Presentation is loading. Please wait.

Presentation is loading. Please wait.

A discharge in which the patient was discharged from the inpatient rehabilitation facility and returned within 3 calendar days is called a(n) Interrupted.

Similar presentations


Presentation on theme: "A discharge in which the patient was discharged from the inpatient rehabilitation facility and returned within 3 calendar days is called a(n) Interrupted."— Presentation transcript:

1

2

3 A discharge in which the patient was discharged from the inpatient rehabilitation facility and returned within 3 calendar days is called a(n) Interrupted Stay transfer Qualified discharge Per diem $100 Question

4 A discharge in which the patient was discharged from the inpatient rehabilitation facility and returned within 3 calendar days is called a(n) Qualified dischargeInterrupted stay $100 Question

5 The following type of hospital is considered excluded, which means that it does not participate in any type of prospective payment system (PPS). Psychiatric hospital Long-term care hospital Cancer hospital Rehabilitation hospital $200 Question

6 The following type of hospital is considered excluded, which means that it does not participate in any type of prospective payment system (PPS). Long-term care hospital Cancer hospital $200 Question

7 This is the difference between what is charged and what is paid. costs charges reimbursement Contractual allowance $300 Question

8 This is the difference between what is charged and what is paid. charges Contractual allowance $300 Question

9 If the physician’s standard fee for a service is $210 and the Medicare PAR fee is $115, what is the limiting charge for a nonparticipating (nonPAR) provider? $132.25 $125.63 $109.25 $241.50 $500 Question

10 If the physician’s standard fee for a service is $210 and the Medicare PAR fee is $115, what is the limiting charge for a nonparticipating (nonPAR) provider? $132.25 $125.63 $500 Question

11 Which of the following sequences correctly depicts the flow of blood through the heart to the lungs? R atrium, R ventricle, lungs, pulmonary artery R atrium, R ventricle, pulmonary artery, lungs R ventricle, R atrium, lungs, pulmonary artery R ventricle, R atrium, pulmonary artery, lungs $1,000 Question

12 Which of the following sequences correctly depicts the flow of blood through the heart to the lungs? R atrium, R ventricle, pulmonary artery, lungs R ventricle, R atrium, pulmonary artery, lungs $1,000 Question

13 The most fatal type of lung cancer is adenocarcinoma Large cell cancer Small cell cancer Squamous cell cancer $2,000 Question

14 The most fatal type of lung cancer is Large cell cancer Small cell cancer $2,000 Question

15 Children at higher risk for sudden infant death syndrome (SIDS) include those With sleep apnea. All of the above. Who are premature infants. With respiratory problems. $4,000 Question

16 Children at higher risk for sudden infant death syndrome (SIDS) include those With respiratory problems.All of the above. $4,000 Question

17 Hypertensive kidney disease, congestive heart failure, and acute systolic heart failure 593.9, 401.9, 482.0, 428.21 404.91 404.91, 428.0, 428.21 403.90, 428.0, 428.21 $8,000 Question 401.9 Unspecified 403.90 Hypertensive chronic kidney disease w/ chronic kidney disease stage 1 through stage 5 404.91 unspecified w/ heart failure and w/ chronic kidney disease stage 1 through stage 5 428.00 Heart failure 428.21 Acute 593.9 Unspecified disorder of kidney & ureter

18 Hypertensive kidney disease, congestive heart failure, and acute systolic heart failure 404.91, 428.0, 428.21 403.90, 428.0, 428.21 $8,000 Question 401.9 Unspecified 403.90 Hypertensive chronic kidney disease w/ chronic kidney disease stage 1 through stage 5 404.91 unspecified w/ heart failure and w/ chronic kidney disease stage 1 through stage 5 428.00 Heart failure 428.21 Acute 593.9 Unspecified disorder of kidney & ureter

19 Acute respiratory failure due to congestive heart failure. Patient is placed on the ventilator for 3 days following insertion of endotracheal tube. 428.0, 518.81, 96.71, 96.04 518.81, 428.0, 96.71, 96.04 518.81, 428.0, 96.72, 96.04 428.0, 518.83, 96.72, 96.04 $16,000 Question 96.04 Insertion of endotracheal tube 96.71 Continuous invasive mechanical ventilation for less than 96 consecutive hours 96.72 Continuous invasive mechanical ventilation for 96 consecutive hours or more 428.0 Heart failure 518.81 Acute respiratory failure 518.83 Chronic respiratory failure

20 Acute respiratory failure due to congestive heart failure. Patient is placed on the ventilator for 3 days following insertion of endotracheal tube. 518.81, 428.0, 96.71, 96.04 428.0, 518.83, 96.72, 96.04 $16,000 Question 96.04 Insertion of endotracheal tube 96.71 Continuous invasive mechanical ventilation for less than 96 consecutive hours 96.72 Continuous invasive mechanical ventilation for 96 consecutive hours or more 428.0 Heart failure 518.81 Acute respiratory failure 518.83 Chronic respiratory failure

