ANSWERS NEWEST RATED A+ 100% VERIFIED CORRECT
which piece of legislation called for the first hospital inpatient prospective payment system?
This piece of legislation also allowed some hospital setting to retain their cost-based payment
systems. - Ans tax equity and fiscal responsibility act (TEFRA)
what is the average of the sum of the relative weights of all patients treated during a specified
time period? - Ans case mix index
PPS cases with unusually high costs - Ans outlier
discharge of a patient from a hospital and readmission to another facility - Ans transfer
medical conditions that arise during an inpatient hospitalization - Ans complications
type and volume of patients treated by a healthcare organization - Ans case-mix
computer program using specific data elements to assign patients to MS-DRG categories - Ans
grouper
when comparing Medicare's IPPS and IPF PPS which of the following statements is false - Ans
both PPSs utilize a case rate reimbursement methodology.
What is the rate year (RY) for IPPS - Ans October-September
in the IPPS what is the term for each hospitals unique standardized amount based on its costs
per medicare discharge - Ans base payment rate
, the MS-DRG payment includes reimbursement for all of the following services except - Ans
physician services
not all psychiatric patients have the same condition, and some are more intense than others.
this adjustment provides additional payment for more intensive cases - Ans MS_DRG
additional payment is provided to facilities that teach students to become physicians. the
additional payment supports the teaching program - Ans teaching hospital
additional payment is provided to a facility. this allows the facility to adequately treat patients
with pre-existing conditions - Ans comorbid condition
studies showed that as the patient gets older their cost of healthcare in a psychiatric facility
increases - Ans age of patient
accounts for how much it costs to employ workers in the area where the facility is located - Ans
wage index
additional payment the facility receives when a patient has this noninvasive procedure - Ans
electroconvulsive therapy
add-on payment for facilities that are located in a rural location because it costs more to treat
patients in these areas - Ans rural location
accounts for the cost of doing business in the area where the facility is located. examples
include the cost of property, supplies, utilities, and transportation - Ans cost of living