Question 1
What is the FIRST step in coding inpatient hospital encounters?
◦ Read the documentation and determine the principal diagnosis.
◦ Assign principal and significant procedure codes.
◦ Review the chart to ensure that all required documentation is present.
◦ Check the assigned MS-DRG.
Question 2
What is the main basis for determination of payment to acute care inpatient hospitals under the prospective payment system?
◦ POA indicator
◦ Complications
◦ Principal diagnosis
◦ Principal procedure