Prospective reviews - Study guides, Class notes & Summaries

Midterm Exam: NR503/ NR 503 (New 2023/ 2024 Update) Population Health, Epidemiology & Statistical Principles Exam Review | Complete Guide with Questions and Verified Answers| 100% Correct| Grade A- Chamberlain Q: Cohort designs Strengths Answer: ■Able to identify confounding and address in the study ■Able to control exposure ■Able to calculate relative risk and incidence rates ■Can study multiple outcomes Q: Cohort designs Weaknesses Answer: ■Labor intensive ...

HCA 416 FINAL EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS GRADED A++ OLAP, OLTP Where Does Data Come From? ( 2 terms Acronyms) Health related event Where is Healthcare Data Created From? Patients health record Where Does Healthcare Data Come From? (primary source) Healthcare information database Where Does Healthcare Data Come From? (secondary) Provides additional care for patients with complex needs or posthospital services What is Case Management do? Medicare COP and TJC st...

Risk Adjustment Data Element - ANSWER Age, Gende, Socioeconomic status, Disability status, Insurance status(Medicaid, dual-eligible,) Claims data elements such as procedure codes, place of service codes, special patient-specific conditions hospice, ESRD RAF - ANSWER Risk Adjustment Factor Scores Three main types of reviews - ANSWER Retrospective, Concurrent and prospective Retrospective - ANSWER reviews are performed after the information has been reported and in risk adjustment these are...

Quality Improvement Organizations (QIOs) perform review services such as: - ️️o Quality of care reviews due to beneficiary complaints, complaints other than from beneficiaries and quality of care reviews referred by CMS or CMS designated entities o Utilization reviews for hospital requested higher weighted diagnosis related group (DRG) payments.o Utilization reviews referred by CMS or CMS designated entities for cases involving issues such as transfers and readmissions o Review of EMTA...

HFMA CRCR exam 2024 with 100% correct answers Through what document does a hospital establish compliance standards? Code of Conduct What is the purpose of the OIG work plan? Communicate Issues that will be reviewed during the year for compliance with Medicare Regulations If a Medicare patient is admitted on Friday, what services fall within the three-day DRG window rule? Diagnostic services and related charges provided on Wednesday, Thursday and Friday before admission. What does a ...

CDEO Exam Prep Questions and Answers!!c. To facilitate optimum patient care The central focus of all clinical documentation should be to demonstrate the quality of care provided to the patient with detail and accuracy to facilitate optimum patient care. - ANSWER What is the central focus of clinical documentation? a. Protection against mal-practice claims b. Communication to office staff and other departments about the patient's care c. To facilitate optimum patient care d. Communication t...

CDEO Exam Prep REAL EXAM QUESTIONS WITH VERIFIED ANSWERS|WITH RATIONALES What is the central focus of clinical documentation? a. Protection against mal-practice claims b. Communication to office staff and other departments about the patient's care c. To facilitate optimum patient care d. Communication to other the providers and ancillary personnel concerning the patient encounter - ANSWER c. To facilitate optimum patient care The central focus of all clinical documentation should be...

CRC EXAM 2024 EXAM REVIEW SOLUTION Risk Adjustment Data Element - Answer-Age, Gende, Socioeconomic status, Disability status, Insurance status(Medicaid, dual-eligible,) Claims data elements such as procedure codes, place of service codes, special patient-specific conditions hospice, ESRD RAF - Answer-Risk Adjustment Factor Scores Three main types of reviews - Answer-Retrospective, Concurrent and prospective Retrospective - Answer-reviews are performed after the information has been repor...

Basic Appraisal Procedures Questions and Answers 100% Correct 8 Steps in the Valuation Process 1) Define the problem 2) Determine scope of work 3) Gather, record and verify the data 4) Determine the highest and best use 5) Estimate the land value 6) Estimate value by each of the 3 approaches (if applicable) 7) Reconcile the estimated values into the final opinion of value 8) Report the final opinion of value Defining the Problem: 6 Sub-steps within -Identification and location of the real estat...

Risk Adjustment Data Element - Age, Gende, Socioeconomic status, Disability status, Insurance status(Medicaid, dual-eligible,) Claims data elements such as procedure codes, place of service codes, special patient-specific conditions hospice, ESRD RAF - Risk Adjustment Factor Scores Three main types of reviews - Retrospective, Concurrent and prospective Retrospective - reviews are performed after the information has been reported and in risk adjustment these are prior years dos Concurre...