HIT-230 Health Insurance and
Reimbursement Exam Questions
and Answers 100% PASS
What does PPS stand for?—ANSWER---Prospective Payment System
True or False: the CMS 1500 Form is never used when a patient is in the hospital—ANSWER--
-False
What does the "MS" in front of the DRG mean?—ANSWER---Medical Severity since all DRG's
have 3 types of classifications based on Co-Morbid Conditions being present, normal or
major
A DRG is:—ANSWER---Is a diagnosis code that is NOT used in an outpatient setting
An APC is:—ANSWER---The classification system used in Outpatient settings
What is a DRG?—ANSWER---Diagnosis Related Group for similar type medical services
True or False: Clinical Documentation and it being accurate has 100 % effect on whether a
Medical Practice is paid properly and on time. This is why the role of the Clinical
Documentation Specialist is important and a growing discipline in our industry.—ANSWER---
True
What is an OCE?—ANSWER---Outpatient Code Editor
Reimbursement Exam Questions
and Answers 100% PASS
What does PPS stand for?—ANSWER---Prospective Payment System
True or False: the CMS 1500 Form is never used when a patient is in the hospital—ANSWER--
-False
What does the "MS" in front of the DRG mean?—ANSWER---Medical Severity since all DRG's
have 3 types of classifications based on Co-Morbid Conditions being present, normal or
major
A DRG is:—ANSWER---Is a diagnosis code that is NOT used in an outpatient setting
An APC is:—ANSWER---The classification system used in Outpatient settings
What is a DRG?—ANSWER---Diagnosis Related Group for similar type medical services
True or False: Clinical Documentation and it being accurate has 100 % effect on whether a
Medical Practice is paid properly and on time. This is why the role of the Clinical
Documentation Specialist is important and a growing discipline in our industry.—ANSWER---
True
What is an OCE?—ANSWER---Outpatient Code Editor
