Providers that use the Diagnostic and Statistical Manual refer to diagnostic assessment criteria that are used as tools to identify __________ disorders.
a. ambulatory
b. inpatient
c. medical
d. psychiatric
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Q. 2) Provisions of the inpatient psychiatric facility prospective payment system resulted in a __________ patient classification system that reflects differences in patient resource use and costs.
a. cost-based
b. price-based
c. per diem
d. prospective
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Q. 3) Which adjusts payments to account for geographic variations in hospitals' labor costs?
a. case index
b. disease index
c. morbidity index
d. wage index
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Q. 4) Which includes all outpatient procedures and services provided during one day to the same patient?
a. limited data set
b. diagnosis-related group
c. outpatient encounter
d. relative value unit
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Q. 5) The outpatient prospective payment system reimburses services according to ambulatory payment classifications (APCs), which group services according to similar __________ and in terms of resources required.
a. clinical characteristics
b. intensity of resources
c. risk of mortality
d. severity of illness
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Q. 6) Which rule applies when patients are discharged from the hospital directly to a postacute provider?
a. 3-day payment window rule
b. intensity of resources rule
c. severity of illness rule
d. transfer rule
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Q. 7) When outpatient preadmission services are provided by a hospital on the day of or during the three days prior to a patient's inpatient admission and the inpatient principal diagnosis code exactly matches that for preadmission services, the IPPS __________ rule applies.
a. 3-day payment window
b. intensity of resources
c. severity of illness
d. transfer
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Q. 8) Which was adopted by Medicare in 2008 to improve recognition of severity of illness and resource consumption and reduce cost variation among DRGs?
a. DRGs
b. AP-DRGs
c. APR-DRGs
d. MS-DRGs
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Q. 9) Which is the likelihood of dying?
a. case-mix management
b. intensity of resources
c. risk of mortality
d. severity of illness
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Q. 10) Which is the extent of physiological decompensation or organ system loss of function?
a. case-mix management
b. intensity of resources
c. risk of mortality
d. severity of illness
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