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RHIT D1 & D2
| Question | Answer |
|---|---|
| Which volume of ICD-9-CM contains the tabular and alphabetic lists of procedures? | Volume 3 |
| Which of the following is a standard terminology used to code medical procedures and services | CPT |
| Outpatient, had two physician visits, underwent radiology exam, clinical lab tests and got rake-home surgical dressing. What is reimbursed under the outpatient prospective payment system? | Radiology exam |
| Which of the following types of hospitals are excluded from the Medicare inpatient prospective payment system? | Children's duh! |
| MS-DRGs max split into how many tiers? | 3 |
| POA indicator is a requirement for | Inpxt Medicare claims submitted by all hospitals |
| What is associated with the Medicare fee schedule | RBRVs |
| SNF residents utilization group data are collected using the | MDS |
| SNF MDS assessments are completed | according to a schedule designed for Medicare payment |
| Not reimbursed according to the medicare OPPP | Critical access hospitals |
| The NCCI was developed to control iimproper coding leading to inappropriate payment for | Part B Medicare claims |
| which of the following issues compliance program guidance? | HHS Office of Inspector General |
| written description of an org's formal position | policy |
| CDI improved codumentation for patietn care and coding | Conduct qualitative analyses of inpatient records while the patient is hospitalized to identify opportunities to improve the documentation in the record. |
| Database from the National Health Care Survery that uses the patient health record as a data source | National Ambulatory medical care Survey |
| The most prevalent trend in teh collection of secondary databases is | increased use of automated data entry |
| DEEDS | Data element for Emergency Dept. Systems |
| SNOMED | Comprehensive controlled vocabulary |
| UMLS | semantic, metathesaurus, Specialist elxicon |
| Mean | average |
| Median | number at center position when odd, in even, add two middle numbers and divide by 2 |
| Mode | number that shows up most |
| Range | Highest subtracted by lowest |
| Average Daily Census | Total service days / total number of days |
| Average LOS | Total LOS / Total discharges (including deaths) |
| Percentage of Occupancy | Total service days / Total bed count days |
| Gross Hospital Death Rate | # inpxt deaths / # of discharges (including deaths) |
| Gross Autopsy Rate | Total inpxt autopsies / total inpxt deaths |
| Net autopsy rate | Total inpxt / total inpxt deahts minus coroner and ME cases |
| Adjusted Hospital Rate | total H autopsies / # deaths available for autopsy |
| National database includes data on all discharged patients regardless of payer mandated by AHRQ | Healthcare cost and utilization project |
| Healthcare Integrity and Protection Data Bank (HIPDB) | The Health Insurance Portability and Accountability Act of 1996 led to the creation of the HIPDB to combat fraud and abuse in health insurance and health care delivery Information about nursing discipline actions |
| MEDPAR | claims data from medicare claims submitted by acute care hospital and skilled nursing facilities |
| Risk management plan should include | Objectives, key elements, responsibilities, methods, and areas of focus for the current year |
| Donabedian | structure, process and outcome indicators. |
| Revitalizing the Japanese economy after WWII | W. Edwards Deming |
| The individual whose principal responsibility is to facilitate the process of change is the | change agent |
| Peter Senge believe that each individual must be committed to personal mastery and must always seek to | learn |
| Langley, NOlan and Nolan PDSA | Plan do study act |
| Data collection tool that records and compiles observations or occurrences | Check Sheet |
| This tool helps you weigh the pros and cons of a decision, and helps you think about what you need to do to make change successful | Force-field analysis |
| Pareto | 20 for 80 |
| Change Management focuses on | employee resistance to change |
Created by:
alibrisa
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