HIT 235 MODULE 4 LESSONS 1,2,3 KNOWLEDGE CHECK
EXAM QUESTIONS AND ANSWERS GRADED A+
How does Pay-for-Performance (P4P) reward the provision of
quality care? ANS >> The provider's payment system is based on
performance and incentives.
In the "MEAT" acronym, which physicians are encouraged to use
as a guide when documenting HCC (Hierarchical Condition
Category) diagnoses, the "T" stands for which of the following
components? ANS >> treat
As identified in the lessons, a HAC could positively impact the
reimbursement of the claim. ANS >> false
, HIT 235 MODULE 4 LESSONS 1,2,3 KNOWLEDGE CHECK
What quality factor does the Health Information and
Management Systems Society define as the ability of different
information technology systems and software applications to
communicate, exchange data, and use the information that has
been exchanged? ANS >> interoperability
Which Pay-for-Performance program began in the 2021
performance period and provides subsets of measures and
activities that can be used to meet MIPS reporting
requirements? ANS >> MIPS Value Pathways
According to information provided in the lessons, HEDIS has
more than 95 performance measures over ___________
domains of care. ANS >> 6
Examine the scenario below. What is the financial impact on the
hospital, if any, of the identified coding errors, and why?
Choose the correct response (overpayment, loss, or no impact)
and reason.
MS-DRG X has a relative weight (RW) of 2.0230. There were 50
cases in this MS-DRG during the last quarter, billed and paid. An
audit determined that 10 of these cases were coded incorrectly
and should have been assigned to MS-DRG Y with a relative
weight of 1.9256. The hospital base rate (BR) is $7,500.00. ANS >>