HIT 230 Module 6-10
1.
Mr. Brown was admitted to the hospital with severe chest pains. During his encounter he underwent a coronary artery bypass procedure (CABG) due to coronary artery disease (CAD). What is the first step in determining the MS-DRG assignment for this encounter?
Determine if the coronary artery bypass procedure is one of the Pre-MDC procedures
[See pg 117- Step 1: Pre-MDC assignment.]
2.
What is the general term for software that assigns inpatient diagnosis related groups?
Grouper
[computer programs that assign patients to case-mix groups are generically called groupers]
3.
Which IPPS provision is provided to facilities that experience a financial hardship because they provide treatment for patients who are unable to pay for the services?
DISPROPORTIONATE SHARE HOSPITAL
4.
Which of the following IPPS provisions provides the hospital with a hospital specific reimbursement amount?
Indirect medical education &
High cost outlier cases
5.
Which Medicare contractor reimburses acute care hospitals on behalf of Medicare?
Medicare administrative contractor (MAC)