21 A 75-year-old man is admitted to your facility with acute cerebral embolism with infarction. He had hemiplegia and dysphagia. Physical therapy was given for the hemiplegia. Dysphagia was resolved at the time of discharge. 434.11, 342.90, 787.20, V57.1 434.11, 342.90 434.11, 342.90, V57.1 434.11, 342.90, 787.20 $32,000 Question 434.11 Cerebral embolism with cerebral infarction 342.90 Hemiplegia, unspecified, affecting unspecified side 787.20 Dysphagia, unspecified V57.1 Other physical therapy

22 A 75-year-old man is admitted to your facility with acute cerebral embolism with infarction. He had hemiplegia and dysphagia. Physical therapy was given for the hemiplegia. Dysphagia was resolved at the time of discharge. 434.11, 342.90 434.11, 342.90, V57.1 $32,000 Question 434.11 Cerebral embolism with cerebral infarction 342.90 Hemiplegia, unspecified, affecting unspecified side 787.20 Dysphagia, unspecified V57.1 Other physical therapy

23 A 40-year-old female suddenly develops a painful rash. A visit to her physician reveals she has shingles. She is experiencing a great amount of anxiety and stress, so her physician prescribes medication for the shingles and for the anxiety that occurred as a reaction to the stress. 053.9, 308.3, 300.00 053.9, 308.0 053.8, 300.00 053.8, 308.0 $64,000 Question 053.8 Herpes zoster with unspecified complication 053.9 Herpes zoster without mention of complication 300.00 Anxiety state, unspecified 308.0 Predominant disturbance of emotions 308.3 Other acute reactions to stress

24 A 40-year-old female suddenly develops a painful rash. A visit to her physician reveals she has shingles. She is experiencing a great amount of anxiety and stress, so her physician prescribes medication for the shingles and for the anxiety that occurred as a reaction to the stress. 053.9, 308.0053.8, 308.0 $64,000 Question 053.8 Herpes zoster with unspecified complication 053.9 Herpes zoster without mention of complication 300.00 Anxiety state, unspecified 308.0 Predominant disturbance of emotions 308.3 Other acute reactions to stress

25 A patient is admitted for treatment of peripheral vascular disease, renal failure, and diabetes mellitus. The coded would Assign codes for PVD, renal failure, and diabetes. Assign codes of diabetes with PVD and a code for renal failure. Assign codes for diabetes with peripheral vascular and renal manifestations. Query physician for causal relationship between the PVD, renal failure, and diabetes. $125,000 Question

26 A patient is admitted for treatment of peripheral vascular disease, renal failure, and diabetes mellitus. The coded would Assign codes of diabetes with PVD and a code for renal failure. Query physician for causal relationship between the PVD, renal failure, and diabetes. $125,000 Question

27 Steven, a 7 year old, is seen in the emergency department with severe joint pain. Following work-up it is discovered that he is having a severe crisis due to sickle cell anemia. 282.63 282.61 282.62 282.69 $250,000 Question 282.61 Sickle-cell disease (Hb-SS disease without crisis 282.62 Sickle-cell disease (Hb-S disease with crisis) 282.63 Sickle-cell / Hb-C disease without crisis 282.69 Other sickle-cell disease with crisis

28 Steven, a 7 year old, is seen in the emergency department with severe joint pain. Following work-up it is discovered that he is having a severe crisis due to sickle cell anemia. 282.61 282.62 $250,000 Question 282.61 Sickle-cell disease (Hb-SS disease without crisis 282.62 Sickle-cell disease (Hb-S disease with crisis) 282.63 Sickle-cell / Hb-C disease without crisis 282.69 Other sickle-cell disease with crisis

29 Codes from category 655, known or suspected fetal abnormality affecting the mother, should Be assigned if the fetal conditions are documented. Be assigned at the discretion of the physician. Be assigned when they affect the management of the mother. Never be assigned. $500,000 Question

30 Codes from category 655, known or suspected fetal abnormality affecting the mother, should Be assigned if the fetal conditions are documented. Be assigned when they affect the management of the mother. $500,000 Question

31 When Robert was discharged, his physician listed his diagnoses as congestive heart failure with acute pulmonary edema. You’re coding Robert’s record and you will code The edema only. The CHF only. Both the CHF and the edema; sequence the CHF first. Both the CHF and the edema; sequence the edema first. Million Dollar Question

32 When Robert was discharged, his physician listed his diagnoses as congestive heart failure with acute pulmonary edema. You’re coding Robert’s record and you will code The edema only. The CHF only. Million Dollar Question

33 You are absolutely right.

34 That is correct!

35 You’re right!

36 Great Job! You did it!

37 We must have great teachers!!

38 You are pretty smart.

39 Wow! You must have studied!

40 Awesome! Halfway to one million dollars!

41 Super!

42 Wonderful! You’ve reached the next level!

43 You are on your way! Be careful!

44 I’ve never seen anything like it!

45 Fantastic! This is really exciting!

46 One right answer to go!

47 Wrong $0 That is not correct. You leave with

48 Wrong $1000 That is not correct. You leave with

49 Wrong $32,000 That is not correct. You leave with

50 Your a Millionaire!

51 Ask A Professor


Download ppt "A discharge in which the patient was discharged from the inpatient rehabilitation facility and returned within 3 calendar days is called a(n) Interrupted."

Similar presentations


Ads by Google