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Study sets matching "term:principal+diagnosis = the significant reason for which a patient is admitted to the hospital is coded using the."

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Study sets matching "term:principal+diagnosis = the significant reason for which a patient is admitted to the hospital is coded using the."

24 terms
chapter 18 hospital billing and impressment
____ facilities are equipped for patie…
services in a skilled nursing facility…
SNS stands for
______ involves a situation in which a…
inpatient
Physician by licensed nurses
...Skilled nursing facility
emergency care
____ facilities are equipped for patie…
inpatient
services in a skilled nursing facility…
Physician by licensed nurses
40 terms
Chapters 4 and 5
UHDDS
Patients which UHDDS appies
3 data items for UHDDS
where does UHDDS apply
Uniform Hospital Discharge Data Set
federal inpatients - usually applied to all inpatients
Principal diagnosis, other significant diagnosis, all signifi…
phych hospitals, home health, rehab facilities, nursing homes…
UHDDS
Uniform Hospital Discharge Data Set
Patients which UHDDS appies
federal inpatients - usually applied to all inpatients
10 terms
Chapter 14 Discharge summaries
admitting diagnosis
discharge diagnosis
discharge disposition
history
reason for the episode of care
diagnosis that is made during the episode of care
information about the condition of the patient and the plan f…
summary of the reason for the episode of care
admitting diagnosis
reason for the episode of care
discharge diagnosis
diagnosis that is made during the episode of care
23 terms
Hospital Billing
Impatient Facilities
Skilled Nursing Facilities
Emergency Care
Ambulatory Surgical Unit
equipped for patients to stay overnight
SNF
situation in which delayed treatment would lead to a signific…
ASU; wing
Impatient Facilities
equipped for patients to stay overnight
Skilled Nursing Facilities
SNF
Hospital Billing Ch 14
The principal diagnosis and the princi…
"9" (ICD-9-CM) and "0" (ICD-10-CM) are…
The admitting diagnosis and the princi…
The admitting diagnosis is the disease…
True
False
False
True
The principal diagnosis and the princi…
True
"9" (ICD-9-CM) and "0" (ICD-10-CM) are…
False
18 terms
Ch. 12 Hospital Medical Billing
A hospice is a facility that cares for
A charge description master or charge…
Which term describes the patient's con…
Which term describes the patient's con…
Patients with a terminal illness
Procedure Codes
Principal diagnosis
Admitting diagnosis
A hospice is a facility that cares for
Patients with a terminal illness
A charge description master or charge…
Procedure Codes
25 terms
ch 18
inpatient
services in a skilled nursing facility…
SNF stands for skilled nursing facility
emergency care
facilities are equipped for pt to stay overnight
tf
tf
involves a situation in which a delay in treatment would lead…
inpatient
facilities are equipped for pt to stay overnight
services in a skilled nursing facility…
tf
26 terms
week 4 Medical Insurance
Principal DX
ICD 9-VOL 3
outpatient facility or setting
detail statement
the significant reason for which a patient is admitted to the…
Classification of surgical and nonsurgical procedures and mis…
ambulatory care is provided in
the form that accompanies the billing claim form for inpatien…
Principal DX
the significant reason for which a patient is admitted to the…
ICD 9-VOL 3
Classification of surgical and nonsurgical procedures and mis…
20 terms
mod 150 unit 3 theory study guide
classifications of surgical and nonsur…
when a managed care patient is admitte…
the physician's office uses ICD-9-CM V…
because of the diversity in reimbursem…
ICD-9-CM VOL 8
false
false
true
classifications of surgical and nonsur…
ICD-9-CM VOL 8
when a managed care patient is admitte…
false
21 terms
ICD-10-CM: Chapter 4- UHDDS
What does UHDDS stand for
What is Uniform Hospital Discharge Dat…
What kind of set of item does Uniform…
What criteria must the items meet
Uniform Hospital Discharge Data Set
Used for reporting inpatient data in acute care, short-term c…
Minimum set of items based on standard definitions to provide…
Easily identified, Readily defined, Uniformly recorded, and i…
What does UHDDS stand for
Uniform Hospital Discharge Data Set
What is Uniform Hospital Discharge Dat…
Used for reporting inpatient data in acute care, short-term c…
24 terms
Chapter 17 Hospital Billing (MC)
Confidential Information about patient…
When criteria are used by the review a…
One criterion that needs to be met for…
One criterion that needs to be met to…
Coworkers, Family, Friends etc.
