RHIA

RHIA practice questions, page 67 of 73, with answer review and explanations.

Question 331

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.

Question 332

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.

Question 333

The fourth 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.

Question 334

If the Medicare nonPAR approved payment amount is $128.00 for a proctoscopy, what is the total Medicare approved payment amount for a doctor who does not accept assignment, applying the limiting charge for this procedure?

  1. $ 140.80
  2. $ 143.00
  3. $ 192.00
  4. $ 147.20

Question 335

Under the inpatient prospective payment system (IPPS), there is a three-day payment window (formerly referred to as the 72-hour rule). This rule requires that outpatient preadmission services that are provided by a hospital up to three calendar days prior to a patients inpatient admission be covered by the IPPS MS- DRG payment for -

  1. diagnostic services.
  2. therapeutic (or non-diagnostic) services whereby the inpatient principal diagnosis code (ICD-9-CM) exactly matches the code used for pre-admission services.
  3. therapeutic (or non-diagnostic) services whereby the inpatient principal diagnosis code (ICD-9-CM) does not match the code used for pre-admission services.
  4. both A and B.