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inpatient - correct answer ✔✔The terms principal, first-listed, and primary are
often used interchangeably in coding. In this book, the term principal is applied to
the coding of _________ health records,
outpatient - correct answer ✔✔The terms principal, first-listed, and primary are
often used interchangeably in coding. In this book, the term first-listed is applied
to the coding of _________ health records.
additional diagnosis - correct answer ✔✔Select as many of these as are
appropriate. You may select "none" if no codes apply to the scenario. Overcoding
will result in a loss of points. Some scenarios may exclude this question, but
please note that "none" is almost always an option for this question.
Inpatient Scenarios - correct answer ✔✔Code all procedures that fall within the
code range 001 through 10Y.
Do not code procedures that fall within the code range 2W0 (Placement) through
HZ9 (Substance Abuse Treatment). Do code procedures in the following ranges:
Cholangiograms
Retrogrades, urinary systems
Arteriography and angiography
Radiation therapy
Psychiatric therapy
,Alcohol/drug detoxification and rehabilitation
Insertion of endotracheal tube
Other lavage of bronchus and trachea
Mechanical ventilation
ESWL
Chemotherapy
ambulatory scenarios - correct answer ✔✔Code all procedures that fall within the
code range 001 through 10Y.
Do not code procedures that fall within the code range 2W0 (Placement) through
HZ9 (Substance Abuse Treatment). Do code procedures in the following ranges:
Cholangiograms
Retrogrades, urinary systems
Arteriography and angiography
Radiation therapy
Psychiatric therapy
Alcohol/drug detoxification and rehabilitation
Insertion of endotracheal tube
Other lavage of bronchus and trachea
Mechanical ventilation
ESWL
Chemotherapy
, Outpatient Prospective Payment System (OPPS) - correct answer ✔✔The
__________, for ambulatory care, began to be used for Medicare in August 2000.
ambulatory payment classifications (APCs) - correct answer ✔✔This system uses
the ______________ for reimbursement for hospital-based outpatient services
such as outpatient surgery, emergency department visits, outpatient clinic visits,
and outpatient ancillary tests
ambulatory payment classifications (APCs) - correct answer ✔✔______ are
different from MS-DRGs because outpatients can have multiple ________ for a
given encounter, whereas an inpatient can have only one MS-DRG.
APCs & MS-DRGs - correct answer ✔✔________ are similar to _______ in that
they are both prospective payment methodologies and both have relative
weights.
ambulatory payment classifications (APCs) - correct answer ✔✔__________ are
generated for many services, such as x-rays, medical tests, clinic or emergency
visits, surgical procedures, devices, drugs and biologicals, and partial
hospitalizations
Status indicators - correct answer ✔✔reimbursed by the OPPS denote what type
of service was provided and assist in determining the payment.
Status Indicator X in APC's - correct answer ✔✔Ancillary status indicator