Questions and Answers.
Which patient has a higher risk for mortality: Patient A with APR-DRG 291-1-1 or Patient B with
APR-DRG-1-3?
a. Patient A
b. Patient B
c. Patients have equal risk
d. APR DRG does not assess mortality risk - Answer Patient B
Which of the following classification systems is used in the hospital outpatient setting?
a. APC
b. DRG
c. MS-DRG
d. RVU - Answer APC
What is the key difference between APCs and DRGs?
a. A claim can only have one APC and multiple DRGs
b. A patient selects their APC and not their DRG
c. Diagnosis codes drive APCs
d. A claim can have more than one APC and only one DRG - Answer A claim can have more
than one APC and only one DRG
The acronym CMI is defined to be:
a. Claims management indicators
b. Case mix index
c. Case monitoring implementation
d. Claim with multiple images - Answer Case mix index
Which of the following classification systems is driven entirely by procedure coding?
a. APR-DRG
b. MS-DRG
c. APC