Domain Revenue Management | cipdpro.co.uk

in /by

Domain Revenue Management | cipdpro.co.uk

Analyze the information given in the table below.

MS-DRG
MDC
Type
MS-DRG Title
Weight
Discharges
Geometric Mean
Arithmetic Mean

191
04
MED
Chronic Obstructive Pulmonary Disease w CC
0.9184
100
3.3
4.0

192
04
MED
Chronic Obstructive Pulmonary Disease w/o CC/MCC
0.7234
180
2.7
3.2

193
04
MED
Simple pneumonia & pleurisy w MCC
1.3860
110
4.6
5.7

194
04
MED
Simple pneumonia & pleurisy w CC
0.9469
200
3.6
4.3

195
04
MED
Simple pneumonia & pleurisy w/o CC/MCC
0.7028
80
2.8
3.3

Based on the data given, determine the case-mix index. What is the meaning of the case-mix index? Why is the case-mix index important for a hospital?
What is the significance of the DNFB report? What does this report include, and what is it used for? Explain how this report may be beneficial to the coding department.

Choose one of the topics below to talk about:

Fee schedules- how often are they updated
Fee-for-service payment method
Medicare Inpatient Prospective System Exclusions
OPPS Bundling
Queries- Leading/Non-leading, when are they used
Upcoding/undercoding/bundling
Outpatient Code Editors
Present on Admission
When the code books are updated (CPT, ICD-10-CM, ICD-10-PCS)
Hospital acquired conditions definition
Definitions of adjudication, reimbursement
Definitions of medical necessity, eligibility, deductible, coninsurance, copyament
Understand the revenue cycle (what is it, what is included)
Know the difference between first party, second party, and third party payers
Know about the marketplace offered through ACA
Know the difference between a prospective, retrospective review
Know what case management is and what they do
Know the definition of case mix index and how to calculate
Know what an RBRVS is
Discuss what the DNFB report is, what is on it, and why it matters
Know the basics of APCs and DRGs
Know the basics of the IPPS and OPPS (when did they get enacted)
Some basic coding and code formats

"You need a similar assignment done from scratch? Our qualified writers will help you with a guaranteed AI-free & plagiarism-free A+ quality paper, Confidentiality, Timely delivery & Livechat/phone Support.


Discount Code: CIPD30



Click ORDER NOW..

order custom paper