Module 4 EHR Go Activity Case Study Review Health Insurance Billing and Reimbursement Questions With Answers Graded A+ Assured Success

Question 1 2 / 2 pts What is the patient’s Social Security number as required for insurance and prospective payment system (PPS) documentation? Use the format XXX-XX-XXXX  Question 2 2 / 2 pts For PPS reimbursement coding, which service location did the patient receive care from, considering the quality and accuracy of the match? General Hospital  Question 3 2 / 2 pts To support proper DRG (Diagnosis-Related Group) assignment, list the most recent WBC lab value for the patient. Value only - no units required. 10.6  Question 4 2 / 2 pts Under which payer system will this patient’s charges be submitted for reimbursement? Medicare Tricare BCBS Optum  Question 5 2 / 2 pts For outpatient PPS billing, which of the patient's conditions did not require an inpatient hospital admission? Pain in joint, right leg Osteoarthritis Pain in joint, left leg Backache  Question 6 2 / 2 pts In evaluating conditions that may impact DRG severity levels, which is not a typical concern associated with the patient's post-arthroscopy diagnosis? infection hemophilia Care plans tab outlines acute pain, risk for infection and risk for peripheral neurovascular dysfunction. acute pain peripheral neurovascular dysfunction  Question 7 5 / 5 pts Match the patient’s medications with their correct dosage to ensure proper medication charge capture under PPS. Meperidine Hydrochloride