RHIA

RHIA practice questions, page 63 of 73, with answer review and explanations.

Question 311

The ______________ is a statement sent to the provider to explain payments made by third party payers.

  1. remittance advice.
  2. advance beneficiary notice.
  3. attestation statement.
  4. acknowledgement notice.

Question 312

How many major diagnostic categories are there in the MS-DRG system?

  1. 29
  2. 20
  3. 19
  4. 25

Question 313

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

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

Question 314

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

  1. encoder.
  2. case-mix analyzer.
  3. grouper.
  4. DRG creeper.

Question 315

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

  1. UB-04.
  2. CMS-1500.
  3. CMS-1491.
  4. CMS-1600.