AEP's
administration and monitoring of intravenous medications.
active, uncontrolled bleeding.
Confidential Information about patient…
Coworkers, Family, Friends etc.
When criteria are used by the review a…
AEP's
24 terms
Health Info Management 6
patient identification
What must be in every report of the pa…
addressograph machine
facility identification
name, medical record number, address, date of birth, etc.
patient identification, facility identification
imprints patient identification info on each report using a p…
name of facility, mailing address, telephone number
patient identification
name, medical record number, address, date of birth, etc.
What must be in every report of the pa…
patient identification, facility identification
20 terms
MOD 150 Unit 3 Theory Study Guide
T/F:... There is more chance for the adva…
T/F:... When a managed care patient is ad…
T/F:... The physician's office uses ICD-9…
T/F:... The purpose of the DRG based syst…
True
False
False
True
T/F:... There is more chance for the adva…
True
T/F:... When a managed care patient is ad…
False
58 terms
ICD-10-CM CHAPTER 3
uniform hospital discharge data set
personal identification number, sex, r…
diagnosis
principal diagnosis
a minimum, commoncore of data on individual acute care short…
what do uniform hospital discharge data sets include?
ALL DIAGNOSES AFFECTING HOSPITAL STAY MUST BE INCLUDED IN UHDDS
the condition established after study to be chiefly responsib…
uniform hospital discharge data set
a minimum, commoncore of data on individual acute care short…
personal identification number, sex, r…
what do uniform hospital discharge data sets include?
31 terms
Hospital Billing and Coding
inpatient
Outpatient
registration
Skilled nursing facility
these facilities are equipped for patients to stay over night…
these facilities are not equipped for an over night stay.
How are inpatients admitted?
what does SNF stand for?
inpatient
these facilities are equipped for patients to stay over night…
Outpatient
these facilities are not equipped for an over night stay.
33 terms
B&C Ch.18 hospital billing & reimbursement HIGHLIGHTED
inpatient
skilled nursing facility
SNF
emergency
these facilities are equipped for patients to stay overnight.
SNF
provides skilled nursing and/or rehabilitation services to he…
involves a situation in which a delay in treatment would lead…
inpatient
these facilities are equipped for patients to stay overnight.
skilled nursing facility
SNF
12 terms
CHPT. 17 IHMO
Confidential information about patient…
When criteria are used by the hospital…
One AEP criterion that needs to be met…
When a patient who has managed care is…
news, media, family and friends
AEP's
Active, uncontrolled bleeding
48 hours
Confidential information about patient…
news, media, family and friends
When criteria are used by the hospital…
AEP's
23 terms
Patient record Documentation: Guidelines (Chap. 6)
patient identification
alias
addressograph machine
facility identification
consists of the patient's name and other piece of identifying…
is an assumed name, during their encounter
imprints patient id info on each report
includes the name of the facility, mailing address, and telep…
patient identification
consists of the patient's name and other piece of identifying…
alias
is an assumed name, during their encounter
19 terms
hospital billing
inpatient
SNF
Emergency
home health care
person admitted for services that require an overnight stay
skilled nursing facilities
care involes a situation in which a delay in treatment would…
services include care given at home, such as physical therapy…
inpatient
person admitted for services that require an overnight stay
SNF
skilled nursing facilities
15 terms
Chapter 4: UHDDS
UHDDS
principal diagnosis
Admission following medical observation
Admission following postoperative obse…
Uniform Hospital Discharge Data Set... used for reporting inpati…
the condition established after study to be chiefly responsib…
The principal diagnosis is the medical condition that led to…
Use the UHDDS definition to assign principal diagnosis
UHDDS
Uniform Hospital Discharge Data Set... used for reporting inpati…
principal diagnosis
the condition established after study to be chiefly responsib…
20 terms
IHMO CH 17 MULTIPLE CHOICE
A patient is considered an inpatient t…
Medicares Inpatient Prospective Paymen…
On the CMS-1450 (UB-04) claim form, co…
When criteria are used by the hospital…
for an overnight stay
745
source of admission
AEPs
A patient is considered an inpatient t…
for an overnight stay
Medicares Inpatient Prospective Paymen…
745
47 terms
Chaper 13 Medical Terminology/ Chapter 17&18 Insurance HB
peripheral nervous system
brain
cerebral contusion
neurosis
the part of the nervous system that consists of various nerve…
the cerebrum, diencephalon, and cerebellum are parts of the:
bruising of brain tissue as a result of head injury
a large category of psychiatric disorders in which the sympto…
peripheral nervous system
the part of the nervous system that consists of various nerve…
brain
the cerebrum, diencephalon, and cerebellum are parts of the:
34 terms
hospital and reimbursement
inpatient
skilled nursing facility SNF
emergency
ambulatory care
person admitted for services that require an over night stay
facility in which licensed nurses provide services under a ph…
situation where a delay in patient treatment would lead to a…
out patient care, covers all types of health services that do…
inpatient
person admitted for services that require an over night stay
skilled nursing facility SNF
facility in which licensed nurses provide services under a ph…
