RHIA

RHIA practice questions, page 68 of 73, with answer review and explanations.

Question 336

Under the outpatient prospective payment system (OPPS), status indicator "______" is a payment indicator that refers to "significant procedures for which the multiple procedure reduction applies." This means that the reported CPT and/or HCPCS Level II code will be paid a discounted APC reimbursement rate when reported with other procedures on the same claim.

  1. "T"
  2. "X"
  3. "S"
  4. "A"

Question 337

A discharge in which the patient was discharged from the inpatient rehabilitation facility and returned within 3 calendar days is called a(n)

  1. interrupted stay.
  2. transfer.
  3. per diem.
  4. qualified discharge.

Question 338

In a global payment methodology which is sometimes applied to radiological and similar types of procedures that involve professional and technical components, all of the following are part of the "technical components EXCEPT

  1. radiological equipment.
  2. physician services.
  3. radiological supplies.
  4. support services.

Question 339

Changes in case mix index (CMI) may be attributed to all of the following factors EXCEPT

  1. changes in medical staff composition
  2. changes in coding rules
  3. changes in services offered
  4. changes in coding productivity

Question 340

this prospective payment system replaced the Medicare physician payment system of "customary, prevailing, and reasonable (CPR)" charges whereby physicians were reimbursed according to historical record of the charge for the provision of each service.

  1. Medicare Physician Fee Schedule (MPFS)
  2. Medicare Severity Diagnosis Related Groups (MS-DRGs)
  3. Medicare Case Mix Index
  4. MEDISGRPS