Dr. M is receiving reimbursement based on actual charges after the patient has been treated. She's being reimbursed on a
A. retrospective, fee-for-service payment system.
B. prospective payment system.
C. indemnity system.
D. usual, customary, and reasonable charges system.
What did the government use to control skyrocketing health care costs?
A. Prospective payment system
B. Medigap
C. SCHIP
D. Retrospective payment system
What is used when billing outpatient claims?
A. CMS-1500
B. UB-92
C. CMS-1450
D. UB-4
When calculating expenses, what differs for each health care facility?
A. Base rate
B. MS-DRG relative weight
C. ICD-9-CM diagnosis codes
D. The codes that are MCCs
Which system is used to bill for services used in a skilled nursing facility?
A. RUGs
B. RBRVS
C. IPPS
D. OPPS
You're a coder who's reviewing the record of a 62-year-old woman who was admitted to the hospital with shortness of breath and minor chest pain. The doctor diagnosed the patient with Staphylococcus aureus pneumonia and you assigned a code of 482.41. Additionally, you coded decompensated chronic systolic congestive heart failure (as documented by the physician) as 428.22 and 428.0. The coding system grouped the information into MS-DRG 178 (RW: 1.4860). The hospital has a base rate of $4,500.
Which code is the principal diagnosis?
A. 482.
B. 428.22
C. 428.0
D. 178
You're a coder who's reviewing the record of a 62-year-old woman who was admitted to the hospital with shortness of breath and minor chest pain. The doctor diagnosed the patient with Staphylococcus aureus pneumonia and you assigned a code of 482.41. Additionally, you coded decompensated chronic systolic congestive heart failure (as documented by the physician) as 428.22 and 428.0. The coding system grouped the information into MS-DRG 178 (RW: 1.4860). The hospital has a base rate of $4,500.
What is the admitting diagnosis?
A. Shortness of breath
B. Staphylococcus aureus
C. Pneumonia
D. CHF
Please help me. I have done all thirty one courses by myself with no help. This is my last course and I can't figure these out.
A,c,b,b,c,a,a,a,a,b,c,c
There are no tutors here who have expertise in this subject area.
Please use your textbook, study materials, and a good search engine or two to find your answers.
1. Go to http://www.google.com or http://www.bing.com
2. Type in medigap (or whatever search terms you need). Press Enter.
3. Read different search results until you find what you need.
4. Re-search with different search terms if you don't find all you need.
I'm here to help you! Let's go through each question step-by-step to find the correct answers.
Question 1:
Dr. M is receiving reimbursement based on actual charges after the patient has been treated. She's being reimbursed on a:
A. retrospective, fee-for-service payment system.
Question 2:
What did the government use to control skyrocketing health care costs?
A. Prospective payment system
Question 3:
What is used when billing outpatient claims?
A. CMS-1500
Question 4:
When calculating expenses, what differs for each health care facility?
A. The codes that are MCCs
Question 5:
Which system is used to bill for services used in a skilled nursing facility?
A. RUGs
Question 6:
You're a coder who's reviewing the record of a 62-year-old woman who was admitted to the hospital with shortness of breath and minor chest pain. The doctor diagnosed the patient with Staphylococcus aureus pneumonia and you assigned a code of 482.41. Additionally, you coded decompensated chronic systolic congestive heart failure (as documented by the physician) as 428.22 and 428.0. The coding system grouped the information into MS-DRG 178 (RW: 1.4860). The hospital has a base rate of $4,500.
Which code is the principal diagnosis?
C. 428.0
Question 7:
You're a coder who's reviewing the record of a 62-year-old woman who was admitted to the hospital with shortness of breath and minor chest pain. The doctor diagnosed the patient with Staphylococcus aureus pneumonia and you assigned a code of 482.41. Additionally, you coded decompensated chronic systolic congestive heart failure (as documented by the physician) as 428.22 and 428.0. The coding system grouped the information into MS-DRG 178 (RW: 1.4860). The hospital has a base rate of $4,500.
What is the admitting diagnosis?
C. Pneumonia
I hope this helps! Let me know if you have any other questions.
I'm here to help! Let's go through each question one by one and explain how to arrive at the correct answer.
1. Dr. M is receiving reimbursement based on actual charges after the patient has been treated. She's being reimbursed on a:
A. retrospective, fee-for-service payment system.
B. prospective payment system.
C. indemnity system.
D. usual, customary, and reasonable charges system.
To answer this question, we need to understand the payment systems. In a retrospective, fee-for-service payment system, healthcare providers are reimbursed based on the actual charges for the services they provided after the patient has been treated. Therefore, the correct answer is A. retrospective, fee-for-service payment system.
2. What did the government use to control skyrocketing health care costs?
A. Prospective payment system
B. Medigap
C. SCHIP
D. Retrospective payment system
To answer this question, we need to understand how the government tried to control health care costs. The prospective payment system is a method used by the government to control healthcare costs by reimbursing healthcare providers a predetermined amount for specific services. Therefore, the correct answer is A. Prospective payment system.
3. What is used when billing outpatient claims?
A. CMS-1500
B. UB-92
C. CMS-1450
D. UB-4
To answer this question, we need to know the form used for billing outpatient claims. The CMS-1500 form is used for billing outpatient claims. Therefore, the correct answer is A. CMS-1500.
4. When calculating expenses, what differs for each health care facility?
A. Base rate
B. MS-DRG relative weight
C. ICD-9-CM diagnosis codes
D. The codes that are MCCs
To answer this question, we need to understand the factors that differ when calculating expenses for each healthcare facility. The base rate is a factor that differs for each healthcare facility and is used in calculating expenses. Therefore, the correct answer is A. Base rate.
5. Which system is used to bill for services used in a skilled nursing facility?
A. RUGs
B. RBRVS
C. IPPS
D. OPPS
To answer this question, we need to know the system used to bill services in a skilled nursing facility. The RUGs system, which stands for Resource Utilization Groups, is used to bill for services used in a skilled nursing facility. Therefore, the correct answer is A. RUGs.
6. Which code is the principal diagnosis?
A. 482.
B. 428.22
C. 428.0
D. 178
To answer this question, we need to identify the principal diagnosis. The principal diagnosis is the condition that is primarily responsible for the patient's admission to the hospital. In this case, the principal diagnosis is Staphylococcus aureus pneumonia, which is represented by the code 482.41. Therefore, the correct answer is A. 482.
7. What is the admitting diagnosis?
A. Shortness of breath
B. Staphylococcus aureus
C. Pneumonia
D. CHF
To answer this question, we need to identify the diagnosis that led to the patient's admission to the hospital. In this case, the admitting diagnosis is Staphylococcus aureus pneumonia, as it is the condition for which the patient was admitted. Therefore, the correct answer is C. Pneumonia.
I hope this helps! If you have any more questions or need further clarification, feel free to ask. Good luck with your course!