CDIP EXAM PREP
OIG - ANS-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
MAC - ANS-Medicare Administrative Contractor - used by the OIG to process claims for
services rendered
Criteria for high quality documemtation - ANS-1. Legible
2. Reliable
3. Precise
4. Complete
5. Consistent
6. Clear
7. Timely
EBM - ANS-Evidence Based Medicine - the best scientific data a available for clinical
documentation
Two part theory for high quality clinical documentation is derived from what -
ANS-Legal/regulatory sources and peer reviewed research
Four standards used in EBM - ANS-1. Design
2. Terminology
3. Performance
4. Procedural
DHHS - ANS-Department of Health and Human services
ARRA - ANS-American Recovery and Reinvestment Act of 2009 provides specific
guidance established as part of the meaningful use incentive program
Meaningful use requirements - ANS-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
IPPS - ANS-Hospital Inpatient Prospective Payment System. Reimbursement now
being driven by codes assigned to the patient stay with the inception of IPPS in 1982
OIG - ANS-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
MAC - ANS-Medicare Administrative Contractor - used by the OIG to process claims for
services rendered
Criteria for high quality documemtation - ANS-1. Legible
2. Reliable
3. Precise
4. Complete
5. Consistent
6. Clear
7. Timely
EBM - ANS-Evidence Based Medicine - the best scientific data a available for clinical
documentation
Two part theory for high quality clinical documentation is derived from what -
ANS-Legal/regulatory sources and peer reviewed research
Four standards used in EBM - ANS-1. Design
2. Terminology
3. Performance
4. Procedural
DHHS - ANS-Department of Health and Human services
ARRA - ANS-American Recovery and Reinvestment Act of 2009 provides specific
guidance established as part of the meaningful use incentive program
Meaningful use requirements - ANS-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
IPPS - ANS-Hospital Inpatient Prospective Payment System. Reimbursement now
being driven by codes assigned to the patient stay with the inception of IPPS in 1982
