Ms drg assignment - Study guides, Class notes & Summaries

groupers - ️️today, most MS-DRGs are calculated using software tools known as groupers. Early on, they were determined using a flow-chart book. The book contains a series of decision tree diagrams. The same information would have been necessary to determine the correct DRG (as MS-DRGs were not implemented). Principal and Secondary Diagnosis and Procedure Codes - ️️Does the logic look for a principal procedure code first? -If no, then a principal diagnosis code is reviewed for appro...

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...

CCS Exam Study Questions with Complete Solutions | 100% Correct malicious software - Answer ️️ -backdoor A female patient is diagnosed with congestive heart failure. Which of the following will increase the MS-DRG weight if present on admission? Atrial fibrillation Stage III pressure ulcer Blood loss anemia Coronary artery disease - Answer ️️ -Stage III pressure ulcer MS-DRG 291 (weight = 01.5010) for congestive heart failure with stage III pressure ulcer would optimize the MS-...

MS-DRG Assignment Questions with 100% correct answers | verified | latest update 2024

Close the DRG summary and drag the C18.7 down to the second position in the code screen. Which coding message do you receive? (Return the C18.7 code to the primary position after reviewing your answer.) - ️️The DRG may change as a result of reordering. What is the MS-DRG title? - ️️Digestive malignancy W/O CC/MCC Has the DRG assignment changed from the prior case? - ️️Yes The MS-DRG title/assignment would not include the: - ️️Pylorus Code D62. Which of the following is tru...

Code range - ️️may consist of PDx, operating room (OR) procedure, or a diagnosis & procedure combination What do MDCs represent? How many categoriea? - ️️Body systems treated by medicine 25 MDCs, which are further divides MDC groups into surgical and medical sections How many MS-DRGs pre-MDCs are there? - ️️15 Computer systems that assign pts to case-mix groups are generically called? - ️️Groupers What is the highest level in the DRG system? - ️️MDCs (Major Diagnostic...

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...

systematic sampling - A procedure in which the selected sampling units are spaced regularly throughout the population; that is, every n'th unit is selected. Developing record retention program steps - Conduct an inventory of the facility's records; determine the format and location of record storage; assigning each record a retention period; and destroying records that are no longer needed. episode-of-care reimbursement - Healthcare payment method in which providers receive one lump sum ...

Principal Diagnosis The disease or condition that was present on admission, was the principal reason for admission, and received treatment or evaluation during the hospital stay or visit for the reason established after study to be chiefly responsible for occasioning the admission of the patient to the hospital for care First Listed Diagnosis Used in the outpatient setting, this term is used (instead of the inpatient setting's principal diagnosis), and it is determined in accordance wi...

A 23-year-old female is admitted for vaginal bleeding following a miscarriage two weeks prior to this admission. She is afebrile at this time and is treated with an aspiration dilation and curettage. Products of conception are found. Which one of the following should be the principal diagnosis? - Answer-O03.1, Delayed or excessive hemorrhage following incomplete spontaneous abortion A psychiatrist documents that a patient has wide mood swings from excessive happiness to loss energy and crying...