Free HAAD RHIA Exam Braindumps (page: 85)

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.

  1. peer review
  2. optimization
  3. benchmarking
  4. medical necessity

Answer(s): D



The first step is

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

Answer(s): D



The second step is

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

Answer(s): C



The third step is

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

Answer(s): B



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