Domain 1 Clinical And Coding Practice Flashcards

0
Q

What date were DRGs implemented

A

October 1, 1983

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1
Q

Mandated the implementation of a PPS for inpatient facilities.caused extensive changes to Medicare

A

TEFRA tax equity and fiscal responsibility act of 1982

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2
Q

Home health PPS is

A

HH PPS (OASIS)

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3
Q

SNF PPS

A

MDS

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4
Q

IRF PPS

A

PAI

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5
Q

Federal fiscal year. Is

A

October 1 through September 31

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6
Q

The DRG system was developed for what

A

Quality of care and utilization of services

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7
Q

The four principles of the DRG systems guiding formation are:

A
  1. DRG patient characteristics definition should be limited to information routinely collected on the hospital billing form.
  2. Manageable number of DRGs that encompass all patient seen on an inpatient basis.
  3. Each DRG should contain patients with a similar pattern of resource intensity.
  4. Each DRG should contain patients who are similar from a clinical perspective.
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