Author Question: Which type of billing codes is used by Medicare to determine the level of severity and per diem ... (Read 26 times)

nelaaney

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Which type of billing codes is used by Medicare to determine the level of severity and per diem rate?
 
  1. POA
  2. MS-DRG
  3. ICD
  4. PPAC

Question 2

Despite the negative responses by health care providers toward the transition from ICD-9 to ICD-10, which of the following statements is a clear benefit of the transition?
 
  1. Over 100 countries have already adopted the ICD-10 coding system.
  2. Coding solutions will be clearly understood by all health professionals.
  3. The impact on small physician's practices will be negligible.
  4. More nurses will be hired to maintain the systems.



tranoy

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Answer to Question 1

2
Rationale: When a patient enters the hospital, a present on admission (POA) diagnosis is given and the patient is assigned to a Medicare-severity diagnosis related group (MS-DRG). There are 745 such classifications, and these determine the per diem rate as of May 2007 (Walters, 2007).

Answer to Question 2

1
Rationale: The ICD-9 has outlived its usefulness. With the number of countries throughout the world that have already implemented the ICD-10, the United States has not kept pace with global changes.



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