CDIP EXAM PREP QUESTIONS AND ANSWERS (GRADED A+)

OIG - ANSWER-Office of Inspector General- established by the Dept. of Labor by the Inspector General Act of 1978 to identify fraud and abuse of Medicare part A and part B programs MAC - ANSWER-Medicare Administrative Contractor - used by the OIG to process claims for services rendered Criteria for high quality documemtation - ANSWER-1. Legible 2. Reliable 3. Precise 4. Complete 5. Consistent 6. Clear 7. Timely EBM - ANSWER-Evidence Based Medicine - the best scientific data a available for clinical documentation Two part theory for high quality clinical documentation is derived from what - ANSWER-Legal/regulatory sources and peer reviewed research Four standards used in EBM - ANSWER-1. Design 2. Terminology 3. Performance 4. Procedural DHHS - ANSWER-Department of Health and Human services ARRA - ANSWER-American Recovery and Reinvestment Act of 2009 provides specific guidance established as part of the meaningful use incentive program Meaningful use requirements - ANSWER-Provider must maintain an up to date problem list of current and active diagnoses for 80% of patients and 80% of all patients have to have at least one coded problem as opposed to their entire problem list coded IPPS - ANSWER-Hospital Inpatient Prospective Payment System. Reimbursement now being driven by codes assigned to the patient stay with the inception of IPPS in 1982 House Staff - ANSWER-Interns, residents and fellows - physicians in training CMS - ANSWER-Centers for Medicare and Medicaid Services NCH