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Author Question: Under the inpatient prospective payment system (IPPS), there is a 3-day payment window (formerly ... (Read 86 times)

Kikoku

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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



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adammoses97

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Answer to Question 1

D

Answer to Question 2

a




Kikoku

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Reply 2 on: Jun 27, 2018
Excellent


mochi09

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Reply 3 on: Yesterday
Great answer, keep it coming :)

 

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