22 terms
chapter 7 glossary terms
Admitting diagnosis
Adverse reaction(adverse effect)
Chief complaint
Coding
The major most significant reason why the patient is being ad…
An unexpected condition that occurs in reaction to a medicati…
Term used to describe the main reason (medical condition, inj…
the process of translating written descriptions of procedures…
Admitting diagnosis
The major most significant reason why the patient is being ad…
Adverse reaction(adverse effect)
An unexpected condition that occurs in reaction to a medicati…
30 terms
Chapter 4
Uniform Hospital Discharge Data Set
Items that met the following criteria…
UHDDS requires the following items:
Four cooperating parties responsible f…
UHDDS... Used for reporting inpatient data in acute care, short-…
Easily identified... Readily defined... Uniformly recorded... Easily a…
Principal diagnosis... Other diagnoses that have significance fo…
AHA, AHIMA, CMS, and NCHS have developed official guidelines…
Uniform Hospital Discharge Data Set
UHDDS... Used for reporting inpatient data in acute care, short-…
Items that met the following criteria…
Easily identified... Readily defined... Uniformly recorded... Easily a…
41 terms
IHMO Ch. 17
Confidential information about patient…
When criteria are used by the review a…
One criterion that needs to be met to…
One criterion that needs to be met for…
co-workers... family... friends
AEPs
active, uncontrolled bleeding
administration and monitoring of intravenous medications
Confidential information about patient…
co-workers... family... friends
When criteria are used by the review a…
AEPs
34 terms
CH-03
Minimum set of items based on standard…
The UHDDS requires the following items:
condition established after study to b…
Importance of Correct Selection of Pri…
Uniform Hospital Discharge Data Set (UHDDS)
Principal diagnosis, Other diagnoses and procedures.
Principal Diagnosis
reimbursement, cost comparisons, care analysis, utilization r…
Minimum set of items based on standard…
Uniform Hospital Discharge Data Set (UHDDS)
The UHDDS requires the following items:
Principal diagnosis, Other diagnoses and procedures.
38 terms
hospital billing and reimbursement
inpatient
skilled nursing facility SNF
emergency
ambulatory care
person admitted for services that require an overnight stay
facility in which licensed nurses provide services under a ph…
situation where a delay in patient treatment would lead to a…
outpatient care
inpatient
person admitted for services that require an overnight stay
skilled nursing facility SNF
facility in which licensed nurses provide services under a ph…
26 terms
Course 3 Unit C
chief complaint
concurrent condition
diagnosis
eponyms
Reason the patient seeks medical care
Condition occurring at the same time as the primary diagnosis
Physician's objective analysis of illness or injuries
Condition or procedures named after a person or place
chief complaint
Reason the patient seeks medical care
concurrent condition
Condition occurring at the same time as the primary diagnosis
basic steps of coding
Admitting Diagnosis
Alphabetic Index
Chief complaint
Differential diagnosis
the condition that requires the patient to be hospitalized
the index found in the ICD-10 book for both disease condition…
the reason in the patients own words for presenting to the ho…
when a symptom may represent a variety of diagnoses
Admitting Diagnosis
the condition that requires the patient to be hospitalized
Alphabetic Index
the index found in the ICD-10 book for both disease condition…
11 terms
ch 4 icd coding
admitting diagnosis
alphabetic index
chief complaint
differential diagnosis
The condition or disease for which the patient is seeking tre…
the index found in the icd 9 cm book for both disease conditi…
the patients own words used to determine the reason for hospi…
when a symptom may represent a variety of diagnoses
admitting diagnosis
The condition or disease for which the patient is seeking tre…
alphabetic index
the index found in the icd 9 cm book for both disease conditi…
30 terms
study guide for modulen 150 unit 3
FLAT Rate
per diem
periodic interim payments (PIP) and ca…
withhold
A set amount (single charge) per hospital admission is paid b…
A single charge for a day in the hospital regardless if any a…
Plan advances cash to cover expected claims to the hospital
Withheld
FLAT Rate
A set amount (single charge) per hospital admission is paid b…
per diem
A single charge for a day in the hospital regardless if any a…
26 terms
HCA 3C
chief complaint
concurrent condition
diagnosis
eponyms
reason the patient seeks medical care
condition occurring at the same time as the primary diagnosis
physician's objective analysis of illness or injuries
conditions or procedures named after a person or place
chief complaint
reason the patient seeks medical care
concurrent condition
condition occurring at the same time as the primary diagnosis
Unit 5 Terms
Acute care facility
Ancillary services
Single hospital
Multihospital systems
is a hospital that provides health care services to patients…
are diagnostic and therapeutic services provided to inpatient…
hospitals are self-contained and not part of larger organizat…
where two or more hospitals are owned, managed, or leased by…
Acute care facility
is a hospital that provides health care services to patients…
Ancillary services
are diagnostic and therapeutic services provided to inpatient…
40 terms
Medical Insurance 17
A review for additional Medicare reimb…
In an effort to reduce the processing…
All of the following are considered co…
An unethical practice of upcoding a pa…
day outlier review.
