Free RHIA Exam Braindumps (page: 104)

Page 104 of 458

Targeted states (California, Flordia, and New York) with a large Medicare population were included in a Medicare payment recovery demonstration project. This project's purpose was to determine if the use of ___________ is a cost-effective means of ensuring correct payments are provided under Medicare. These are charged with identifying underpayments and overpayments for claims filed under Medicare Part A and Part B. They recoup overpayments from the providers.

  1. clinical data abstraction centers (CDAC)
  2. quality improvement organizations (QIO)
  3. recovery audit contractors (RAC)
  4. peer review organizations( PRO)

Answer(s): C



A HIPPS (Health insurance Prospective Payment System) code is a five-character alphanumeric code. A HIPPS code is used by

  1. ambulatory surgery centers (ASCs).
  2. home health agencies (HHAs).
  3. inpatient rehabilitation facilities (IRFs).
  4. both B & C.

Answer(s): D



The centers for Medicare and Medicaid Services (CMS) will make an adjustment to the MS- DRG payment the hospital stay. Therefore hospitals are required to report an ____________ indicator for each diagnosis.

  1. sentinel event
  2. payment status
  3. hospital acquired
  4. present on admission

Answer(s): D



A patient is admitted for a diagnostic workup for cachexia. The final diagnosis is malignant neoplasm of lung with metastasis.

  1. Y
  2. N
  3. U
  4. W

Answer(s): A



Page 104 of 458



Post your Comments and Discuss HAAD RHIA exam with other Community members:

Britt commented on March 19, 2019
I take it this weekend, feeling confident about using this as an extra study tool!
Anonymous
upvote