RHIA

RHIA practice questions, page 65 of 73, with answer review and explanations.

Question 321

Under ASCs, bilateral procedures are reimbursed at _______ of the payment rate for their group

  1. 50%
  2. 100%
  3. 200%
  4. 150%

Question 322

The case-mix index (CMI) for the top 10 MS-DRGs above is

  1. 1.164.
  2. 1.278.
  3. .7823.
  4. 1.097.

Question 323

Which of the listed MS-DRGs has the highest CMS relative weight?

  1. 247
  2. 470
  3. 871
  4. 293

Question 324

Based on this patient volume, the MS-DRG which brings in the highest total reimbursement to the hospital is

  1. 470.
  2. 247.
  3. 392.
  4. 871.

Question 325

Based on this patient volume, the MS-DRG which brings in the highest total profit to the hospital is

  1. 470.
  2. 247.
  3. 392.
  4. It cannot be determined from this information.