diagnosis-related group
downloading of unauthorized data from a website.
DRG Creep
A review for additional Medicare reimb…
day outlier review.
In an effort to reduce the processing…
diagnosis-related group
Chap 17 Hospital&Reimbursement
What is the UB-04 and what is another…
What is the difference between an outp…
What is an ambulatory care? Home Healt…
What is the principal diagnosis (PDX)…
paper claim for hospital billing... CMS-1450
Outpatient=Ambulatory care- ... cover all types of health servic…
outpatient care... care given to patients in their homes... care fo…
condition established after study to be chiefly responsible f…
What is the UB-04 and what is another…
paper claim for hospital billing... CMS-1450
What is the difference between an outp…
Outpatient=Ambulatory care- ... cover all types of health servic…
24 terms
Selecting Principal Diagnosis for Inpatient Care
Patient was admitted to the hospital w…
Patient was admitted to the hospital w…
Patient was admitted for initial treat…
Patient was admitted for elective surg…
R07.9... *codes for symptoms, signs and ill-defined conditions…
C15.9, R13.10... *because the dysphagia was related to the mali…
S72.401A, S82.101A... *Both fractures potentially met the defin…
N60.22, K40.91... *Both met the criteria for principal diagnosi…
Patient was admitted to the hospital w…
R07.9... *codes for symptoms, signs and ill-defined conditions…
Patient was admitted to the hospital w…
C15.9, R13.10... *because the dysphagia was related to the mali…
13 terms
Chapter 14: Key terminology
admitting diagnosis
cellulitis
cloxacillin
Discharge Diagnosis
reason for the current episode of care
inflammation of soft or connective tissue caused by infection
penicillinase-resistant penicillin
diagnosis that is made during the episode of care
admitting diagnosis
reason for the current episode of care
cellulitis
inflammation of soft or connective tissue caused by infection
29 terms
Chap 17 Hospital&Reimbursement
What is the UB-04 and what is another…
What is the difference between an outp…
What is an ambulatory care? Home Healt…
What is the principal diagnosis (PDX)…
paper claim for hospital billing... CMS-1450
Outpatient=Ambulatory care- ... cover all types of health servic…
outpatient care... care given to patients in their homes... care fo…
condition established after study to be chiefly responsible f…
What is the UB-04 and what is another…
paper claim for hospital billing... CMS-1450
What is the difference between an outp…
Outpatient=Ambulatory care- ... cover all types of health servic…
29 terms
Chap 17 Hospital&Reimbursement
What is the UB-04 and what is another…
What is the difference between an outp…
What is an ambulatory care? Home Healt…
What is the principal diagnosis (PDX)…
paper claim for hospital billing... CMS-1450
Outpatient=Ambulatory care- ... cover all types of health servic…
outpatient care... care given to patients in their homes... care fo…
condition established after study to be chiefly responsible f…
What is the UB-04 and what is another…
paper claim for hospital billing... CMS-1450
What is the difference between an outp…
Outpatient=Ambulatory care- ... cover all types of health servic…
46 terms
Hospital Billing and Reimbursement
inpatient
skilled nursing facility (SNF)
emergency
ambulatory care
person admitted for services that require an overnight stay
facility in which licensed nurses provide services under a ph…
situation in which a delay in patient treatment would lead to…
covers all types of health care services that do not require…
inpatient
person admitted for services that require an overnight stay
skilled nursing facility (SNF)
facility in which licensed nurses provide services under a ph…
8 terms
Respiratory - coding exercises
Patient with chronic myasthenia gravis…
Patient with emphysema develops acute…
Patient with congestive heart failure…
Patient with asthma in status asthmati…
Principal diagnosis: 518.81, acute respiratory failure. Secon…
