Cdip Prep Exam Update

Deficit Reduction Act of 2005 - ANSWERS-Requires POA inclusion in the payment guidelines for conditions that: 1. Are high cost, high volume or both 2. Result in the assignment of a case to a DRG that has a higher payment when present as a secondary diagnosis 3. Could reasonably have been prevented through the application of evidence based guidelines DHHS - ANSWERS-Department of Health and Human services EBM - ANSWERS-Evidence Based Medicine - the best scientific data a available for clinical documentation Four standards used in EBM - ANSWERS-1. Design 2. Terminology 3. Performance 4. Procedural HAC - ANSWERS-Hospital Acquired Condition - beginning in 2008, certain HACs that are not POA may not be included in the DRG payment House Staff - ANSWERS-Interns, residents and fellows - physicians in training ICD-10-CM - ANSWERS-Released by WHO IN 1994. Developed by WHO in 42 languages in October 2002. Implementation of ICD-10 - ANSWERS-Originally proposed October 1 2014, then CMS delayed implementation until October 1, 2015 IPPS - ANSWERS-Hospital Inpatient Prospective Payment System. Reimbursement now being driven by codes assigned to the patient stay with the inception of IPPS in 1982 MAC - ANSWERS-Medicare Administrative Contractor - used by the OIG to process claims for services rendered Meaningful use requirements - ANSWERS-Provider must maintain an up to date problem list of current and active diagnoses for 80% of patients and 80% of all patients have to have at least one coded problem as opposed to their entire problem list coded NCHS - ANSWERS-National Center for Health Statistics OIG - ANSWERS-Office of Inspector General- established by the Dept. of Labor by the Inspector General Act of 1978 to identify fraud and abuse of Medicare part A and part B programs POA Indicators - ANSWERS-Present o