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RHIT D1 & D2

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
Which volume of ICD-9-CM contains the tabular and alphabetic lists of procedures?   Volume 3  
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Which of the following is a standard terminology used to code medical procedures and services   CPT  
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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  
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Which of the following types of hospitals are excluded from the Medicare inpatient prospective payment system?   Children's duh!  
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MS-DRGs max split into how many tiers?   3  
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POA indicator is a requirement for   Inpxt Medicare claims submitted by all hospitals  
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What is associated with the Medicare fee schedule   RBRVs  
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SNF residents utilization group data are collected using the   MDS  
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SNF MDS assessments are completed   according to a schedule designed for Medicare payment  
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Not reimbursed according to the medicare OPPP   Critical access hospitals  
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The NCCI was developed to control iimproper coding leading to inappropriate payment for   Part B Medicare claims  
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which of the following issues compliance program guidance?   HHS Office of Inspector General  
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written description of an org's formal position   policy  
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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.  
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Database from the National Health Care Survery that uses the patient health record as a data source   National Ambulatory medical care Survey  
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The most prevalent trend in teh collection of secondary databases is   increased use of automated data entry  
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DEEDS   Data element for Emergency Dept. Systems  
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SNOMED   Comprehensive controlled vocabulary  
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UMLS   semantic, metathesaurus, Specialist elxicon  
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Mean   average  
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Median   number at center position when odd, in even, add two middle numbers and divide by 2  
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Mode   number that shows up most  
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Range   Highest subtracted by lowest  
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Average Daily Census   Total service days / total number of days  
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Average LOS   Total LOS / Total discharges (including deaths)  
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Percentage of Occupancy   Total service days / Total bed count days  
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Gross Hospital Death Rate   # inpxt deaths / # of discharges (including deaths)  
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Gross Autopsy Rate   Total inpxt autopsies / total inpxt deaths  
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Net autopsy rate   Total inpxt / total inpxt deahts minus coroner and ME cases  
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Adjusted Hospital Rate   total H autopsies / # deaths available for autopsy  
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National database includes data on all discharged patients regardless of payer mandated by AHRQ   Healthcare cost and utilization project  
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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  
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MEDPAR   claims data from medicare claims submitted by acute care hospital and skilled nursing facilities  
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Risk management plan should include   Objectives, key elements, responsibilities, methods, and areas of focus for the current year  
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Donabedian   structure, process and outcome indicators.  
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Revitalizing the Japanese economy after WWII   W. Edwards Deming  
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The individual whose principal responsibility is to facilitate the process of change is the   change agent  
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Peter Senge believe that each individual must be committed to personal mastery and must always seek to   learn  
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Langley, NOlan and Nolan PDSA   Plan do study act  
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Data collection tool that records and compiles observations or occurrences   Check Sheet  
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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  
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Pareto   20 for 80  
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Change Management focuses on   employee resistance to change  
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