ANSWERS NEWEST RATED A+ 100% VERIFIED CORRECT
which piece of legisla on called for the first hospital inpa ent prospec ve payment system?
This piece of legisla on also allowed some hospital se ng to retain their cost-based payment
systems. - Ans tax equity and fiscal responsibility act (TEFRA)
what is the average of the sum of the rela ve weights of all pa ents treated during a specified
me period? - Ans case mix index
PPS cases with unusually high costs - Ans outlier
discharge of a pa ent from a hospital and readmission to another facility - Ans transfer
medical condi ons that arise during an inpa ent hospitaliza on - Ans complica ons
type and volume of pa ents treated by a healthcare organiza on - Ans case-mix
computer program using specific data elements to assign pa ents to MS-DRG categories - Ans
grouper
when comparing Medicare's IPPS and IPF PPS which of the following statements is false - Ans
both PPSs u lize a case rate reimbursement methodology.
What is the rate year (RY) for IPPS - Ans October-September
in the IPPS what is the term for each hospitals unique standardized amount based on its costs
per medicare discharge - Ans base payment rate
, the MS-DRG payment includes reimbursement for all of the following services except - Ans
physician services
not all psychiatric pa ents have the same condi on, and some are more intense than others.
this adjustment provides addi onal payment for more intensive cases - Ans MS_DRG
addi onal payment is provided to facili es that teach students to become physicians. the
addi onal payment supports the teaching program - Ans teaching hospital
addi onal payment is provided to a facility. this allows the facility to adequately treat pa ents
with pre-exis ng condi ons - Ans comorbid condi on
studies showed that as the pa ent gets older their cost of healthcare in a psychiatric facility
increases - Ans age of pa ent
accounts for how much it costs to employ workers in the area where the facility is located - Ans
wage index
addi onal payment the facility receives when a pa ent has this noninvasive procedure - Ans
electroconvulsive therapy
add-on payment for facili es that are located in a rural loca on because it costs more to treat
pa ents in these areas - Ans rural loca on
accounts for the cost of doing business in the area where the facility is located. examples
include the cost of property, supplies, u li es, and transporta on - Ans cost of living