QUESTION: 317

The MS-DRG (Medicare Severity--Diagnosis-Related Group) system was designed to pay

multiple groups of reimbursement based on each diagnosis.
only one amount (group) of reimbursement per hospitalization.
multiple group of reimbursement based on the per diem rates.
multiple groups of reimbursement based on the principal diagnosis and the most substantial comorbidity

Answer(s): B

QUESTION: 318

A computer software program that assigns appropriate MS-DRGs according to the information provided for each episode of care is called a(n)

encoder.
case-mix analyzer.
grouper.
DRG creeper.

Answer(s): C

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QUESTION: 319

The standard claim from used by hospitals to request reimbursement for inpatient and outpatient procedures performed or services provided is called the

UB-04.
CMS-1500.
CMS-1491.
CMS-1600.

Answer(s): A

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Under ASCs, when multiple procedures are performed during the same surgical session, a payment reduction is applied. The procedure in the highest level group is reimbursed at ____ (percent) and all remaining procedures are reimbursed at ____(percent).

50$, 25%.
100%, 50%.
100%, 25%.
100%, 75%.

Answer(s): B

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Free RHIA Exam Braindumps (page: 80)

QUESTION: 317

QUESTION: 318

QUESTION: 319

QUESTION: 320