Study_sheet_for_Exam_2 - HCA 580 Exam#2 1 Name of each of...

Info iconThis preview shows pages 1–2. Sign up to view the full content.

View Full Document Right Arrow Icon
HCA 580 Exam #2 1. Name of each of the PPS such as MS-DRGs, RUGs, CMGs, etc. a. Is it based on ICD-9-CM or CPT code b. How many can be assigned, for example, 1 MS-DRG, multiple APCs, 1 CMG 2. Data tools used in each such as OASIS, MDS, PAI a. Haven and Irven 3. Know definitions of the following: a. High cost outlier – uses GLOS b. Short stay outlier c. DSH d. Sole community hospital e. IME f. Wage index g. Labor-related portion (what is included) h. Pass-throughs (APCs) i. Packaging j. Discounting such as multiple procedures k. Status indicators C, T l. Grouper m. Pricer n. Terminated procedures and how are their paid o. Long term care 4. What is the case mix index or CMI? How do you calculate the case mix index for a facility?
Background image of page 1

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full Document Right Arrow Icon
Background image of page 2
This is the end of the preview. Sign up to access the rest of the document.

{[ snackBarMessage ]}

Page1 / 2

Study_sheet_for_Exam_2 - HCA 580 Exam#2 1 Name of each of...

This preview shows document pages 1 - 2. Sign up to view the full document.

View Full Document Right Arrow Icon
Ask a homework question - tutors are online