Free RHIA Exam Braindumps (page: 97)

Page 97 of 458

To compute the reimbursement to a particular hospital for a particular MS-DRG, multiply the hospital's base payment rate by the

  1. conversion factor.
  2. case-mix index.
  3. geographic price index.
  4. relative weight for the MS-DRG.

Answer(s): D



Under the APC methodology, discounted payments occur when

  1. there are two or more (multiple) procedures that are assigned to status indicator "T."
  2. there are two or more (multiple) procedures that are assigned to status indicator "S."
  3. modifier ­73 is used to indicate a procedure is terminated after the patient is prepared, but before anesthesia is started.
  4. Both A and C

Answer(s): D



This prospective payment system is for ______________ and utilizes a patient assessment instrument (PAI) to classify patients into case-mix groups (CMGs).

  1. skilled nursing facilities
  2. inpatient rehabilitation facilities
  3. home health agencies
  4. long-term acute care hospitals

Answer(s): B



Home health agencies (HHAs) utilize a data entry software system developed by the Centers for Medicare and Medicaid Services (CMS). This software is available to HHAs at no cost through the CMS Web site or on a CD-ROM.

  1. PACE (Patient Assessment and Comprehensive Evaluation)
  2. HAVEN (Home Assessment Validation and Entry)
  3. HHASS (Home Health Agency Software System)
  4. PEPP (Payment Error Prevention Program)

Answer(s): B



Page 97 of 458



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