually in January. 
 
 ...
Voorbeeld 1 van de 4 pagina's
In winkelwagenCert 
Comprehensive error testing rate 
 
 
 
Cpt 
Current procedural terminology. The amas list of 5 digit codes used to report outpatient hospital and Physicians Medical and surgical services. CPT is used to report outpatient or Physician Office claims only and is updated annually in January. 
 
 ...
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 crite...
Voorbeeld 2 van de 9 pagina's
In winkelwagenCDI 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 crite...
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 
 ...
Voorbeeld 2 van de 6 pagina's
In winkelwagenCoding 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 
 ...
AHIMA 
American Health Information Management Association 
 
 
 
ACDIS 
Association of Clinical Documentation Improvement Specialists 
 
 
 
IDT 
Interdisciplinary Team 
 
 
 
LOS 
Length of Stay 
 
 
 
The RHIT, RHIA or CCS should have how many years of inpatient coding experience before becoming a...
Voorbeeld 1 van de 2 pagina's
In winkelwagenAHIMA 
American Health Information Management Association 
 
 
 
ACDIS 
Association of Clinical Documentation Improvement Specialists 
 
 
 
IDT 
Interdisciplinary Team 
 
 
 
LOS 
Length of Stay 
 
 
 
The RHIT, RHIA or CCS should have how many years of inpatient coding experience before becoming a...
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 in...
Voorbeeld 2 van de 11 pagina's
In winkelwagenrecent 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 in...
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 Co...
Voorbeeld 2 van de 6 pagina's
In winkelwagenWhy 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 Co...
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