ch-17 Quiz – Flashcards

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question
UHDDS is the abbreviation for:
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uniform hospital discharge data set
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Which of these are used for outpatient billing by CMS?
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APCs
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How many acute care hospitals are there currently?
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6,500
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____________ is palliative care for terminally ill patients.
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hospice care
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The___________ is the main database of a hospital's patients.
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master patient index
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Which of the following statements is true?
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The admitting diagnosis may not match the principal diagnosis
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The principal procedure is assigned by the:
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inpatient medical coder
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What is a special approach to caring for people with terminal illnesses?
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home healthcare
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SNF is the abbreviation for:
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skilled nursing facility
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The MS DRG system takes into account all of the following except:
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patient's age. gender. comorbidities. all of these are taken into consideration
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Ambulatory care is provided in a(n):
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outpatient facility or setting
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Each hospital's ____________________ is an average of the DRG weights handled for a specific period of time.
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case mix index
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What type of facility is equipped for patients to stay overnight?
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inpatient
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Which term describes the main service performed for the condition listed as the principal diagnosis for a hospital inpatient?
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principal procedure
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The DRG system is now called which of the following:
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MS-DRGs
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As of Oct. 1, 2014, ICD-10- _____ is used to code procedures performed during a patient's hospital stay.
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PCS
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Which of the following statements is true?
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medical practices and hospitals ask patients to sign consent forms in advance of procedures
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Ambulatory care refers to which kind of care?
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outpatient
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A patient's personal and insurance information is gathered before or during hospital admission through which process?
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registration process
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What does the abbreviation POA stand for?
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Present on admission
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The UB-04 form is also identified as the ____________ form.
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CMS-1450
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Skilled nursing facilities specialize in offering:
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inpatient services
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The HIPAA 837I or the UB-04 form may be used to report:
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Medicare Part A claims
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Which of the following services can code for suspected or unconfirmed conditions?
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inpatient coding
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The UB-04 form requires which physician information to be completed?
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attending provider. operating physician. other provider. all of these must be completed
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APC is a ___________ payment system.
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Medicare
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CMS put into place the requirement for a(n) _____________ indicator for every reported diagnosis code for a patient upon discharge.
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POA
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Inpatients are admitted to hospitals in a process called:
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registration
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What type of care covers all types of health services that do not require an overnight hospital stay?
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ambulatory care
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Services in a skilled nursing facility are provided:
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under the direction of a physician by licensed nurses
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In hospital coding and reporting, which of the following is true?
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the principal procedure is often a surgical procedure
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The ____________physician is primarily responsible for the care of the patient from the start of the hospital episode.
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attending
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What involves a situation in which a delay in treatment would lead to a significant increase in the threat to a patient's life or body part?
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emergency care
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The clinician primarily responsible for the care of the patient from the beginning of the hospital episode is called the:
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attending physician
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HINN is the abbreviation for:
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Hospital-Issued Notice of Noncoverage
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____________are complications caused by avoidable conditions that will not be reimbursed.
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never events
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APC is the abbreviation for:
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ambulatory patient classification
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Which term describes the patient's condition upon hospital admission?
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admitting diagnosis
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Each MDC is subdivided into ______________________ MS-DRGs.
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medical and surgical
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Codes from ICD-10-PCS are made up of how many characters?
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seven
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The major steps related to hospital claims processing are:
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admission, treatment, and discharge
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Which term describes the patient's condition that, after study, is established as the main reason for a hospital admission?
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principal diagnosis
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CC is the abbreviation for:
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complications and comorbidities
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The UB-04 form requires which physician information to be completed?
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attending provider. operating physician. other provider. all of these must be completed
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