QUESTION: 333

This means that the service or procedure is reasonable and necessary for the diagnosis or treatment of illness or injury consistent with generally accepted standards of care.

peer review
optimization
benchmarking
medical necessity

Answer(s): D

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QUESTION: 334

The first step is

cases are differentiated based on the presence or absence of complications/comorbidites (CCs) or major complications/comorbidites (MCCs).
cases are divided into either a surgical partition or a medical partition.
the principal diagnosis determines the MDC assignment.
diagnoses and procedures are coded using ICD-9-CM.

Answer(s): D

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QUESTION: 335

The second step is

cases are differentiated based on the presence or absence of complications/ comorbidites (CCs) or major complications comorbidites (MCCS).
cases are divided into either a surgical partition or a medical partition.
the principal diagnosis determines the MDC assignment.
diagnoses and procedures are coded using ICD-9-CM.

Answer(s): C

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QUESTION: 336

The third step is

cases are differentiated based on the presence or absence of complications/ comorbidites (CCs) or major complications comorbidites (MCCS).
cases are divided into either a surgical partition or a medical partition.
the principal diagnosis determines the MDC assignment.
diagnoses and procedures are coded using ICD-9-CM.

Answer(s): B

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Free RHIA Exam Braindumps (page: 84)

QUESTION: 333

QUESTION: 334

QUESTION: 335

QUESTION: 336