AND THEIR 100% SOLUTIONS
1. What are two partitions that each major diagnostic category is divided into based
on the patient's treatment?
o ANS: Medical and Surgical
2. Medicare-Severity Diagnosis-Related groups (MS-DRGs) are defined as?
o ANS: A reimbursement system that categorizes patients with related diagnoses,
treatment, and length of stay.
3. Code assignment for stage three decubitus ulcers of the hip and heel requires how
many codes?
o ANS: 2
4. The basic formula for the calculation of an inpatient PPS payment is the
multiplication of the?
o ANS: Hospital base payment rate and the relative weight for the DRG
5. A Medicare beneficiary who is treated during an outpatient encounter at a hospital
may have a combination of payments paid to the facility, including ambulatory
payment classification (APC) system and?
o ANS: Payments based on various fee schedules, such as laboratory fee schedule
6. A Revenue code is?
o ANS: A four-digit number used for Medicare billing