Author Question: For inpatients, the first data item collected of a clinical nature is usually A. principal ... (Read 74 times)

MGLQZ · **on:** Jun 27, 2018

For inpatients, the first data item collected of a clinical nature is usually
A. principal diagnosis. C. admitting diagnosis.
B. expected payer. D. review of systems.

Question 2

Medicare administrative contractors are organizations that contract with the Centers for Medicare and Medicaid Services to process fee-for-service health care claims and perform __________ for both Medicare Part A and Part B.
a. assignment of codes
b. electronic data interchange
c. legal mediation
d. program integrity tasks

fraziera112 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

C Clinical data include all health care information collected during a patient's episode of care.
During the registration or intake process, the admitting diagnosis, provided by the attending
physician, is entered on the face sheet. If the patient is admitted through the ED, the chief
complaint listed on the ED record is usually the first clinical data collected. The principal
diagnosis is often not known until after diagnostic tests are conducted. Demographic data are
not clinical in nature. The review of systems is collected during the history and physical,
which is typically done after admission to the hospital.

Answer to Question 2

d