Question 1
1. Given the following information, which of the following statements is correct?
191, MCD: 04, Type: MED MS-DRG, Title: Chronic obstructive pulmonary disease w/ CC,
Weight: 0.9757, Discharges: 10, Geometric Mean: 4.1, Arithmetic Mean: 5.0,
192, MCD: 04, Type: COPD w/o CC/MCC, Weight: 0.7254, Discharges: 20, Geometric Mean:
3.3, Arithmetic Mean: 4.0
193, MCD: 04, Type: MED, Weight: Simple pneumonia & pleurisy w/ MCC, Weight: 1.4327,
Discharges: 10, Geometric Mean: 5.4, Arithmetic Mean: 6.7
194, MCD: 04, Type: MED, MS-DRG Title: Simple pneumonia & pleurisy w/ CC, Weight:
1.0056, Discharges: 20, Geometric Mean: 4.4, Arithmetic Mean: 5.3
195, MCD: 04, Type: MED, MS-DRG Title: Simple pneumonia & pleurisy w/o CC/MCC,
Weight: 0.7316, Discharges: 10, Geometric Mean: 3.5, Arithmetic Mean: 4.1
a. In each MS-DRG the geometric mean is lower than the arithmetic mean.
b. In each MS-DRG the arithmetic mean is lower than the
CORRECT ANSWER
a. In each MS-DRG the geometric mean is lower than the arithmetic mean.
1
@https://www.stuvia.com/user/thestudyvault
, The GEOMETRIC MEAN LOS is define as the total days of service, excluding any outliers or
transfers, divided by the total number or patients.
Question 2
2. If another status T procedure were performed, how much would the facility receive for
the second status T procedure?
998323-billing#, V-status indicator, 99285-25-CPT/HCPCS, 0612-APC.
998324-billing#, T-status indicator, 25500-CPT/HCPCS, 0044-APC.
998325-billing#, X-status indicator, 72050-CPT/HCPCS, 0261-APC.
998326-billing#, S-status indicator, 70450-CPT/HCPCS, 0283-APC.
998327-billing#, S-status indicator, 70450-CPT/HCPCS, 0283-APC
a. 0%
b. 50%
c. 75%
d. 100%
CORRECT ANSWER
b. 50%
Multiple surgical procedures with payment status indicator T performed during the same
operative session are discounted. The highest-weighted procedure is fully reimbursed. All
other procedures with payment status indicator T are reimbursed at 50%.
2
@https://www.stuvia.com/user/thestudyvault
, Question 3
3. A health information technician is processing payments for hospital outpatient services
to be reimbursed by Medicare for a patient who had two physician visits, underwent
radiology examinations, clinical laboratory tests, and who received take-home surgical
dressings. Which of the following services is reimbursed under the outpatient prospective
payment system?
a. Clinical laboratory tests
b. Physician office visits
c. Radiology examinations
d. Take-home surgical dressings
CORRECT ANSWER
c. Radiology examinations
Radiology procedures are identified under the outpatient perspective payment system
with a status indicator X. Status indicator X identifies ancillary services that are
separately paid .
Question 4
4. Which of the following types of hospitals are excluded from the Medicare inpatient
prospective payment system?
a. Children's
b. Rural
c. State supported
d. Tertiary
CORRECT ANSWER
a. Children's
3
@https://www.stuvia.com/user/thestudyvault
1. Given the following information, which of the following statements is correct?
191, MCD: 04, Type: MED MS-DRG, Title: Chronic obstructive pulmonary disease w/ CC,
Weight: 0.9757, Discharges: 10, Geometric Mean: 4.1, Arithmetic Mean: 5.0,
192, MCD: 04, Type: COPD w/o CC/MCC, Weight: 0.7254, Discharges: 20, Geometric Mean:
3.3, Arithmetic Mean: 4.0
193, MCD: 04, Type: MED, Weight: Simple pneumonia & pleurisy w/ MCC, Weight: 1.4327,
Discharges: 10, Geometric Mean: 5.4, Arithmetic Mean: 6.7
194, MCD: 04, Type: MED, MS-DRG Title: Simple pneumonia & pleurisy w/ CC, Weight:
1.0056, Discharges: 20, Geometric Mean: 4.4, Arithmetic Mean: 5.3
195, MCD: 04, Type: MED, MS-DRG Title: Simple pneumonia & pleurisy w/o CC/MCC,
Weight: 0.7316, Discharges: 10, Geometric Mean: 3.5, Arithmetic Mean: 4.1
a. In each MS-DRG the geometric mean is lower than the arithmetic mean.
b. In each MS-DRG the arithmetic mean is lower than the
CORRECT ANSWER
a. In each MS-DRG the geometric mean is lower than the arithmetic mean.
1
@https://www.stuvia.com/user/thestudyvault
, The GEOMETRIC MEAN LOS is define as the total days of service, excluding any outliers or
transfers, divided by the total number or patients.
Question 2
2. If another status T procedure were performed, how much would the facility receive for
the second status T procedure?
998323-billing#, V-status indicator, 99285-25-CPT/HCPCS, 0612-APC.
998324-billing#, T-status indicator, 25500-CPT/HCPCS, 0044-APC.
998325-billing#, X-status indicator, 72050-CPT/HCPCS, 0261-APC.
998326-billing#, S-status indicator, 70450-CPT/HCPCS, 0283-APC.
998327-billing#, S-status indicator, 70450-CPT/HCPCS, 0283-APC
a. 0%
b. 50%
c. 75%
d. 100%
CORRECT ANSWER
b. 50%
Multiple surgical procedures with payment status indicator T performed during the same
operative session are discounted. The highest-weighted procedure is fully reimbursed. All
other procedures with payment status indicator T are reimbursed at 50%.
2
@https://www.stuvia.com/user/thestudyvault
, Question 3
3. A health information technician is processing payments for hospital outpatient services
to be reimbursed by Medicare for a patient who had two physician visits, underwent
radiology examinations, clinical laboratory tests, and who received take-home surgical
dressings. Which of the following services is reimbursed under the outpatient prospective
payment system?
a. Clinical laboratory tests
b. Physician office visits
c. Radiology examinations
d. Take-home surgical dressings
CORRECT ANSWER
c. Radiology examinations
Radiology procedures are identified under the outpatient perspective payment system
with a status indicator X. Status indicator X identifies ancillary services that are
separately paid .
Question 4
4. Which of the following types of hospitals are excluded from the Medicare inpatient
prospective payment system?
a. Children's
b. Rural
c. State supported
d. Tertiary
CORRECT ANSWER
a. Children's
3
@https://www.stuvia.com/user/thestudyvault