Principal diagnosis: 518.81, acute respiratory failure. Secon…
Principal diagnosis: 518.81, acute respiratory failure. Secon…
Principal diagnosis: 518.81, acute respiratory failure. Secon…
Patient with chronic myasthenia gravis…
Principal diagnosis: 518.81, acute respiratory failure. Secon…
Patient with emphysema develops acute…
Principal diagnosis: 518.81, acute respiratory failure. Secon…
22 terms
IHMO CH 15 & 17 FINAL REVIEW
Confidential information about patient…
When criteria are used by the hospital…
One AEP criterion that needs to be met…
One AEP criterion that needs to be met…
no one ever
AEPs
active, uncontrolled bleeding
administration and monitoring of intravenous medications
Confidential information about patient…
no one ever
When criteria are used by the hospital…
AEPs
13 terms
Chapter 14 - Key Terminology Review
Admitting Diagnosis
cellulitis
cloxacillin
Discharge Diagnosis
reason for the current episode of care
inflammation of soft or connective tissue caused by infection
penicillinase-resistant penicillin
diagnosis that is made during the episode of care
Admitting Diagnosis
reason for the current episode of care
cellulitis
inflammation of soft or connective tissue caused by infection
47 terms
Insurance Ch. 17
Inpatient
Skilled Nursing Facility (SNF)
Emergency
Ambulatory Care
Admitted patients for services require overnight stay
Provides skilled nursing or rehabilitation services to help w…
A delay in patient treatment would lead to significant increa…
Outpatient care that doesn't require an overnight stay
Inpatient
Admitted patients for services require overnight stay
Skilled Nursing Facility (SNF)
Provides skilled nursing or rehabilitation services to help w…
15 terms
Medical Insurance 18 chapter VOC
837i
Admitting diagnosis
Ambulatory care
Ambulatory Patient Classification (APC)
...
The patient's condition determined by a physician at admissio…
Outpatient care
A Medicare payment classification for outpatient services.
837i
...
Admitting diagnosis
The patient's condition determined by a physician at admissio…
46 terms
Insurance Ch. 17
Inpatient
Skilled Nursing Facility (SNF)
Emergency
Ambulatory Care
Admitted patients for services require overnight stay
Provides skilled nursing or rehabilitation services to help w…
A delay in patient treatment would lead to significant increa…
Outpatient care that doesn't require an overnight stay
Inpatient
Admitted patients for services require overnight stay
Skilled Nursing Facility (SNF)
Provides skilled nursing or rehabilitation services to help w…
47 terms
Insurance Ch. 17
Inpatient
Skilled Nursing Facility (SNF)
Emergency
Ambulatory Care
Admitted patients for services require overnight stay
Provides skilled nursing or rehabilitation services to help w…
A delay in patient treatment would lead to significant increa…
Outpatient care that doesn't require an overnight stay
Inpatient
Admitted patients for services require overnight stay
Skilled Nursing Facility (SNF)
Provides skilled nursing or rehabilitation services to help w…
46 terms
Insurance Ch. 17
Inpatient
Skilled Nursing Facility (SNF)
Emergency
Ambulatory Care
Admitted patients for services require overnight stay
Provides skilled nursing or rehabilitation services to help w…
A delay in patient treatment would lead to significant increa…
Outpatient care that doesn't require an overnight stay
Inpatient
Admitted patients for services require overnight stay
Skilled Nursing Facility (SNF)
Provides skilled nursing or rehabilitation services to help w…
38 terms
Coding Guidelines
Test 1
Sequence of 2 or more related conditio…
Sequence of 2 or more diagnoses that e…
Sequence of 2 or more comparative/cont…
...
Either condition may be sequenced 1st, unless circumstances o…
Given that circumstances of admission, therapy given and alph…
Diagnoses are documented as either/or, they're coded as if co…
Test 1
...
Sequence of 2 or more related conditio…
Either condition may be sequenced 1st, unless circumstances o…
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