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Definition
| What does DRGs stand for? |
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Definition
| the refined system of inpatient classification to group patients who were medically similar with respect to diagnoses, treatments,and lengths of hospital stay--used as a PPS to determine payment to hospitals in advance for services rendered |
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Definition
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Definition
| sequenced first, the condition after study chiefly responsible for the admission of the patient to the hospital for care |
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Definition
| a diagnosis coded as an additional health problem of a patient that affects their health care or reason or admission, or is a complication that occurs during treatment |
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| Major complication or comorbidity |
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Definition
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Definition
| condition that occurs after admission that affects the patient's care or length of stay |
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Definition
| pre-existing conditon that affects the patient's care or length of stay |
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| hospital acquried condition |
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Definition
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Definition
| another term for base rate |
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Definition
| what each MS-DRG is assigned that reflects the resource consumption associated with the treatment of the condition |
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Term
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Definition
Medical coding also helps determine:
a) type of services needed within communities
b) help develop and implement local, state, and national health-care policy
c) help determine how to control health-care costs
d) help develop best-care practices as guidelines
e) all of the above |
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Term
| critical paths, patient care maps |
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Definition
| Two names for best-care practices |
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Definition
| clinical guidelines to assist physicians in providing consistent quality care for particular diseases and to identify patient cases to further clinical research |
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Definition
| names of diseases in the Alphabetic Index to Diseases, found in bold print |
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Term
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Definition
| another name for essential modifier |
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Term
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Definition
| indented under the main term, changes teh code assignment and must always be thoroughly reviewed because they are essential |
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Term
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Definition
| located after the main term in parentheses that clarifies code without changing coding assignment |
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Term
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Definition
| words like in, with, and due to that are listed under the main term and precede subterms that lead you to correct code assignment |
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Term
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Definition
CODE
coronary thrombosis without myocardial infarction |
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Definition
CODE
Admission for radiation therapy
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Admission for hemodialysis |
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Definition
CODE
Admission of a live newborn infant born in hospital without C-section (baby code) |
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Definition
CODE
Status post cardiac pacemaker |
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Definition
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Status post hip replacement surgery |
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Definition
CODE
History of breast cancer |
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Definition
CODE
Outcome of delivery single liveborn infant |
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Definition
CODE
Fractured hip due to fall from bed (code E code only) |
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Term
| factors influencing healthcare |
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Definition
| V codes are used as a secondary diagnosis to describe ___________. |
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Definition
T or F: An E code can be a principal diagnosis.
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