Under the inpatient prospective payment system (IPPS), there is a 3-day payment window
(formerly referred to as the 72-hour rule). This rule requires that outpatient preadmission services
that are provided by a hospital up to three calendar days prior to a patient's inpatient admission
be covered by the IPPS MS-DRG payment for
A. diagnostic services.
B. therapeutic (or nondiagnostic) services whereby the inpatient principal diagnosis code
(ICD-10-CM) exactly matches the code used for preadmission services.
C. therapeutic (or nondiagnostic) services whereby the inpatient principal diagnosis code
(ICD-10-CM) does not match the code used for preadmission services.
D. diganostic services and therapeutic (or nondiagnostic) services whereby the inpatient
principal diagnosis code (ICD-10-CM) exactly matches the code used for preadmission
services.
Question 2
Observation services furnished in a hospital outpatient setting where the patient is considered an outpatient __________.
a. are reimbursed when ordered by a physician
b. include a bed but no monitoring procedures
c. must be preauthorized by Medicare
d. routinely convert to an inpatient admission
Human Cardiovascular System
lymphatic system
Cost Savings with an EHR System
The anterolateral system. The pathways from only one side of the body are shown.
Landsteiner's experiment demonstrating the exquisite specificity of the immune system.
What single payment one year from now would be economically equivalent to payments of $1,000 ...