Drg is used to Study guides, Class notes & Summaries

Steps used to control costs of managed care include: correct answer: Bundled codes Capitation Payer and Provider to agree on reasonable payment DRG is used to classify correct answer: Inpatient admissions for the purpose of reimbursing hospitals for each case in a given category w/a negotiated fixed fee, regardless of the actual costs incurred Identify the various types of private health plan coverage correct answer: HMO Conventional PPO and POS HDHP/SO plans - high-deductible hea...

HFMA CRCR | 172 Questions And Answers, 100% Verified Latest 2024 HFMA CRCR | 172 Questions And Answers, 100% Verified Latest 2024 Through what document does a hospital establish compliance standards? code of conduct What is the purpose OIG work plant? Identify Acceptable compliance programs in various provider setting If a Medicare patient is admitted on Friday, what services fall within the three-day DRG window rule? Non-diagnostic service provided on Tuesday through Friday What doe...

Test Bank for Fundamentals of Nursing 11th Edition Potter Perry Chapter 1-50 Complete Guide 2022 Chapter 01: Nursing Today Potter: Fundamentals of Nursing, 11th Edition MULTIPLE CHOICE 1. Which nurse most likely kept records on sanitation techniques and the effects on health? a. Florence Nightingale b. Mary Nutting c. Clara Barton d. Lillian Wald ANS: A Nightingale was the first practicing nurse epidemiologist. Her statistical analyses connected poor sanitation with c...

Through what document does a hospital establish compliance standards? - correct answer code of conduct What is the purpose OIG work plant? - correct answer Identify Acceptable compliance programs in various provider setting If a Medicare patient is admitted on Friday, what services fall within the three-day DRG window rule? - correct answer Non-diagnostic service provided on Tuesday through Friday What does a modifier allow a provider to do? - correct answer Report a specific ci...

3-Day Rule - ANSWER Medicare regulation requiring that certain outpatient services within 72 hours of an inpatient admission must be included in the patient's inpatient claim and reimbursed under a DRG. 8371 - ANSWER HIPAA standard transaction used by hospitals to submit claims electronically. 837P - ANSWER HIPAA standard transaction that replaces the 1500 and is required of almost all physicians. 838 - ANSWER quarterly Medicare Credit Balance Report 1450 - ANSWER CMS 1450 form; ano...

When undertaking an LHR (Legal Health Record) project the stakeholder group must include individuals from various levels of the organization. Which of the following should be included among the stakeholders? - ANSWER ☑☑information technology staff Which code set would be utilize to create a report showing a hospital's case mix index? - ANSWER ☑☑DRG The case-mix index (CMI) for a hospital should be monitored over time. This is doe by establishing a valid baseline to track any dev...

RHIT Domain 1 Exam Questions With 100% Verified Answers GUARANTEED SUCCESS Latest 2024/2025. Once hospital discharge abstract systems were developed and their ability to provide comparative data to hospitals was established, it became necessary to develop: Data sets Data elements Electronic data interchange Bills of mortality Data Set In long-term care, the resident's care plan is based on data collected in the? UHDDS OASIS MDS HEDIS MDS (Minimum Data Set) Which of the following st...

RHIT EXAM PREP PRACTICE QUESTIONS AND ANSWERS (Data Analysis and Management) 2024/2025 | 100% VERIFIED. Once hospital discharge abstract systems were developed and their ability to provide comparative data to hospitals was established, it became necessary to develop: A) Data sets B) Data elements C) Electronic data interchange D) Bills of mortality - ANSWER-A) Data sets (3) In healthcare, data sets serve two purposes. The first is to identify data elements to be collected about each patie...

RHIT Domain 1 Exam Questions With 100% Verified Answers GUARANTEED SUCCESS Latest 2024/2025 | Verified Answers. Once hospital discharge abstract systems were developed and their ability to provide comparative data to hospitals was established, it became necessary to develop: Data sets Data elements Electronic data interchange Bills of mortality Data Set In long-term care, the resident's care plan is based on data collected in the? UHDDS OASIS MDS HEDIS MDS (Minimum Data Set) Which ...

AHIMA CCA Exam Prep. || With Questions & Answers (100% Verified) AHIMA CCA Exam Prep. || With Questions & Answers (100% Verified) During an audit of health records, the HIM director finds that transcribed reports are being changed by the author up to a week after initial transcription. The director is concerned that changes occurring this long after transcription jeopardize the legal principle that documentation must occur near the time of the event. To remedy this situation, the HIM directo...